Active NPIOrganization

Affect Provider Group, P.s.c.

Counselor, Professional in Geneva, Illinois

NPI Number1760373005
Practice location
127 S 1ST St Ste 205, Geneva, IL 60134-2644
Fax
—
Last updated
August 13, 2026

Affect Provider Group, P.s.c. is a healthcare organization based in Geneva, IL. The NPI number for Affect Provider Group, P.s.c. is 1760373005. The current practice location address is 127 S 1ST St Ste 205, Geneva, IL 60134-2644 and the office can be reached by phone at 845-769-8758. The NPI was assigned on July 14, 2025 and the record was last updated in NPPES on August 13, 2026.

●Provider Profile Details

NPI Number
1760373005
Provider Name
Affect Provider Group, P.s.c.
Entity Type
Organization (Type 2 NPI)
Primary Taxonomy
Counselor, Professional · 101YP2500X
Organization Subpart
No
Authorized Official
Karla Renee Mullings · Director Of Compliance · 845-768-8758
Enumeration Date
July 14, 2025
Last Update Date
August 13, 2026
Certification Date
August 13, 2026
NPI Status
Active

◉Business Practice Location Address

Address
127 S 1ST St Ste 205
Geneva, IL 60134-2644
City
Geneva
ZIP
60134-2644
Country
US
Phone Number
845-769-8758

Get directions →

✉Business Mailing Address

Address
Po Box 96634
Phoenix, AZ 85072-6634
City
Phoenix
State
AZ
ZIP
85072-6634

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Professional
193200000X - Multi-Specialty Group
101YP2500XYes——
Psychologist, Counseling
193200000X - Multi-Specialty Group
103TC1900XNo——
Social Worker
193200000X - Multi-Specialty Group
104100000XNo——
Social Worker, Clinical
193200000X - Multi-Specialty Group
1041C0700XNo——
Marriage & Family Therapist
193200000X - Multi-Specialty Group
106H00000XNo——

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Affect Provider Group, P.s.c.?

The NPI number of Affect Provider Group, P.s.c. is 1760373005. It was assigned on July 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Affect Provider Group, P.s.c.?

Affect Provider Group, P.s.c. is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).

Where does Affect Provider Group, P.s.c. practice?

The practice location is 127 S 1ST St Ste 205, Geneva, IL 60134-2644. The office can be reached at 845-769-8758 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760373005 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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