Affinity Clinical Services, PLLC
NPI 1790219871ActiveOrganization· Supports Brokerage· Charlotte, NC
Supports Brokerage in Charlotte, North Carolina, registered in NPPES in April 2017. The authorized official on file is Samuel Ndupu, LCMHCS, CCS, LCAS, Clinical Director, Owner.
Overview
| NPI | 1790219871 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 17, 2017 |
| Last updated in NPPES | Jun 19, 2023 |
| Certified by provider | Jun 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Supports Brokerage Primary | 251X00000X | — | — |
| Counselor, Professional | 101YP2500X | 4936 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Supports Brokerage providers in Charlotte
- 1033254917
- 1518657006