Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MIND OVER MAYHEM LLC
NPI 1215741004
Social Worker - Clinical in Fairfax, VA

Q: What is Mind Over Mayhem LLC's NPI number?

The NPI number for Mind Over Mayhem LLC is 1215741004. It was assigned to this organization in the NPPES registry on February 3, 2025.

Q: What is Mind Over Mayhem LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since February 03, 2025

10306 EATON PL STE 300, FAIRFAX, VA 22030(804) 420-9595 Get Directions Write a Review

NPPES record last updated: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 5, 2026, Sep 9, 2025, Feb 3, 2025 (3 updates tracked since 2025).

On this page

About Mind Over Mayhem Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND OVER MAYHEM LLC (NPI 1215741004) is a healthcare organization registered as a clinical in Fairfax, Virginia and active in the NPI registry since February 2025. The organization lists Sarah Nieburg, Owner, as its authorized official.

NPPES Registry Identity

NPI1215741004

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMIND OVER MAYHEM LLC

Location Address10306 EATON PL STE 300Fairfax, VA 22030-2201

Mailing Address2400 Thrush RdCharlottesville, VA 22901-8812 · (804) 420-9595

Phone(804) 420-9595

Organization SubpartNo

Authorized OfficialSarah NieburgOwner · (434) 987-4323

Enumeration DateFebruary 3, 2025

Last NPPES UpdateNovember 5, 20263 updates tracked since enumeration

NPPES CertifiedNovember 5, 2026

✔ NPI 1215741004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

10306 EATON PL STE 300, Fairfax, VA 22030

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VITAL LINK TRANSPORTATION LLC

Transportation Network Company