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

Active since February 03, 2025
5102 GUNPOWDER RD, FAIRFAX, VA 22030(434) 987-4323 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 9, 2025, Feb 3, 2025 (2 updates tracked since 2025).

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 Address5102 GUNPOWDER RDFairfax, VA 22030-6510
Mailing Address5102 Gunpowder RdFairfax, VA 22030-6510 · (434) 987-4323
Phone(434) 987-4323
Organization SubpartNo
Authorized OfficialSarah NieburgOwner · (434) 987-4323
Enumeration DateFebruary 3, 2025
Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ 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.

5102 GUNPOWDER RD, Fairfax, VA 22030
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Other Identifiers 1

Medicaid30018130450001VA

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Mind Over Mayhem LLC located?

Mind Over Mayhem LLC is located at 5102 Gunpowder Rd, Fairfax, VA 22030. The listed phone number is (434) 987-4323.

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.

When was this NPI record last updated?

The NPPES record for Mind Over Mayhem LLC was last updated on September 24, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.