Active NPI
Atypical Psychiatry LLC
Doing business as Mindbridge Mental Health & Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Marion, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ATYPICAL PSYCHIATRY LLC
- Doing business as
- Mindbridge Mental Health & Wellness
- Practice address
- 1583 N Main St
Marion, VA 24354-4317 - Phone
- (276) 247-9669
- Fax
- (276) 243-0057
- NPI assigned
- Mar 25, 2025
- Last updated
- Jan 13, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Carmickle, APRN
- Title
- Owner
- Phone
- (469) 915-4211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
1583 N Main St
Marion, VA 24354-4317
Mailing address
1583 N Main St
Marion, VA 24354-4317
Phone (276) 247-9669
Other names 1
- Mindbridge Mental Health & Wellness
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1583 N Main St
Marion, VA 24354
Phone (276) 247-9669
238 W Main St
Marion, VA 24354
Phone (276) 247-9669
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Marion, VA
- NPI 1205645876
-
- Psychiatric/Mental Health Nurse Practitioner
- Marion, VA
- NPI 1699643874
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742860800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768262400000",
"number": "1033911722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1583 N MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243544317",
"telephone_number": "276-247-9669",
"fax_number": "276-243-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1583 N MAIN ST",
"city": "MARION",
"state": "VA",
"postal_code": "243544317",
"telephone_number": "276-247-9669",
"fax_number": "276-243-0057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATYPICAL PSYCHIATRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-25",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A",
"authorized_official_last_name": "CARMICKLE",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-915-4211",
"authorized_official_credential": "APRN"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mindbridge Mental Health & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marion, VA
- Appalachian Agency for Senior Citizens, Inc (Mount Rogers PACE)
- Appalachian Agency for Senior Citizens, Inc (Marion Adult Day Center)
- Appalachian Emergency Physicians
- Appalachian Laboratories Inc
- Appalachian Oral & Maxillofacial Surgery LTD
- Amanda Bancroft
- Robert Paul Baranowsky
- Xavia Barnett, LBA
- Genevieve Ann Bartuski, PSYD
- Lyle W Bauman, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.