Mind Over Mayhem LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MIND OVER MAYHEM LLC

Practice address

5102 Gunpowder Rd
Fairfax, VA 22030-6510

Phone

(434) 987-4323

NPI assigned

Feb 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sarah Nieburg, LCSWNPI 1386452712

Title

Owner

Phone

(434) 987-4323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Nieburg, LCSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1386452712
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1215741004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5102 GUNPOWDER RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306510",
            "telephone_number": "434-987-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5102 GUNPOWDER RD",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220306510",
            "telephone_number": "434-987-4323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND OVER MAYHEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A",
        "authorized_official_last_name": "NIEBURG",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-987-4323",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30018130450001",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer McKee Min
• Kiho Min, MD
• John Robert Minarcik Jr., M.D.
• Mind Matters Psychiatry, LLC
• Mind Meadow Counseling LLC
• Mindful Health L.L.C
• Mindful Legacy LLC
• Mindful Psychological Health, PLLC
• Mindful Steps Counseling Services, LLC
• Mindsett Mental Health LLC

• Clinical Social Worker in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.