Organization Active NPI

Mindful Care PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, IA
National Provider Identifier
1316701766
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MINDFUL CARE PLLC
Practice address
500 N 3Rd St Ste 203
Fairfield, IA 52556-2482
Phone
(641) 548-7177
Fax
(641) 200-1975
NPI assigned
Feb 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Mr. Lawrence Brickner III
Title
Office Manager
Phone
(682) 248-1752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

500 N 3Rd St Ste 203
Fairfield, IA 52556-2482

Mailing address

500 N 3Rd St Ste 203
Fairfield, IA 52556-2482
Phone (641) 548-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240813002414 IA Part B Supplier - Clinic/Group Practice 7012455736 Receives reassigned benefits from 1 practitioner
Practice locations: Richland, IA

National Provider Directory

National Provider Directory

Locations

500 N 3rd St
Ste 203
Fairfield, IA 52556
Phone (641) 548-7177

114 W Main St
Richland, IA 52585
Phone (641) 548-7177

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1316701766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST STE 203",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562482",
            "telephone_number": "641-548-7177",
            "fax_number": "641-200-1975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N 3RD ST STE 203",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562482",
            "telephone_number": "641-548-7177",
            "fax_number": "641-200-1975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "BRICKNER",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "682-248-1752",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.

Verify at the official NPI Registry.