NPIMap

Organization Active NPI

LC Psychiatry Inc.

Doing business as Clair Mind Health

  • Medical Physician Assistant
  • Johnston, IA
National Provider Identifier
1649164484
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Legal business name
LC PSYCHIATRY INC.
Doing business as
Clair Mind Health
Practice address
8460 Birchwood CT Ste 700
Johnston, IA 50131-2806
Phone
(515) 707-6777
NPI assigned
Jun 5, 2025
Last updated
Sep 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Authorized official

Name
Laurie Lavon Clair, PA-CNPI 1790046548
Title
President
Phone
(515) 707-6777

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)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

8460 Birchwood CT Ste 700
Johnston, IA 50131-2806

Mailing address

8460 Birchwood CT Ste 700
Johnston, IA 50131-2806
Phone (515) 229-2318

Other practice location 1

1119 E 2nd St
Pella, IA 50219-1200
Phone (515) 229-2318

Other names 1

  • Clair Mind Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251001002322 IA Part B Supplier - Clinic/Group Practice 1557867207 Receives reassigned benefits from 4 practitioners
Practice locations: Johnston, IA

National Provider Directory

National Provider Directory

Locations

8460 Birchwood Ct
Ste 700
Johnston, IA 50131
Phone (515) 229-2318

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758844800000",
    "number": "1649164484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8460 BIRCHWOOD CT STE 700",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312806",
            "telephone_number": "515-229-2318",
            "fax_number": "515-214-1946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8460 BIRCHWOOD CT STE 700",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312806",
            "telephone_number": "515-707-6777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191200",
            "country_code": "US",
            "telephone_number": "515-229-2318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LC PSYCHIATRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A",
        "authorized_official_last_name": "CLAIR",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LAVON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-707-6777",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clair Mind Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clair Mind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Johnston, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; 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.