Organization Active NPI

Emerald Leaf Counseling and Consulting LLC

  • Mental Health Counselor
  • Falls Church, VA
National Provider Identifier
1205795960
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMERALD LEAF COUNSELING AND CONSULTING LLC
Practice address
2916 Lawrence Dr
Falls Church, VA 22042-1405
Phone
(703) 829-6350
NPI assigned
Jan 19, 2026
Last updated
Feb 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2026

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

Authorized official

Name
Miki Goerdt, LCSW, LCSW-C, ATR-BCNPI 1558784520
Title
Owner
Phone
(703) 829-6350

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

2916 Lawrence Dr
Falls Church, VA 22042-1405

Mailing address

2916 Lawrence Dr
Falls Church, VA 22042-1405
Phone (703) 829-6350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219001987 DC Part B Supplier - Clinic/Group Practice 7315427192 Receives reassigned benefits from 1 practitioner
Practice locations: Falls Church, VA; Vienna, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770595200000",
    "number": "1205795960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2916 LAWRENCE DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421405",
            "telephone_number": "703-829-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 LAWRENCE DR",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421405",
            "telephone_number": "703-829-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD LEAF COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-02-09",
        "certification_date": "2026-02-09",
        "status": "A",
        "authorized_official_last_name": "GOERDT",
        "authorized_official_first_name": "MIKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-829-6350",
        "authorized_official_credential": "LCSW, LCSW-C, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.