Active NPI
Christina Lee Goerdt, MSED, LPCC
- Professional Counselor
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- CC05008
- Practice address
- 5851 Cedar Lake Rd S Ste 201
St Louis Park, MN 55416-1481 - Phone
- (612) 399-9996
- NPI assigned
- Jun 16, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | CC05008 | MN | Primary |
Addresses
Primary practice location
5851 Cedar Lake Rd S Ste 201
St Louis Park, MN 55416-1481
Mailing address
226 Pecan Ave Apt 208
Duluth, MN 55811-2750
Phone (218) 213-8128
Other practice location 1
330 3rd St S
Virginia, MN 55792-2632
Phone (218) 741-5191
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC05008 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
| Life and Light LLC | Professional | Current | Accepting new patients |
| The Roses LLC | Current | Accepting new patients |
Locations
729 Washington Ave N
Ste 600
Minneapolis, MN 55401
Phone (334) 463-3099
5851 Cedar Lake Rd S
Ste 201
St Louis Park, MN 55416
Phone (612) 399-9996
330 3rd St S
Virginia, MN 55792
Phone (218) 639-5510
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Louis Park, MN
- NPI 1942824677
Professional
-
- Mental Health Counselor
- Virginia, MN
- NPI 1427832690
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
MN, Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1295621480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 PECAN AVE APT 208",
"city": "DULUTH",
"state": "MN",
"postal_code": "558112750",
"telephone_number": "218-213-8128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5851 CEDAR LAKE RD S STE 201",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554161481",
"telephone_number": "612-399-9996"
}
],
"practiceLocations": [
{
"address_1": "330 3rd St S",
"address_purpose": "LOCATION",
"city": "Virginia",
"state": "MN",
"postal_code": "557922632",
"country_code": "US",
"telephone_number": "218-741-5191",
"fax_number": "218-741-5369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOERDT",
"first_name": "CHRISTINA",
"middle_name": "LEE",
"credential": "MSED, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-16",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "CC05008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.