Matt Burghdoff, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0701014250 Issued in VA

Practice address

6003 Ellesmere CT Unit E
Alexandria, VA 22315-4875

Phone

(202) 730-6344

NPI assigned

Aug 26, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phnxcounseling PLLC

  • Counselor
  • Springfield, VA
  • NPI 1942150776
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1407680267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6003 ELLESMERE CT UNIT E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154875",
            "telephone_number": "202-730-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6003 ELLESMERE CT UNIT E",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223154875",
            "telephone_number": "202-730-6344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6564 Loisdale Ct Ste 600",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221501829",
            "country_code": "US",
            "telephone_number": "202-730-6344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURGHDOFF",
        "first_name": "MATT",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701014250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Burcham, COTA
• Keaton Burchfield
• Maghan Burge, NP
• Carol Anne Burgess, CRNA
• Catherine E Burgess
• Alison Burke, LCSW, LICSW
• Angela Burke
• Emmett Burke
• Michael Scott Burke, MD
• Paige Burke

• Mental Health Counselor in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.