Active NPI
Pinkleaf Relationship & Mental Health Wellness LLC
- Mental Health Counselor
- Fairfax, VA
National Provider Identifier
1588529119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PINKLEAF RELATIONSHIP & MENTAL HEALTH WELLNESS LLC
- Practice address
- 3060 Williams Dr Ste 3001005
Fairfax, VA 22031-4667 - Phone
- (571) 540-9258
- Fax
- (703) 936-8319
- NPI assigned
- Dec 16, 2025
- Last updated
- Dec 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Greene, LPC
- Title
- Owner/Clinician
- Phone
- (540) 840-1593
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3060 Williams Dr Ste 3001005
Fairfax, VA 22031-4667
Mailing address
3060 Williams Dr Ste 3001005
Fairfax, VA 22031-4667
Phone (571) 540-9258
National Provider Directory
National Provider DirectoryLocations
3060 Williams Dr
Ste 3001005
Fairfax, VA 22031
Phone (571) 540-9258
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.
-
- Professional Counselor
- Port Tobacco, MD
- NPI 1477360618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765843200000",
"number": "1588529119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 WILLIAMS DR STE 3001005",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314667",
"telephone_number": "571-540-9258",
"fax_number": "703-936-8319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3060 WILLIAMS DR STE 3001005",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314667",
"telephone_number": "571-540-9258",
"fax_number": "703-936-8319"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINKLEAF RELATIONSHIP & MENTAL HEALTH WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-12-16",
"last_updated": "2025-12-16",
"certification_date": "2025-12-16",
"status": "A",
"authorized_official_last_name": "GREENE",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "OWNER/CLINICIAN",
"authorized_official_telephone_number": "540-840-1593",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.