Individual provider Active NPI

Michelle Gorden, LPC

  • Professional Counselor
  • Chantilly, VA
National Provider Identifier
1740934181
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701012166 Issued in VA
Practice address
4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260
Phone
(703) 682-8215
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701012166 VA Primary
Mental Health Counselor 101YM0800X 0704013707 VA

Addresses

Primary practice location

4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260

Mailing address

4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260
Phone (703) 682-8215

Other practice location 1

4229 Lafayette Center Dr Ste 1300
Chantilly, VA 20151-1260
Phone (703) 682-8215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, TX, SC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20240216003936 VA Practitioner - Mental Health Counselor 0840634895
I20241004001469 DC Practitioner - Mental Health Counselor 0840634895 Reassigns benefits to 2 organizations
I20250409003739 TX Practitioner - Mental Health Counselor 0840634895 Reassigns benefits to 1 organization
I20250425001536 SC Practitioner - Mental Health Counselor 0840634895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Liberty Univ College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 289-7560

8505 Arlington Blvd
Fairfax, VA 22031-4630

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0704013707VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 4, 2025 Accepting new patients
Inova Health Care Services CurrentSince Sep 9, 2024 Accepting new patients
Inova Health Care Services CurrentSince Sep 9, 2024 Accepting new patients
Fairfax County, Virginia PastSince Mar 13, 2026 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

8101 Hinson Farm Rd
Ste 311
Alexandria, VA 22306
Phone (571) 472-7353

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1740934181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1300",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511260",
            "telephone_number": "703-682-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAFAYETTE CENTER DR STE 1300",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511260",
            "telephone_number": "703-682-8215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4229 Lafayette Center Dr Ste 1300",
            "address_purpose": "LOCATION",
            "city": "Chantilly",
            "state": "VA",
            "postal_code": "201511260",
            "country_code": "US",
            "telephone_number": "703-682-8215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORDEN",
        "first_name": "MICHELLE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701012166",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0704013707",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

Verify at the official NPI Registry.