CHRISTINA LEE GOERDT (MSED, LPCC) – Professional Counselor, NPI 1295621480

CHRISTINA LEE GOERDT (MSED, LPCC) is a healthcare provider. based in Virginia, Minnesota. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MSED, LPCC. They hold a License No. CC05008 (MN). The NPI Number for CHRISTINA LEE GOERDT (MSED, LPCC) is 1295621480

Main info

Female
Sole Proprietor
3 Years Of Experience
Name
CHRISTINA LEE GOERDT (MSED, LPCC)
NPI
1295621480
Phone
(218) 741-5191
Address
330 3rd St S
Enumeration Date
16 June 2025
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
0648788927
Professional Enrollment ID
I20250806003399
Address ID
MN554161481SA5851XSXXX501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,813 MENTAL HEALTH COUNSELOR in MN

Provider Addresses for CHRISTINA LEE GOERDT (MSED, LPCC)

  • 330 3rd St S

    Virginia, MN 557922632

    Phone: (218) 741-5191

    Fax: (218) 741-5369

    Type: Location

  • 226 PECAN AVE APT 208

    DULUTH, MN 558112750

    Phone: (218) 213-8128

    Type: Mailing

  • 5851 CEDAR LAKE RD S STE 201

    ST LOUIS PARK, MN 554161481

    Phone: (612) 399-9996

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250806003399IMental Health CounselorMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55792)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for CHRISTINA LEE GOERDT (MSED, LPCC)?
CHRISTINA LEE GOERDT (MSED, LPCC) — NPI 1295621480 — is the standard way to identify this listing.
Does CMS list CHRISTINA LEE GOERDT (MSED, LPCC) as active?
Yes — CHRISTINA LEE GOERDT (MSED, LPCC) is active in the NPI listing used on this page.
What taxonomy line describes CHRISTINA LEE GOERDT (MSED, LPCC)?
For research purposes, treat CHRISTINA LEE GOERDT (MSED, LPCC) as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect CHRISTINA LEE GOERDT (MSED, LPCC) on a map?
Expect Virginia, Minnesota as a primary anchor for CHRISTINA LEE GOERDT (MSED, LPCC) unless the record lists multiple sites.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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