MEDICARE: PHNXCOUNSELING PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

General Provider Information

NPI Number	:	1942150776
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PHNXCOUNSELING PLLC

Provider Business Mailing Address
First Line	:	7432 ALBAN STATION CRT
Second Line	:	SUITE 228
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2332
Country	:	US
Telephone Number	:	202-730-6344
Fax Number	:

Provider Business Practice Location Address
First Line	:	7432 ALBAN STATION CRT
Second Line	:	SUITE 228
City	:	SPRINGFIELD
State	:	VA
Zip	:	22150-2332
Country	:	US
Telephone Number	:	202-730-6344
Fax Number	:

Authorized Official
Title or Position	:	OWNER & FOUNDER
Name	:	MATT BURGHDOFF
Credential	:	LPC
Telephone Number	:	202-730-6344

Provider Enumeration Date	:	01/31/2026
Last Update Date	:	01/31/2026

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