Individual provider Active NPI

Hiba Fatima Moinuddin, MA, LPC

  • Mental Health Counselor
  • Chicago, IL
National Provider Identifier
1376263525
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2548 W Division St
Chicago, IL 60622-2806
Phone
(773) 270-3795
NPI assigned
Aug 29, 2022
Last updated
Jan 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2548 W Division St
Chicago, IL 60622-2806

Mailing address

8S223 Derby Drive
Naperville, IL 60540
Phone (630) 699-6536

Other practice location 1

1033 University Pl Ste 330
Evanston, IL 60201-3156
Phone (847) 529-8300

Other names 1

  • Ms. Hiba Fatima Moinuddin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Atlas Behavioral Health PLLC Mental Health CurrentSince Jan 22, 2023 Accepting new patients

Locations

2548 W Division St
Chicago, IL 60622
Phone (773) 270-3795

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1376263525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8S223 DERBY DRIVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "60540",
            "telephone_number": "630-699-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2548 W DIVISION ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222806",
            "telephone_number": "773-270-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 University Pl Ste 330",
            "address_purpose": "LOCATION",
            "city": "Evanston",
            "state": "IL",
            "postal_code": "602013156",
            "country_code": "US",
            "telephone_number": "847-529-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOINUDDIN",
        "first_name": "HIBA",
        "middle_name": "FATIMA",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HIBA",
            "last_name": "MOINUDDIN",
            "middle_name": "FATIMA",
            "prefix": "MS.",
            "credential": "MA, LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.