Individual provider Active NPI

Azmat Moinuddin

  • Professional Counselor
  • Knoxville, TN
National Provider Identifier
1497073928
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 2769 Issued in TN
Practice address
9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621
Phone
(865) 384-7476
Fax
(865) 338-5383
NPI assigned
May 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 2769 TN Primary

Addresses

Primary practice location

9041 Executive Park Dr Ste 275B
Knoxville, TN 37923-4621

Mailing address

700 Melford LN
Knoxville, TN 37934-5289
Phone (865) 219-3937

Other practice location 1

207 N Boone St Ste 13
Johnson City, TN 37604-5659
Phone (865) 219-3937

Other identifiers 1

IdentifierTypeStateIssuer
1526602MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250115003056 TN Practitioner - Mental Health Counselor 7416240528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC 2769TNMDProfessional Counselor
2769TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Behavioral Health LLC CurrentSince Oct 7, 2024 Accepting new patients
Omni Community Health, Inc. Professional Past Accepting new patients

Locations

207 N Boone St
Ste 13
Johnson City, TN 37604
Phone (865) 219-3937

252 Harry Lane Blvd
#202
Knoxville, TN 37923
Phone (865) 338-5384

252 Harry Lane Blvd
Ste 201202
Knoxville, TN 37923
Phone (865) 338-5384

Organizations & group practices 2

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": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1497073928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 MELFORD LN",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379345289",
            "telephone_number": "865-219-3937",
            "fax_number": "865-338-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9041 EXECUTIVE PARK DR STE 275B",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379234621",
            "telephone_number": "865-384-7476",
            "fax_number": "865-338-5383"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 N Boone St Ste 13",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045659",
            "country_code": "US",
            "telephone_number": "865-219-3937",
            "fax_number": "865-338-5383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOINUDDIN",
        "first_name": "AZMAT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-07",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC 2769",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526602",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.