Individual provider Active NPI

Suzanne M Koett

  • Mental Health Counselor
  • Johnson City, TN
National Provider Identifier
1689583106
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASSOCIATE Issued in TN
Practice address
100 W Unaka Ave
Johnson City, TN 37604-5507
Phone
(423) 408-8041
Fax
(844) 400-3966
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 ASSOCIATE TN Primary

Addresses

Primary practice location

100 W Unaka Ave
Johnson City, TN 37604-5507

Mailing address

100 W Unaka Ave
Johnson City, TN 37604-5507
Phone (423) 408-8041

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1689583106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045507",
            "telephone_number": "423-408-8041",
            "fax_number": "844-400-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W UNAKA AVE",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376045507",
            "telephone_number": "423-408-8041",
            "fax_number": "844-400-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETT",
        "first_name": "SUZANNE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "ASSOCIATE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.