MRS. AZMAT MOINUDDIN – Professional Counselor, NPI 1497073928
Professional Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
650 MENTAL HEALTH COUNSELOR in TN
Provider Addresses for MRS. AZMAT MOINUDDIN
207 N Boone St Ste 13
Johnson City, TN 376045659
Phone: (865) 219-3937
Fax: (865) 338-5383
Type: Location
252 HARRY LANE BLVD STE 202
KNOXVILLE, TN 37923
Phone: (865) 219-3937
Fax: (865) 338-5383
Type: Location
252 Harry Lane Blvd Ste 202
Knoxville, TN 37923
Phone: (865) 219-3937
Fax: (865) 338-5383
Type: Location
700 MELFORD LN
KNOXVILLE, TN 379345289
Phone: (865) 219-3937
Fax: (865) 338-5383
Type: Mailing
9041 EXECUTIVE PARK DR STE 275B
KNOXVILLE, TN 379234621
Phone: (865) 384-7476
Fax: (865) 338-5383
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: 2025-01-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250115003056 | I | Mental Health Counselor | TN | TBD |
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.
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 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Marriage And Family Therapist | TN | |
| Clinical Social Worker | TN | |
| - | TN | |
| Mental Health Counselor | TN | |
| - | TN | |
| Mental Health Counselor | TN | |
| Clinical Social Worker | CO | |
| Nurse Practitioner | TN | |
| Mental Health Counselor | TN | |
| Nurse Practitioner | TN |
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