NPI
Trista M Gottwalt
NPI 1184291049
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- MS, LADC
- Type
- Individual
- Enumeration date
- 2021-06-09
- Last updated
- 2025-11-19
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Specialties
Licenses
- License MN
- 306045
- License MN
- 4115
Location
- Practice location
- 2104 Northdale Blvd NW Ste 220
- City
- Coon Rapids MN
- Postal code
- 55433-3046
- Phone
- (763) 537-6000
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Mental Health Counselors in Coon Rapids, MN. 68 with this primary taxonomy in the public file.
Other NPIs in Coon Rapids, MN. 2,174 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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