Trista M. Gottwalt, MS, LADC
Mental Health Counselor · Coon Rapids, MN
Trista M. Gottwalt, MS, LADC is a mental health counselor with a practice address in Coon Rapids, Minnesota, and NPI 1184291049, issued on Jun 9, 2021. Check the license (Minnesota 4115, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Trista M. Gottwalt
- Credential
- MS, LADC
- Primary taxonomy
- Mental Health Counselor 101YM0800X
- License numbers
- 4115 MN
306045 MN
Self-reported in NPPES; status is on the state search - Practice location
- 2104 Northdale Blvd NW Ste 220, Coon Rapids, MN 55433
- Phone
- (763) 537-6000
- Enumerated
- Jun 9, 2021
- Record last updated
- Nov 19, 2025
- Medicare enrollment
- Enrolled (PECOS I20240301000682); accepts Medicare assignment
- Telehealth
- Offers telehealth (CMS)
- Entity
- Type 1 · individual
Also registered at 2104 Northdale Blvd NW Ste 220
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Gordon Beardwood, MDPain Medicine (Anesthesiology) Physician1316938038
- Erin Bettendorf, M.D.Pain Medicine (Anesthesiology) Physician1659719987
- Cody Foster, M.D.Pain Medicine (Anesthesiology) Physician1760914725
- Gabriel Gornet, DPTPhysical Therapist1659015550
- Eric Jensen, CRNACertified Registered Nurse Anesthetist1871922666
- Alyssa Moualee, PA-CMedical Physician Assistant1578113932
Verify Trista M. Gottwalt in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 4115Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Nura PLLCCoon Rapids, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
61 mental health counselor records list a practice address in Coon Rapids
They are 61 of the 1,802 NPPES records with a practice address in Coon Rapids, and 4,133 mental health counselor records in Minnesota.
All 61 in Coon Rapids → All 4,133 in Minnesota → Every provider in Coon Rapids →
Other mental health counselor records in Minnesota
- Hannah Aase, MA, LAMFTMinnetonka, MN1376135608
- Krystal Aasen, M.ED.,LPCC, LPC, NCCBrainerd, MN1538834403
- Asha AbasBloomington, MN1306602990
- Aurora AbbottVirginia, MN1003545245
- Doaa AbdallahBloomington, MN1750083176
- Maya AbdellaEagan, MN1700648094
- Abdiaziz AbdiBloomington, MN1871083832
- Abdirahman AbdiSaint Cloud, MN1467228742
- Abdirhman AbdiRochester, MN1518727551
- Abdullahi AbdiBloomington, MN1437640828
Common questions
What is Trista M. Gottwalt, MS, LADC's NPI number?
Trista M. Gottwalt, MS, LADC's National Provider Identifier (NPI) is 1184291049, issued on Jun 9, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Trista M. Gottwalt, MS, LADC located?
The NPPES record lists a practice address at 2104 Northdale Blvd NW Ste 220, Coon Rapids, MN, 55433. Phone: (763) 537-6000. Providers update this record themselves, so call before visiting.
How can I verify Trista M. Gottwalt, MS, LADC's license?
NPPES lists Minnesota license number 4115, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.