MS. TRISTA M GOTTWALT MS, LADC
NPI 1184291049
Counselor - Mental Health in Coon Rapids, MN

Q: What is Trista Gottwalt's NPI number?

The NPI number for Trista Gottwalt is 1184291049. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Q: What is Trista Gottwalt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Trista Gottwalt was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2021PECOS EnrolledAccepts Medicare Assignment

2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433(763) 537-6000 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 19, 2025, Nov 13, 2023, Jun 9, 2021 (3 updates tracked since 2021).

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About Ms. Trista M Gottwalt Ms, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TRISTA M GOTTWALT MS, LADC (NPI 1184291049) is an individual mental health provider in Coon Rapids, Minnesota, licensed in Minnesota (4115) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Edina, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184291049

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. TRISTA M GOTTWALTCredential: MS, LADC

Location Address2104 NORTHDALE BLVD NW STE 220Coon Rapids, MN 55433-3046

Mailing Address2104 Northdale Blvd Nw Ste 220Coon Rapids, MN 55433-3046 · (763) 537-6000 · Fax (763) 537-6666

Phone(763) 537-6000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJune 9, 2021

Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1184291049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in MN · 4115

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306045 (MN)

2104 NORTHDALE BLVD NW STE 220, Coon Rapids, MN 55433

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Secondary Practice Location 1

Location 17400 France Ave S Ste 100Edina, MN 55435-4738 · Phone (763) 537-6000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Trista M Gottwalt Ms, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698110567

PECOS Enrollment IDI20240301000682

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

77 services15 patients

Assessment of health behavior 96156

Assessment of health behavior is a process where your daily habits and lifestyle choices are evaluated. This includes your diet, exercise, sleep patterns, and stress management. The goal is to identify areas for improvement and develop strategies for healthier habits.

40 services39 patients

Treatment of behavior impacting health, initial 30 minutes 96158

This service involves a healthcare professional working with you for 30 minutes to address behaviors that are negatively affecting your health. They will help you understand and modify these behaviors, improving your overall well-being.

18 services15 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

16 services16 patients

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY SCOTT DPT, ATC

Physical Therapist

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

DR. ANGELITO AURE SAJOR M.D.

Anesthesiology (Pain Medicine)

2104 NORTHDALE BLVD NW STE 220
MINNEAPOLIS, MN 55433

Anoka County (763) 537-6000

LARRY C STUDT MD

Family Medicine

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

DR. GORDON ALAN BEARDWOOD MD

Anesthesiology (Pain Medicine)

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

WALKER MITCHELL ROGERS

Physician Assistant

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

SHARON ELLIOTT O'CONNOR

Physical Therapist

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

ALYSSA SHENYENG MOUALEE PA-C

Physician Assistant (Medical)

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

DR. GABRIEL DANIEL GORNET DPT

Physical Therapist

2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN 55433

Anoka County (763) 537-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Trista Gottwalt's NPI number?

The NPI number for Trista Gottwalt is 1184291049. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Trista Gottwalt located?

Trista Gottwalt practices at 2104 Northdale Blvd NW Ste 220, Coon Rapids, MN 55433. The listed phone number is (763) 537-6000.

What is Trista Gottwalt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Trista Gottwalt enrolled in Medicare?

Yes. Trista Gottwalt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Trista Gottwalt accept?

Health plans from HealthPartners list Trista Gottwalt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Trista Gottwalt was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.