JOHN F MOFFATT MA
NPI 1235913419
Marriage & Family Therapist in Stillwater, MN

Q: What is John Moffatt's NPI number?

The NPI number for John Moffatt is 1235913419. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Q: What is John Moffatt's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for John Moffatt was last updated on April 8, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2023PECOS EnrolledAccepts Medicare Assignment

1715 TOWER DR W STE 100, STILLWATER, MN 55082(651) 390-5001 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 8, 2026, Aug 21, 2023 (2 updates tracked since 2023).

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About John F Moffatt Ma NPPES

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

JOHN F MOFFATT MA (NPI 1235913419) is an individual marriage & family therapist in Stillwater, Minnesota and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1235913419

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJOHN F MOFFATTCredential: MA

Location Address1715 TOWER DR W STE 100Stillwater, MN 55082-7609

Mailing Address1715 Tower Dr W Ste 100Stillwater, MN 55082-7609

Phone(651) 390-5001

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 21, 2023

Last NPPES UpdateApril 8, 20262 updates tracked since enumeration

NPPES CertifiedApril 8, 2026

✔ NPI 1235913419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1715 TOWER DR W STE 100, Stillwater, MN 55082

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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

John F Moffatt Ma 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 ID446726780

PECOS Enrollment IDI20260415002074

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.

Other Providers at the Same Location NPPES 18

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

MS. NICOLE ANDERSON APRN, CNP

Nurse Practitioner (Psychiatric/Mental Health)