TRISTA SHARI MOFFETT LCSW
NPI 1871074146
Counselor - Mental Health in Crestview, FL

Active since August 24, 2018PECOS EnrolledAccepts Medicare Assignment
502 E 2ND AVE, CRESTVIEW, FL 32536(850) 778-9110(850) 399-9663 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2022, Apr 13, 2021, Aug 24, 2018 (3 updates tracked since 2018).

About Trista Shari Moffett Lcsw NPPES

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

TRISTA SHARI MOFFETT LCSW (NPI 1871074146) is an individual mental health provider in Crestview, Florida, licensed in Florida (SW15112) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Crestview, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1871074146
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTRISTA SHARI MOFFETTCredential: LCSW
Location Address502 E 2ND AVECrestview, FL 32536-2514
Mailing Address502 E 2nd AveCrestview, FL 32536-2514 · (850) 778-9110 · Fax (850) 399-9663
Fax(850) 399-9663
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 24, 2018
Last NPPES UpdateMay 5, 20223 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
NPI 1871074146 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 FL · SW15112
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW15112 (FL)
502 E 2ND AVE, Crestview, FL 32536

Secondary Practice Location 1

Location 1502 E 2nd AveCrestview, FL 32536-2514 · Phone (850) 778-9110 · Fax (850) 399-9663

Accepted 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

Trista Shari Moffett Lcsw 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 ID5193079481
PECOS Enrollment IDI20181127001063
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 5

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

Social Worker (Clinical)
502 E 2ND AVE
CRESTVIEW, FL 32536
Social Worker (Clinical)
502 E 2ND AVE
CRESTVIEW, FL 32536
Social Worker (Clinical)
502 E 2ND AVE
CRESTVIEW, FL 32536
Social Worker (Clinical)
502 E 2ND AVE
CRESTVIEW, FL 32536
Clinic/Center (Mental Health (Including Community Mental Health Center))
502 E 2ND AVE
CRESTVIEW, FL 32536

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 Moffett's NPI number?

The NPI number for Trista Moffett is 1871074146. It was assigned to this individual provider in the NPPES registry on August 24, 2018.

Where is Trista Moffett located?

Trista Moffett practices at 502 E 2nd Ave, Crestview, FL 32536. The listed phone number is (850) 778-9110.

What is Trista Moffett's specialty?

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

Is Trista Moffett enrolled in Medicare?

Yes. Trista Moffett 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 Moffett accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Trista Moffett 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 Moffett was last updated on May 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.