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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. TRISTA M GOTTWALT, MS, LADC

Active

MS. TRISTA M GOTTWALT, MS, LADC is a Mental Health Counselor healthcare provider located in COON RAPIDS, Minnesota. NPI 1184291049 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · COON RAPIDS, MN

Registration Details

NPI Number
1184291049
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2021 (5.1576512392496 yrs)
Last Updated
Nov 19, 2025
Licenses
306045 (MN)
4115 (MN)

Practice Information

Address
2104 NORTHDALE BLVD NW STE 220
COON RAPIDS, MN, 554333046
Browse MN providers · Browse ZIP 55433
Phone
7635376000
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Mental Health Counselor

Other Mental Health Counselor Providers in COON RAPIDS, MN

Name Credential NPI
DR. DEBORAH COLLEEN MILLER PSY.D. 1417909177
MS. RUTH ANN ORMISTON LICSW 1366537003
MS. BONNIE INEZ NORSTED M.A. 1740348283
ELIZABETH A DOUGLAS MA, LADC, LPCC 1336439306
ANNETTE MARIE LARSON M.A., L.P.C., LADC 1174972715
TANYA MARIE SVENDDAL M.A LADC 1366994527
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.