Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Trista M Gottwalt, MS, LADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184291049

MS. Trista M Gottwalt, MS, LADC is a Mental Health Counselor in Coon Rapids, Minnesota. Qualified in 2021, 5 years ago. Practices with Nura PLLC, a 35-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
5
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone: (763) 537-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7400 France Ave S Ste 100, Edina, MN 55435-4738 — (763) 537-6000

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 4115 (MN)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 306045 (MN)

Record details

NPI number1184291049
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , LADC
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Nura Pllc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Coon Rapids