Trista Shari Moffett, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SW15112 Issued in FL

Practice address

502 E 2ND Ave
Crestview, FL 32536-2514

Phone

(850) 778-9110

Fax

(850) 399-9663

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Healthy Perspectives Counseling GroupGroup PAC ID 3173932506, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Healthy Perspectives Counseling Group

  • Clinical Social Worker
  • Crestview, FL
  • NPI 1407441264
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1871074146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E 2ND AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362514",
            "telephone_number": "850-778-9110",
            "fax_number": "850-399-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E 2ND AVE",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325362514",
            "telephone_number": "850-778-9110",
            "fax_number": "850-399-9663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "502 E 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325362514",
            "country_code": "US",
            "telephone_number": "850-778-9110",
            "fax_number": "850-399-9663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOFFETT",
        "first_name": "TRISTA",
        "middle_name": "SHARI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15112",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW15112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lou Milligan, LCSW
• Mindfully You Therapy Services LLC
• Abdul Basit Mir, M.D.
• Alisha Mitchell
• Edward Mitchell Jr., LDO
• Novella Moffitt, LMHC
• Katie Rose Mogent
• Rebecca Ann Monceaux, DPT
• Amanda Lizette Monroy, ARNP
• Isabella Rae Flores Montecillo

• Mental Health Counselor in Crestview, FL
• Providers in Crestview, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.