Individual provider Active NPI

Ashton Moos, LADC LICSW

  • Clinical Social Worker
  • Coon Rapids, MN
National Provider Identifier
1902462526
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
25181 Issued in MN
Practice address
2669 Coon Rapids Blvd NW
Coon Rapids, MN 55433-0001
Phone
(763) 999-5991
NPI assigned
May 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 25181 MN Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 304216 MN

Addresses

Primary practice location

2669 Coon Rapids Blvd NW
Coon Rapids, MN 55433-0001

Mailing address

761 Northdale Blvd NW
Coon Rapids, MN 55448-3382

Other practice location 1

1865 Old Hudson Rd Ste A5
Saint Paul, MN 55119-4308
Phone (651) 406-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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

Enrollment IDStateProvider typePAC IDDetails
I20251110002497 MN Practitioner - Clinical Social Worker 6204326911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of North Dakota School of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2669 Coon Rapids Blvd NW
Coon Rapids, MN 55433-0001

PO Box
Suite 86
Providence, UT 84332

PO Box
Suite 86
Providence, UT 84332-0086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
304216MNMDAddiction (Substance Use Disorder) Counselor
25181MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TNT Wellness Center CurrentSince Oct 1, 2025 Accepting new patients

Locations

2669 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (507) 491-4387

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1558310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1902462526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 NORTHDALE BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554483382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554330001",
            "telephone_number": "763-999-5991"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Old Hudson Rd Ste A5",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551194308",
            "country_code": "US",
            "telephone_number": "651-406-0011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOS",
        "first_name": "ASHTON",
        "credential": "LADC LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-20",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25181",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "304216",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.