MR. MATTHEW RENKEN LADC
NPI 1689147654
Counselor - Professional in Fridley, MN

NPI Status: Active since January 02, 2019

Contact Information

520 OSBORNE RD NE STE 210
FRIDLEY, MN
ZIP 55432
Phone: (763) 236-3800
Fax: (763) 236-3821

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  • Individual
  • Male
  • Years of Experience 6
  • Counselor
  • Professional
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About MATTHEW RENKEN

This page provides the complete NPI Profile along with additional information for Matthew Renken, a provider established in Fridley, Minnesota with a medical specialization in Counselor, focusing in professional and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1689147654 assigned on January 2019. The practitioner's primary taxonomy code is 101YP2500X with license number 4234 (MN). The provider is registered as an individual and his NPI record was last updated April 2025.

NPI
1689147654
Provider Name
MR. MATTHEW RENKEN LADC
Gender
Male
Entity Type
Individual
Location Address
520 OSBORNE RD NE STE 210 FRIDLEY, MN 55432
Location Phone
(763) 236-3800
Location Fax
(763) 236-3821
Mailing Address
PO BOX 206 MINNEAPOLIS, MN 55480
Mailing Phone
(612) 262-9000
Medical School Name
OTHER
Graduation Year
2020
Is Sole Proprietor?
No
Enumeration Date
01-02-2019
Last Update Date
04-01-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
4234
License State
MN

Medicare Participation & PECOS Enrollment Status

Matthew Renken is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Matthew Renken is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7214462837

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241119004774

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for MR. MATTHEW RENKEN LADC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1689147654
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261692414610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 2 + 4 + 1 + 4 + 6 + 1 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1689147654 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1194253724 ROSEMARY R FISTER
Individual
Nurse Practitioner (Psychiatric/Mental Health)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1326476169 ANNE PERKINS
Individual
Psychologist520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1538789631 SARAH MARGARET CAMPBELL DO
Individual
Psychiatry & Neurology (Psychiatry)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1245955459MS. AUTUMN E ASPLUND LPCC; LADC
Individual
Psychiatry & Neurology (Psychiatry)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1669711495DR. RYAN SORENSEN PSY.D., L.P.
Individual
Psychologist520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1417558321 DANIEL ELENZ PSYD, LP
Individual
Counselor (Professional)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1326884750 FORTINO RODRIGUEZ SANCHEZ LPCC
Individual
Counselor (Professional)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-4300
1568282788 BLESSING NONYE AZONWU DNP, NP
Individual
Nurse Practitioner (Psychiatric/Mental Health)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1598700528ALLINA HEALTH SYSTEM
Organization
Clinic/Center (Mental Health (Including Community Mental Health Center))520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800
1154050862 LUIS ALBERTO SOLIS-REYES LICSW
Individual
Social Worker (Clinical)520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
(763) 236-3800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689147654, enumerated in the NPI registry as an "individual" on January 02, 2019

The provider is located at 520 Osborne Rd Ne Ste 210 Fridley, Mn 55432 and the phone number is (763) 236-3800

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider has more than 6 years of experience.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on January 02, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.