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
- 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
- Code Navigator
Location Map
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. | |||||||||
1 | 6 | 8 | 9 | 1 | 4 | 7 | 6 | 5 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 16 | 9 | 2 | 4 | 14 | 6 | 10 | |
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 = 4 | 4 |
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 | Psychologist | 520 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 |
1245955459 | MS. AUTUMN E ASPLUND LPCC; LADC Individual | Psychiatry & Neurology (Psychiatry) | 520 OSBORNE RD NE STE 210 FRIDLEY, MN 55432 (763) 236-3800 |
1669711495 | DR. RYAN SORENSEN PSY.D., L.P. Individual | Psychologist | 520 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 |
1598700528 | ALLINA 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].
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