RILEY ENGSTROM MA, LPCC, LADC
NPI 1114872223
Counselor - Professional in Shoreview, MN

Active since March 03, 2026PECOS Enrolled
4570 CHURCHILL ST STE 300, SHOREVIEW, MN 55126(651) 313-8080 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 11, 2026, Mar 3, 2026 (2 updates tracked since 2026).

  • Individual
  • Female
  • Years of Experience 4
  • Counselor
  • Professional
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About RILEY ENGSTROM

This page provides the complete NPI Profile along with additional information for Riley Engstrom, a provider established in Shoreview, Minnesota with a medical specialization in Counselor, focusing in professional and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1114872223 assigned on March 2026. The practitioner's primary taxonomy code is 101YP2500X with license number 5480 (MN). The provider is registered as an individual and her NPI record was last updated March 2026.

NPI
1114872223 Verify this NPI
Provider Name
RILEY ENGSTROM MA, LPCC, LADC
Gender
Female
Entity Type
Individual
Location Address
4570 CHURCHILL ST STE 300 SHOREVIEW, MN 55126
Location Phone
(651) 313-8080
Mailing Address
1900 SILVER LAKE RD NW STE 110 NEW BRIGHTON, MN 55112
Mailing Phone
(651) 628-9566
Mailing Fax
(651) 628-0411
Medical School Name
OTHER
Graduation Year
2023
Is Sole Proprietor?
Yes
Enumeration Date
03-03-2026
Last Update Date
03-11-2026
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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.
5480
License State
MN

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

306669 (MN)

Medicare Participation & PECOS Enrollment Status

Riley Engstrom is registered with Medicare but may not accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Riley Engstrom 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: 6608350160

    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: I20260323002262

    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 RILEY ENGSTROM MA, LPCC, LADC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physical Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Physical Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Counselor (Professional)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Marriage & Family Therapist
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126
Counselor (Mental Health)
4570 CHURCHILL ST STE 300
SHOREVIEW, MN 55126

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114872223, enumerated as an "individual" on March 03, 2026.

The provider is located at 4570 CHURCHILL ST STE 300 SHOREVIEW, MN 55126 and the phone number is (651) 313-8080.

Counselor with taxonomy code 101YP2500X and a focus in Professional.