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

Active since March 03, 2026PECOS EnrolledAccepts Medicare Assignment
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: November 01, 2026.

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

About Riley Engstrom Ma, Lpcc, Ladc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RILEY ENGSTROM MA, LPCC, LADC (NPI 1114872223) is an individual professional provider in Shoreview, Minnesota, licensed in Minnesota (5480) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1114872223
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRILEY ENGSTROMCredential: MA, LPCC, LADC
Location Address4570 CHURCHILL ST STE 300Shoreview, MN 55126-2274
Mailing Address1900 Silver Lake Rd Nw Ste 110New Brighton, MN 55112-1789 · (651) 628-9566 · Fax (651) 628-0411
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 3, 2026
Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration
NPPES CertifiedMarch 11, 2026
✔ NPI 1114872223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 5480
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 306669 (MN)
4570 CHURCHILL ST STE 300, Shoreview, MN 55126

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Riley Engstrom Ma, Lpcc, Ladc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608350160
PECOS Enrollment IDI20260323002262
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Riley Engstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
1900 SILVER LAKE RD NW, SUITE 110
New Brighton, MN 55112
  • Reassigned Medicare billing, Minnesota enrollment
  • 794 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Riley Engstrom's NPI number?

The NPI number for Riley Engstrom is 1114872223. It was assigned to this individual provider in the NPPES registry on March 3, 2026.

Where is Riley Engstrom located?

Riley Engstrom practices at 4570 Churchill St Ste 300, Shoreview, MN 55126. The listed phone number is (651) 313-8080.

What is Riley Engstrom's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Riley Engstrom enrolled in Medicare?

Yes. Riley Engstrom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Riley Engstrom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Riley Engstrom reassigns Medicare benefits to Nystrom & Associates, Ltd (New Brighton, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Riley Engstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Riley Engstrom accept?

Health plans from HealthPartners list Riley Engstrom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Riley Engstrom was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.