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

Active since January 02, 2019PECOS Enrolled
520 OSBORNE RD NE STE 210, FRIDLEY, MN 55432(763) 236-3800(763) 236-3821 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2025, Jun 11, 2024, Jan 2, 2019 (3 updates tracked since 2019).

About Mr. Matthew Renken Ladc NPPES

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

MR. MATTHEW RENKEN LADC (NPI 1689147654) is an individual professional provider in Fridley, Minnesota, licensed in Minnesota (4234) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689147654
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. MATTHEW RENKENCredential: LADC
Location Address520 OSBORNE RD NE STE 210Fridley, MN 55432-2718
Mailing AddressPo Box 206Minneapolis, MN 55480-0206 · (612) 262-9000
Phone(763) 236-3800
Fax(763) 236-3821
Sole ProprietorNo
Enumeration DateJanuary 2, 2019
Last NPPES UpdateApril 1, 20253 updates tracked since enumeration
NPPES CertifiedApril 1, 2025
✔ NPI 1689147654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MN · 4234
520 OSBORNE RD NE STE 210, Fridley, MN 55432
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Matthew Renken Ladc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 18

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

DR. JAMI JEYN HUGHES PSY.D, BCBA-D
Psychologist
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800
LUIS ALBERTO SOLIS-REYES LICSW
Social Worker (Clinical)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800
ROSEMARY R FISTER
Nurse Practitioner (Psychiatric/Mental Health)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800
MS. AUTUMN E ASPLUND LPCC; LADC
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800
ANNE PERKINS
Psychologist
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800
FORTINO RODRIGUEZ SANCHEZ LPCC
Psychologist
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-4300
MATTHEW MICHAEL JOHNSON DO
Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800
DANIEL ELENZ PSYD, LP
Counselor (Professional)
520 OSBORNE RD NE STE 210
FRIDLEY, MN 55432
Anoka County (763) 236-3800

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 Matthew Renken's NPI number?

The NPI number for Matthew Renken is 1689147654. It was assigned to this individual provider in the NPPES registry on January 2, 2019.

Where is Matthew Renken located?

Matthew Renken practices at 520 Osborne Rd NE Ste 210, Fridley, MN 55432. The listed phone number is (763) 236-3800.

What is Matthew Renken's specialty?

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

Is Matthew Renken enrolled in Medicare?

Yes. Matthew Renken is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Matthew Renken was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.