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

Active since January 02, 2019PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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 and is a graduate of Other (2020).

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
Medical School CMSOtherGraduated 2020
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
Open in Google Maps ↗

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

Mr. Matthew Renken 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 ID7214462837
PECOS Enrollment IDI20241119004774
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 Matthew Renken reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Allina Health System
Same address
Addiction (Substance Use Disorder)
520 OSBORNE RD NE, STE 120
Fridley, MN 55432
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
NPI 1083197214 (763) 236-4300

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 20

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
YEE XIONG M.D.
Psychiatry & Neurology (Psychiatry)
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
DR. JAMAL AHMAD QURESHI MD
Psychiatry & Neurology (Psychiatry)
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

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Matthew Renken's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Renken reassigns Medicare benefits to Allina Health System (Fridley, 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 Matthew Renken's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.