DR. SHANNON EHLKE PSYD, LP
NPI 1740906049
Psychologist in Anoka, MN

Active since October 18, 2022PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2025, Feb 27, 2025, Oct 18, 2022 (3 updates tracked since 2022).

About Dr. Shannon Ehlke Psyd, Lp NPPES

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

DR. SHANNON EHLKE PSYD, LP (NPI 1740906049) is an individual psychologist in Anoka, Minnesota, licensed in Minnesota (LP6820) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1740906049
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHANNON EHLKECredential: PSYD, LP
Location Address3301 7TH AVEAnoka, MN 55303-4516
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 18, 2022
Last NPPES UpdateMay 16, 20253 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
NPI 1740906049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MN · LP6820
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP6820 (MN)
3301 7TH AVE, Anoka, MN 55303

Secondary Practice Location 1

Location 1280 Smith Ave N Ste 450Saint Paul, MN 55102-2481 · Phone (651) 241-5959

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Ehlke Psyd, Lp 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 ID7416478185
PECOS Enrollment IDI20250311000791
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

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.

Nurse Practitioner (Psychiatric/Mental Health)
3301 7TH AVE
ANOKA, MN 55303
Psychologist (Clinical)
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Clinical Neuropsychologist
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3301 7TH AVE
ANOKA, MN 55303

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 Shannon Ehlke's NPI number?

The NPI number for Shannon Ehlke is 1740906049. It was assigned to this individual provider in the NPPES registry on October 18, 2022.

Where is Shannon Ehlke located?

Shannon Ehlke practices at 3301 7th Ave, Anoka, MN 55303. The listed phone number is (651) 431-5171.

What is Shannon Ehlke's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shannon Ehlke enrolled in Medicare?

Yes. Shannon Ehlke 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.

Is Shannon Ehlke affiliated with any hospitals?

According to CMS data, Shannon Ehlke is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Ehlke was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.