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

NPI Status: Active since October 18, 2022

Contact Information

3301 7TH AVE
ANOKA, MN
ZIP 55303
Phone: (651) 431-5171

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  • Individual
  • Female
  • Years of Experience 5
  • Psychologist
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHANNON EHLKE

This page provides the complete NPI Profile along with additional information for Shannon Ehlke, a provider established in Anoka, Minnesota with a medical specialization in Psychologist and more than 5 years of experience. The healthcare provider is registered in the NPI registry with number 1740906049 assigned on October 2022. The practitioner's primary taxonomy code is 103T00000X with license number LP6820 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1740906049
Provider Name
DR. SHANNON EHLKE PSYD, LP
Gender
Female
Entity Type
Individual
Location Address
3301 7TH AVE ANOKA, MN 55303
Location Phone
(651) 431-5171
Mailing Address
2925 CHICAGO AVE MINNEAPOLIS, MN 55407
Mailing Phone
(612) 262-9000
Medical School Name
OTHER
Graduation Year
2021
Is Sole Proprietor?
Yes
Enumeration Date
10-18-2022
Last Update Date
05-16-2025
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A psychologist like Shannon Ehlke studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

Location Map

Secondary Locations

  • 280 Smith Ave N Ste 450
    Saint Paul, MN 55102
    (651) 241-5959

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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
LP6820
License State
MN
Taxonomy Description
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.

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)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

LP6820 (MN)

Medicare Participation & PECOS Enrollment Status

Shannon Ehlke is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Shannon Ehlke 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: 7416478185

    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: I20250311000791

    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? Yes

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Shannon Ehlke is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ALLINA UNITED HOSPITAL333 NORTH SMITH AVENUE
SAINT PAUL, MN 55102
(763) 236-8205Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740906049, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 9 → 18 → 9 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 8 + 0 + 1 + 2 + 0 + 8 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1740906049.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Psychiatric)
3301 7TH AVE
ANOKA, MN 55303
Emergency Medicine
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Adult Health)
3301 7TH AVE
ANOKA, MN 55303
Psychologist (Cognitive & Behavioral)
3301 7TH AVE
ANOKA, MN 55303
Family Medicine
3301 7TH AVE
ANOKA, MN 55303
Family Medicine
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Family Medicine (Adult Medicine)
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Clinical Nurse Specialist (Psychiatric/Mental Health)
3301 7TH AVE, ANOKA-METRO REGIONAL TREATMENT CENTER
ANOKA, MN 55303
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3301 7TH AVE
ANOKA, MN 55303
Psychiatric Hospital
3301 7TH AVE
ANOKA, MN 55303
Psychiatry & Neurology (Psychiatry)
3301 7TH AVE
ANOKA, MN 55303
Pharmacist
3301 7TH AVE
ANOKA, MN 55303
Pharmacist
3301 7TH AVE
ANOKA, MN 55303
Pharmacist
3301 7TH AVE
ANOKA, MN 55303
Nurse Practitioner (Family)
3301 7TH AVE
ANOKA, MN 55303
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3301 7TH AVE, PHARMACY
ANOKA, MN 55303

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740906049, enumerated as an "individual" on October 18, 2022.

The provider is located at 3301 7TH AVE ANOKA, MN 55303 and the phone number is (651) 431-5171.

Psychologist with taxonomy code 103T00000X.

Shannon Ehlke is affiliated with: ALLINA UNITED HOSPITAL.