MATTHEW E BALLENTHIN PSYD. LP
NPI 1861745176
Psychologist in Lake Elmo, MN

Active since October 24, 2012PECOS Enrolled
8550 HUDSON BLVD N, LAKE ELMO, MN 55042(651) 254-8580(651) 254-0601 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2021, Mar 4, 2021 (2 updates tracked since 2021).

About Matthew E Ballenthin Psyd. Lp NPPES

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

MATTHEW E BALLENTHIN PSYD. LP (NPI 1861745176) is an individual psychologist in Lake Elmo, Minnesota, licensed in Minnesota (LP5527) and active in the NPI registry since October 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861745176
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameMATTHEW E BALLENTHINCredential: PSYD. LP
Location Address8550 HUDSON BLVD NLake Elmo, MN 55042-5500
Mailing Address8170 33rd Ave S # Ms 21110qBloomington, MN 55425-4516
Fax(651) 254-0601
Sole ProprietorNo
Enumeration DateOctober 24, 2012
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1861745176 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 · LP5527
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 LP5527 (MN)
8550 HUDSON BLVD N, Lake Elmo, MN 55042

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew E Ballenthin Psyd. Lp 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.

Medicare Billing Reassignment

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

Dentist
8515 EAGLE POINT BLVD
Lake Elmo, MN 55042
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 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 20

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

Social Worker
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Marriage & Family Therapist
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Social Worker (Clinical)
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Psychologist (Clinical)
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Counselor (Mental Health)
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Social Worker (Clinical)
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Counselor (Professional)
8550 HUDSON BLVD N
LAKE ELMO, MN 55042
Counselor (Mental Health)
8550 HUDSON BLVD N
LAKE ELMO, MN 55042

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 Ballenthin's NPI number?

The NPI number for Matthew Ballenthin is 1861745176. It was assigned to this individual provider in the NPPES registry on October 24, 2012.

Where is Matthew Ballenthin located?

Matthew Ballenthin practices at 8550 Hudson Blvd N, Lake Elmo, MN 55042. The listed phone number is (651) 254-8580.

What is Matthew Ballenthin's specialty?

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

Is Matthew Ballenthin enrolled in Medicare?

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

Which organization bills Medicare for Matthew Ballenthin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Ballenthin reassigns Medicare benefits to Group Health, Inc. (Lake Elmo, 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 Ballenthin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Ballenthin accept?

Health plans from HealthPartners list Matthew Ballenthin 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 Matthew Ballenthin was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.