MR. BENJAMIN MICHAEL BLECK-OWENS LPCIT SACIT NPI 1205379500

NPI Information

NPI: 1205379500
Provider Name: MR. BENJAMIN MICHAEL BLECK-OWENS, LPCIT SACIT
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
5508 W. VLIET STREET
MILWAUKEE, WI
ZIP 53208
Phone: (414) 476-1073
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MR. Benjamin Michael Bleck-owens, LPCIT SACIT is a counselor in Milwaukee, WI. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. MR. Benjamin Michael Bleck-owens, LPCIT SACIT NPI is 1205379500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5508 W. VLIET STREET
MILWAUKEE, WI
ZIP 53208
Phone: (414) 476-1073
Fax: (414) 476-0223

The enumeration date for this NPI number is 11/18/2016 and was last updated on 11/18/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	17353-130	WISCONSIN	No
2	101YM0800X	Counselor	Mental Health	2718-226	WISCONSIN	No
3	101Y00000X	Counselor				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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