MR. BENJAMIN MICHAEL BLECK-OWENS (NPI# 1205379500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205379500 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN MICHAEL BLECK-OWENS |
| Credential | LPCIT SACIT |
| Practice Address |
5508 W. Vliet Street Milwaukee WI 53208 |
| Practice Telephone | 4144761073 |
| Practice Fax Number | 4144760223 |
| Mailing Telephone | 4144761073 |
| Mailing Fax Number | 4144760223 |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
17353-130 | WI | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
2718-226 | WI | Behavioral Health & Social Service Providers |
| Street Address |
5508 W. VLIET STREET |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831662535 | Mary Ehrgood | Marriage & Family Therapist | Aurora Family Service, 3200 W Highland Blvd, Milwaukee, WI 53208 | 2019-01-04 |
| 1265976989 | Redeeming Hearts Home Care Agency, LLC | Home Health | 3223 W Lloyd St, Milwaukee, WI 53208 | 2016-12-14 |
| 1730552662 | John Bosnjak | Pharmacist | 3727 W. Wisconsin Ave., Milwaukee, WI 53208 | 2015-10-30 |
| 1588074991 | Quad/med, LLC | Clinic/Center | 1301 West Canal Street, Milwaukee, WI 53208 | 2014-05-07 |
| 1629407226 | Dhanya Jayadevan Nair | Marriage & Family Therapist | 3200 W. Highland Blvd., Milwaukee, WI 53208 | 2013-11-04 |
| 1619215704 | Nurturing Concepts LLC | In Home Supportive Care | 5722 W North Ave, Milwaukee, WI 53208 | 2013-01-23 |
| 1831447986 | Amy Schuldt | Registered Nurse | 3727 W. Wisconsin Aveune, Milwaukee, WI 53208 | 2012-08-21 |
| 1144588922 | Grassroots Empowerment Project Inc | Community Health Worker | 3732 W Wisconsin Ave, Milwaukee, WI 53208 | 2012-04-30 |
| 1245468180 | Elizabeth Adams | Registered Nurse | 1917 N 34 Th St, Milwaukee, WI 53208 | 2009-06-30 |
| 1689849556 | Beverly Antoinette Luckett-torrence | Physical Therapy Assistant | 756 N 35th St Ste 203, Milwaukee, WI 53208 | 2008-04-23 |
| Find all providers in zip 53208 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672326 | Myeshia Cunningham | Counselor | 3936 N 29th St, Milwaukee, WI 53216-2639 | 2020-08-31 |
| 1235751447 | Luann Weik | Counselor | Childrens Hospital of Wi Genetics Center, 8915 W Connell Ct, Sta 716, Milwaukee, WI 53226-5322 | 2020-05-11 |
| 1811547334 | Jessica Ann Coffey | Counselor | 1849 N Dr Martin Luther King Jr Dr Ste 101, Milwaukee, WI 53212-3639 | 2019-09-17 |
| 1003468711 | Findley Foundation, Inc | Counselor | 530 S 11th St Ste 300, Milwaukee, WI 53204-1203 | 2019-07-12 |
| 1447816624 | Daniella Marie Curbelo | Counselor | 1849 N Dr Martin Luther King Jr Dr, Milwaukee, WI 53212-3639 | 2019-05-14 |
| 1164085205 | Mary Sue Daase Bowen | Counselor | 2821 N 4th Street, Milwaukee, WI 53212 | 2019-04-15 |
| 1417418427 | Melissa Christine Badertscher | Counselor | 2808 S 60th St, Milwaukee, WI 53219-3158 | 2019-03-31 |
| 1437622974 | Chelsey Davis | Counselor | 3511 N 39th St, Milwaukee, WI 53216-3413 | 2019-01-08 |
| 1720584865 | Jeffrey Alan Hill | Counselor | 1933 W Grange Ave, Milwaukee, WI 53221-4363 | 2018-04-05 |
| 1184136988 | Samantha Ann Chesney | Counselor | 5000 W National Ave Ste 3100, Milwaukee, WI 53295-0001 | 2017-11-02 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.