Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Benjamin Michael Bleck-Owens, LPCITSACIT

Individual provider Counselor · NPI 1205379500

Mr. Benjamin Michael Bleck-Owens, LPCITSACIT is a Counselor in Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

5508 W Vliet St
Milwaukee, WI 53208
Phone: (414) 476-1073
Fax: (414) 476-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17353-130 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence 2718-226 (WI)

Record details

NPI number1205379500
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCITSACIT
Sole proprietorYes
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016

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