Individual provider Active NPI

Pamela Howard Blaszak, LPC, CSAC

  • Addiction (Substance Use Disorder) Counselor
  • Milwaukee, WI
National Provider Identifier
1316953953
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13880-132 Issued in WI
Practice address
1216 N Prospect Ave
Milwaukee, WI 53202-3061
Phone
(414) 210-4841
NPI assigned
Aug 1, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 13880-132 WI Primary

Addresses

Primary practice location

1216 N Prospect Ave
Milwaukee, WI 53202-3061

Mailing address

1311 N 6TH St
Milwaukee, WI 53212-4006
Phone (414) 225-1512

Other practice location 1

820 N Plankinton Ave
Milwaukee, WI 53203-1802
Phone (414) 225-1542

Other identifiers 1

IdentifierTypeStateIssuer
42015900MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240307001914 MO Practitioner - Mental Health Counselor 0143666529 Reassigns benefits to 1 organization
I20240311003370 WI Practitioner - Mental Health Counselor 0143666529 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13880-132WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vivent Health Inc Professional CurrentSince Jan 1, 2024 Accepting new patients
Vivent Health Inc Current Accepting new patients
Vivent Health Inc Past Accepting new patients

Locations

4309 E 50th Ter
Ste 200
Kansas City, MO 64130
Phone (816) 561-8784

2653 Locust St
Saint Louis, MO 63103
Phone (314) 645-6451

633C W Wisconsin Ave
Appleton, WI 54911
Phone (920) 733-2068

136 W Grand Ave
Ste 290
Beloit, WI 53511

505 S Dewey St
Ste 107
Eau Claire, WI 54701
Phone (414) 225-1568

445 S Adams St
Green Bay, WI 54301
Phone (920) 437-7400

1212 57th St
Kenosha, WI 53140
Phone (414) 225-1568

811 Rose St
La Crosse, WI 54603
Phone (608) 784-3366

600 Williamson St
Ste H
Madison, WI 53703
Phone (608) 252-6540

1311 N 6th St
Milwaukee, WI 53212
Phone (414) 223-6800

648 N Plankinton Ave
Ste 200
Milwaukee, WI 53203

820 N Plankinton Ave
Milwaukee, WI 53203
Phone (414) 225-1542

1105 Grand Ave
Ste 1
Schofield, WI 54476
Phone (715) 355-6867

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1316953953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 N 6TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532124006",
            "telephone_number": "414-225-1512",
            "fax_number": "414-225-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 N PROSPECT AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023061",
            "telephone_number": "414-210-4841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 N Plankinton Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532031802",
            "country_code": "US",
            "telephone_number": "414-225-1542",
            "fax_number": "414-225-1575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWARD BLASZAK",
        "first_name": "PAMELA",
        "name_prefix": "Mrs.",
        "credential": "LPC, CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-09-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "13880-132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42015900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.