Individual provider Active NPI

Michael Owen, LPC

  • Professional Counselor
  • West Bend, WI
National Provider Identifier
1669701561
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4842 Issued in WI
Practice address
1622 Chestnut St
West Bend, WI 53095-3014
Phone
(262) 338-9498
Fax
(262) 338-9506
NPI assigned
Dec 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15918-130 WI
Professional Counselor 101YP2500X 4842 WI Primary

Addresses

Primary practice location

1622 Chestnut St
West Bend, WI 53095-3014

Mailing address

1622 Chestnut St
West Bend, WI 53095-3014
Phone (262) 306-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231228000415 WI Practitioner - Mental Health Counselor 1658594650 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Alarus Healthcare LLCGroup PAC ID 8022231026, 11 clinicians

Practice addresses (Care Compare)

1971 Washington St
Suite 200
Grafton, WI 53024-2125
Phone (262) 377-6276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15918-130WIMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alarus Healthcare, LLC CurrentSince Aug 6, 2012 Accepting new patients
Living for Liberation PastSince Feb 26, 2023 Accepting new patients
Alarus Home Health LLC PastSince Jan 1, 2024 Accepting new patients

Locations

111 Warren St
Ste 2
Beaver Dam, WI 53916
Phone (920) 216-4440

1971 Washington St
Ste 200
Grafton, WI 53024
Phone (262) 377-6276

1622 Chestnut St
West Bend, WI 53095
Phone (262) 306-9800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1669701561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 CHESTNUT ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953014",
            "telephone_number": "262-306-9800",
            "fax_number": "262-306-9802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CHESTNUT ST",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953014",
            "telephone_number": "262-338-9498",
            "fax_number": "262-338-9506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "MICHAEL",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15918-130",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bend, WI

Sources for this page

Verify at the official NPI Registry.