KENNETH KUBICEK PHD, LCPC
NPI 1063290773
Psychologist in Maryville, IL

Active since September 15, 2023
3 OAK DR STE B, MARYVILLE, IL 62062(618) 972-1568(618) 205-3561 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kenneth Kubicek Phd, Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH KUBICEK PHD, LCPC (NPI 1063290773) is an individual psychologist in Maryville, Illinois, licensed in Illinois (180.002041) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1063290773
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameKENNETH KUBICEKCredential: PHD, LCPC
Location Address3 OAK DR STE BMaryville, IL 62062-5635
Mailing Address3 Oak Dr Ste BMaryville, IL 62062-5635 · (618) 972-1568 · Fax (618) 205-3561
Fax(618) 205-3561
Sole ProprietorNo
Enumeration DateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
NPI 1063290773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in IL · 180.002041
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3 OAK DR STE B, Maryville, IL 62062

Accepted Insurance

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Social Worker (Clinical)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062
Counselor (Professional)
3 OAK DR STE B
MARYVILLE, IL 62062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063290773, enumerated as an "individual" on September 15, 2023.

The provider is located at 3 OAK DR STE B MARYVILLE, IL 62062 and the phone number is (618) 972-1568.

Psychologist with taxonomy code 103T00000X.

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.