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: August 09, 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 16

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

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Kubicek's NPI number?

The NPI number for Kenneth Kubicek is 1063290773. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Kenneth Kubicek located?

Kenneth Kubicek practices at 3 Oak Dr Ste B, Maryville, IL 62062. The listed phone number is (618) 972-1568.

What is Kenneth Kubicek's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

What insurance does Kenneth Kubicek accept?

Health plans from UnitedHealthcare list Kenneth Kubicek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Kubicek was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.