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MRS. EVONNE M. KUCKUCK LCPC, ATR
NPI 1184798753
Counselor - Professional in Troy, IL

Active since November 17, 2006
552 EDWARDSVILLE RD, TROY, IL 62294(618) 531-2435 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Evonne M. Kuckuck Lcpc, Atr NPPES

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

MRS. EVONNE M. KUCKUCK LCPC, ATR (NPI 1184798753) is an individual professional provider in Troy, Illinois, licensed in Illinois (180-004352) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1184798753
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. EVONNE M. KUCKUCKCredential: LCPC, ATR
Location Address552 EDWARDSVILLE RDTroy, IL 62294-1338
Mailing Address534 Coventry RdTroy, IL 62294-1743 · (618) 531-2435
Phone(618) 531-2435
Sole ProprietorYes
Enumeration DateNovember 17, 2006
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1184798753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180-004352
552 EDWARDSVILLE RD, Troy, IL 62294
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Other Names 1

Former Name (1)Ms. Evonne M. Jenkins Lcpc, Atr

Other Identifiers 2

Other06032019IL · Bcbs Ppo
Other670554Healthlink Hmo & Ppo

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 Evonne Kuckuck's NPI number?

The NPI number for Evonne Kuckuck is 1184798753. It was assigned to this individual provider in the NPPES registry on November 17, 2006. The provider is also known as Ms. Evonne M. Jenkins Lcpc, Atr.

Where is Evonne Kuckuck located?

Evonne Kuckuck practices at 552 Edwardsville Rd, Troy, IL 62294. The listed phone number is (618) 531-2435.

What is Evonne Kuckuck's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Evonne Kuckuck was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.