MR. KENNETH GALEN QUEEN MED., LCPC
NPI 1437481009
Counselor - Mental Health in Peoria, IL

Active since February 08, 2010
3020 W. WILLOW KNOLLS DR., PEORIA, IL 61614(309) 681-5652(309) 681-5658 Get Directions Write a Review

NPPES record last updated: February 8, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Galen Queen Med., Lcpc NPPES

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

MR. KENNETH GALEN QUEEN MED., LCPC (NPI 1437481009) is an individual mental health provider in Peoria, Illinois, licensed in Illinois (180.006438) and active in the NPI registry since February 2010.

NPPES Registry Identity

NPI1437481009
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. KENNETH GALEN QUEENCredential: MED., LCPC
Location Address3020 W. WILLOW KNOLLS DR.Peoria, IL 61614
Mailing Address3020 W. Willow Knolls Dr.Peoria, IL 61614 · (309) 681-5652 · Fax (309) 681-5658
Fax(309) 681-5658
Sole ProprietorNo
Enumeration DateFebruary 8, 2010
NPI 1437481009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in IL · 180.006438
3020 W. WILLOW KNOLLS DR., Peoria, IL 61614

Other Providers at the Same Location NPPES

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

Psychologist (Counseling)
3020 W. WILLOW KNOLLS DR.
PEORIA, IL 61614

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 Queen's NPI number?

The NPI number for Kenneth Queen is 1437481009. It was assigned to this individual provider in the NPPES registry on February 8, 2010.

Where is Kenneth Queen located?

Kenneth Queen practices at 3020 W. Willow Knolls Dr., Peoria, IL 61614. The listed phone number is (309) 681-5652.

What is Kenneth Queen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kenneth Queen was last updated on February 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.