Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenneth Kubicek, PHD, LCPC

Individual provider Psychologist · NPI 1063290773

Kenneth Kubicek, PHD, LCPC is a Psychologist in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3 Oak Dr Ste B
Maryville, IL 62062-5635
Phone: (618) 972-1568
Fax: (618) 205-3561
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 180.002041 (IL)

Record details

NPI number1063290773
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD , LCPC
Sole proprietorNo
NPI enumeratedSeptember 15, 2023
Last updated in NPPESSeptember 15, 2023
Certification dateSeptember 15, 2023

Other providers in Maryville