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

Mitchell Kruckenberg, MED, LPC

Individual provider Mental Health Counselor · NPI 1184411712

Mitchell Kruckenberg, MED, LPC is a Mental Health Counselor in Melrose Park, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

4419 W North Ave
Melrose Park, IL 60160-1021
Phone: (773) 777-7112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 178.021554 (IL)

Record details

NPI number1184411712
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , LPC
Sole proprietorNo
NPI enumeratedApril 24, 2025
Last updated in NPPESApril 24, 2025
Certification dateApril 24, 2025
Mailing address4419 W North Ave, Melrose Park, IL 60160-1021

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