Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL KRUCKENBERG, MED, LPC
ActiveMITCHELL KRUCKENBERG, MED, LPC is a Mental Health Counselor healthcare provider located in MELROSE PARK, Illinois. NPI 1184411712 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MELROSE PARK, IL
Registration Details
- NPI Number
- 1184411712
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2025 (1.1190005053571 yrs)
- Last Updated
- Apr 24, 2025
- License
-
178.021554 (IL)
Practice Information
- Address
-
4419 W NORTH AVEMELROSE PARK, IL, 601601021Browse IL providers · Browse ZIP 60160
- Phone
- 7737777112
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in MELROSE PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN GEORGIA BURKE | MSW, LCSW | 1205995297 |
| MR. JASON PETER SCHALLACK | MFA | 1003104324 |
| MR. DAVID A HERRERA | MA | 1699063917 |
| MS. KATHRYN DURA ROBINSON | M.S. | 1134407323 |
| KERRY ANN THOMAS | — | 1497033351 |
| MATTHEW EARLE | B.S. | 1861770869 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.