Jennifer S. Kuckuk, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2995 Sub Zero Pkwy
Fitchburg, WI 53719-8801

Phone

(608) 556-2433

NPI assigned

Jun 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Samaritan Counseling Center

  • Adult Mental Health Clinic/Center
  • Monona, WI
  • NPI 1205077427
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1164659330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8123 MANSION HILL AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537194489",
            "telephone_number": "920-207-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 SUB ZERO PKWY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537198801",
            "telephone_number": "608-556-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 Monona Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Monona",
            "state": "WI",
            "postal_code": "537163554",
            "country_code": "US",
            "telephone_number": "608-663-0763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUCKUK",
        "first_name": "JENNIFER",
        "middle_name": "S.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-16",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Krantz
• Toni R Krantz, RN MSN WCC
• Debra A Krembs, APNP
• Ciara Krueger, M.ED., LPC-IT
• Kathleen Kubisiak
• Bryce Alan Kuehl, OD
• Khurshid Kurbanov
• Laura Elizabeth Kwitek, N.P.
• McKenna Lacy
• Sarah Joy Ladin, CF-SLP

• Mental Health Counselor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.