Theresa Kennedy Patton, LCPC CRC LPC LCAC
NPI 1114210721 · Mental Health Counselor · Washington, IL
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Kennedy Patton, LCPC CRC LPC LCAC is a Mental Health Counselor provider in Washington, IL (NPI 1114210721).
Provider details
- NPI number
- 1114210721
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCPC CRC LPC LCAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 23605 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-05-16
- Last updated
- 2026-02-22
- Certified
- 2026-02-22
Frequently asked questions
- What is Theresa Kennedy Patton's NPI number?
- Theresa Kennedy Patton's National Provider Identifier (NPI) is 1114210721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Kennedy Patton's specialty?
- Theresa Kennedy Patton is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Theresa Kennedy Patton located?
- Theresa Kennedy Patton's practice location on file with NPPES is 617 Stephanie Ct, Washington, IL 61571-9279.
- What is Theresa Kennedy Patton's phone number?
- The practice phone number listed in the NPPES registry for Theresa Kennedy Patton is (317) 799-4343.
- Does Theresa Kennedy Patton accept Medicare?
- Theresa Kennedy Patton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Kennedy Patton's NPI active?
- Yes — Theresa Kennedy Patton's NPI (1114210721) is active in the NPPES registry as of the last update on 2026-02-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.