Ms Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC in Washington, IL - Medicare Mental Health Counselor Provider

Ms Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC is a medicare enrolled "Counselor - Mental Health" provider in Washington, Illinois. She graduated from healthcare school in 2006 and has 19 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Blessing Hospital, Brightside Medical Pa and her current practice location is 617 Stephanie Ct, Washington, Illinois. You can reach out to her office (for appointments etc.) via phone at (317) 799-4343.

Ms Theresa Ann Kennedy Patton is licensed to practice in Illinois (license number 180015238) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114210721.

Contact Information

	Ms Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC
	617 Stephanie Ct, Washington, IL 61571-9279
	(317) 799-4343
	(317) 643-8989

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Theresa Ann Kennedy Patton
Gender	Female
Speciality	Mental Health Counselor
Experience	19 Years
Location	617 Stephanie Ct, Washington, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Theresa Ann Kennedy Patton graduated from medical school in 2006

NPI Data:

NPI Number: 1114210721
Provider Enumeration Date: 05/16/2011
Last Update Date: 10/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6305102112
Enrollment ID: I20240604003330

Medical Identifiers

Medical identifiers for Ms Theresa Ann Kennedy Patton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114210721	NPI	-	NPPES
1114210721	Medicaid	IL
1114210721	Other	IL	BLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	1804 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	15216 (Arizona)	Secondary
101YM0800X	Counselor - Mental Health	180015238 (Illinois)	Primary
225C00000X	Rehabilitation Counselor	204377 (Illinois)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	87001357A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	11965125 (Wisconsin)	Secondary
101YM0800X	Counselor - Mental Health	23605 (Arizona)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16405 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	2025015218 (Missouri)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Blessing Hospital	3072422534	369
Brightside Medical Pa	3678948809	78

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Theresa Ann Kennedy Patton allows following entities to bill medicare on her behalf.

Entity Name	Blessing Hospital
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1114471737 PECOS PAC ID: 3072422534 Enrollment ID: O20161005001836

Entity Name	Brightside Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609335660 PECOS PAC ID: 3678948809 Enrollment ID: O20230331000963

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Theresa Ann Kennedy Patton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC 617 Stephanie Ct, Washington, IL 61571-9279 Ph: (317) 799-4343	Ms Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC 617 Stephanie Ct, Washington, IL 61571-9279 Ph: (317) 799-4343

Reviews and Comments

Counselor in Washington, IL

Joshua Ryan Lehman, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 N Cummings Ln, Washington, IL 61571 Phone: 309-370-6406
Mrs. Kimberly Lakin Johnson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 N Cummings Ln, Washington, IL 61571 Phone: 309-370-6406
Ms. Andrea Lynn Shryock, L.C.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 Washington Sq, Washington, IL 61571 Phone: 800-773-1682
Adrien Nuechterlein, L.C.P.C, N.C.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000
Thomas Payne-brewer, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 100 Hillcrest Dr Ste C, Washington, IL 61571 Phone: 309-444-2800
Christopher S Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 631 N Cummings Ln, Washington, IL 61571 Phone: 309-370-6406

Ms Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC - Medicare Counselor in Washington, IL