Ms Theresa Ann Kennedy Patton, LCPC CRC LCAC LISAC in Washington, IL

Ms Theresa Ann Kennedy Patton, LCPC CRC LCAC LISAC is a medicare enrolled "Counselor - Mental Health" provider in Washington, Illinois. 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 does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114210721.

Contact Information

	Ms Theresa Ann Kennedy Patton, LCPC CRC LCAC LISAC
	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	Counselor - Mental Health
Location	617 Stephanie Ct, Washington, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114210721
Provider Enumeration Date: 05/16/2011
Last Update Date: 07/16/2024

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)	15216 (Arizona)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	87001357A (Indiana)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	16405 (Texas)	Secondary
225C00000X	Rehabilitation Counselor	204377 (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	180015238 (Illinois)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	1804 (North Carolina)	Secondary

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	Vitae Health Of Illinois Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174013452 PECOS PAC ID: 2365798410 Enrollment ID: O20180703002838

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139

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 LCAC LISAC 617 Stephanie Ct, Washington, IL 61571-9279 Ph: (317) 799-4343	Ms Theresa Ann Kennedy Patton, LCPC CRC LCAC LISAC 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
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
Lorelei Volpe, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000 Fax: 309-444-7000
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
Chelse Carr, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1003 N Cummings Ln, Washington, IL 61571 Phone: 309-444-1000

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