Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC

Mental Health Counselor in Washington, IL · enumerated 2011.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114210721

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Registry record

Entity type Individual (Type 1)

Name Ms. Theresa Ann Kennedy Patton

Credential LCPC CRC LPC LCAC

Sex Female

Practice address Washington, IL, 61571

Phone (317) 799-4343

Fax (317) 643-8989

Enumeration date May 16, 2011

Last updated in NPPES Jun 25, 2026

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 16405 (TX) Secondary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 15216 (AZ) Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 2025015218 (MO) Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 11965125 (WI) Secondary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 87001357A (IN) Secondary

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 1804 (NC) Secondary

225C00000X Rehabilitation Counselor Respiratory, Developmental, Rehabilitative and Restorative Service Providers · License 204377 (IL) Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 23605 (AZ) Secondary

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 23605 (AZ) Secondary

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers · License 180015238 (IL) Primary

Other identifiers

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

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1114210721 active?

Yes, as of the latest NPPES snapshot, NPI 1114210721 is active (record last updated 2026-06-25).

How do I verify Theresa Kennedy Patton's NPI record?

Cross-check NPI 1114210721 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-06-25.