MS. Theresa Ann Kennedy Patton, LCPCCRCLPCLCAC
MS. Theresa Ann Kennedy Patton, LCPCCRCLPCLCAC is a Mental Health Counselor in Washington, Illinois. Qualified in 2006, 20 years ago. Practices with Brightside Medical PA, a 95-clinician group and accepts Medicare assignment. Licensed in Arizona, Illinois, Indiana and Missouri and 3 more.
- Years since qualifying
- 20
- Licensed in
- AZ, IL, IN, MO, NC, TX
- In the registry since
- 2011
- Specialties on file
- 10
Practice location Address checks out
617 Stephanie CtWashington, IL 61571-9279
Phone: (317) 799-4343
Fax: (317) 643-8989
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X · Licence 180015238 (IL) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 16405 (TX) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 15216 (AZ) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 2025015218 (MO) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 11965125 (WI) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 87001357A (IN) |
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence 1804 (NC) |
| Rehabilitation Counselor | Taxonomy 225C00000X · Licence 204377 (IL) |
| Mental Health Counselor | Taxonomy 101YM0800X · Licence 23605 (AZ) |
| Professional Counselor | Taxonomy 101YP2500X · Licence 23605 (AZ) |
Record details
| NPI number | 1114210721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LCPCCRCLPCLCAC |
| Sole proprietor | Yes |
| NPI enumerated | May 16, 2011 |
| Last updated in NPPES | June 25, 2026 |
| Certification date | June 25, 2026 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2006 (20 years in practice) |
| Group practice | Brightside Medical Pa — 95 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |