Theresa Ann Kennedy Patton, LCPC CRC LPC LCAC
NPI 1114210721ActiveIndividual· Counselor, Mental Health· Washington, IL
Counselor, Mental Health (LCPC CRC LPC LCAC) with Brightside Medical PA, practicing in Washington, Illinois. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1114210721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCPC CRC LPC LCAC |
| Sole proprietor | Yes |
| NPI issued | May 16, 2011 |
| Last updated in NPPES | Jun 25, 2026 |
| Certified by provider | Jun 25, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 180015238 | IL |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 16405 | TX |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15216 | AZ |
| Counselor, Mental Health | 101YM0800X | 2025015218 | MO |
| Counselor, Mental Health | 101YM0800X | 11965125 | WI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 87001357A | IN |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 1804 | NC |
| Rehabilitation Counselor | 225C00000X | 204377 | IL |
| Counselor, Mental Health | 101YM0800X | 23605 | AZ |
| Counselor, Professional | 101YP2500X | 23605 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (IL) |
|---|
Education and affiliations
| Graduation year | 2006 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Brightside Medical PADenver, CO · 91 clinicians
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