Active NPI
Renee Ann Patton, PHD LCPC
- Professional Counselor
- Washington, IL
National Provider Identifier
1487022513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180001977
- Practice address
- 1003 N Cummings LN
Washington, IL 61571-9646 - Phone
- (309) 444-1000
- Fax
- (309) 444-7000
- NPI assigned
- Sep 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180001977 | IL | Primary |
| Professional Counselor | 101YP2500X | PC003427 | PA |
Addresses
Primary practice location
1003 N Cummings LN
Washington, IL 61571-9646
Mailing address
261 Turtle Creek TRL
Morton, IL 61550-9506
Phone (814) 440-9415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180001977 | IL | MD | Professional Counselor |
| PC003427 | PA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441497600000",
"number": "1487022513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "261 TURTLE CREEK TRL",
"city": "MORTON",
"state": "IL",
"postal_code": "615509506",
"telephone_number": "814-440-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 N CUMMINGS LN",
"city": "WASHINGTON",
"state": "IL",
"postal_code": "615719646",
"telephone_number": "309-444-1000",
"fax_number": "309-444-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "RENEE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "PHD LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-06",
"last_updated": "2015-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180001977",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003427",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, IL
- Osf Multi-Specialty Group (OSF OnCall Urgent Care)
- Dusan Duke Pandzic, HID
- Emily Panich
- Patricia Duckwiler, LCSW Therapy and Counseling Services
- Shelley Marie Patterson, MSW, LSW
- Thomas Payne-Brewer, LCPC
- Rebecca Payne, M.A., L.C.P.C.
- Victoria Sue Payne, MSN, RN, FNP-BC
- Jayne D Perkins, LMT
- Whitney Johnson Pfeifer, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.