Active NPI
Theodore Crittendon Allen, LPC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1669041265
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC015401
- Practice address
- 680 N Lake Shore Dr Ste 110-1113
Chicago, IL 60611-4546 - Phone
- (872) 205-0456
- NPI assigned
- Jun 18, 2021
- Last updated
- Oct 3, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC015401 | GA | Primary |
Addresses
Primary practice location
680 N Lake Shore Dr Ste 110-1113
Chicago, IL 60611-4546
Mailing address
345 W Memorial Dr
Hinesville, GA 31313-2413
Phone (404) 409-0413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centerstone of Tennessee, Inc. | Current | Accepting new patients | |
| Centerstone of Tennessee, Inc. | Current | Accepting new patients | |
| All in Counseling and Consulting LLC | Professional | Past | Accepting new patients |
Locations
345 W Memorial Dr
Hinesville, GA 31313
Phone (912) 456-2010
1921 Ransom Pl
Nashville, TN 37217
Phone (615) 279-6700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Hinesville, GA
- NPI 1376365197
-
- Professional Counselor
- Midway, GA
- NPI 1750285896
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manhattan, KS
- NPI 1023900651
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790985600000",
"number": "1669041265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 W MEMORIAL DR",
"city": "HINESVILLE",
"state": "GA",
"postal_code": "313132413",
"telephone_number": "404-409-0413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "680 N LAKE SHORE DR STE 110-1113",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606114546",
"telephone_number": "872-205-0456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "THEODORE",
"middle_name": "CRITTENDON",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-18",
"last_updated": "2026-10-03",
"certification_date": "2026-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC015401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.