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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. THEODORE CRITTENDON ALLEN LPC
NPI 1669041265
Counselor - Professional in Chicago, IL

Active since June 18, 2021PECOS EnrolledAccepts Medicare Assignment
680 N LAKE SHORE DR STE 110-1113, CHICAGO, IL 60611(872) 205-0456 Get Directions Write a Review

NPPES record last updated: October 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2026, Jul 17, 2026, Feb 7, 2025 and 5 more (8 updates tracked since 2021).

About Mr. Theodore Crittendon Allen Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. THEODORE CRITTENDON ALLEN LPC (NPI 1669041265) is an individual professional provider in Chicago, Illinois, licensed in Georgia (LPC015401) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1669041265
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. THEODORE CRITTENDON ALLENCredential: LPC
Location Address680 N LAKE SHORE DR STE 110-1113Chicago, IL 60611-4546
Mailing Address345 W Memorial DrHinesville, GA 31313-2413 · (404) 409-0413
Phone(872) 205-0456
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 18, 2021
Last NPPES UpdateOctober 3, 20268 updates tracked since enumeration
NPPES CertifiedOctober 3, 2026
✔ NPI 1669041265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC015401
680 N LAKE SHORE DR STE 110-1113, Chicago, IL 60611
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Theodore Crittendon Allen Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9133659667
PECOS Enrollment IDI20250212002468
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theodore Allen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centerstone Of Tennessee, Inc.
768 mi
Mental Health (Including Community Mental Health Center)
345 W MEMORIAL DR
Hinesville, GA 31313
  • Reassigned Medicare billing, Georgia enrollment
  • 8 clinicians in this Medicare group
NPI 1376365197 (888) 291-4357

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WELLSPIRE COUNSELING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
SKYLAR MAYA WITTENBERG LCPC
Counselor (Mental Health)
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
MENTELLA OF WISCONSIN SC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
MENTELLA OF INDIANA LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
EMILY GOUGER
Counselor (Mental Health)
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456
MENTELLA OF MICHIGAN PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
680 N LAKE SHORE DR STE 110-1113
CHICAGO, IL 60611
Cook County (872) 205-0456

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Allen's NPI number?

The NPI number for Theodore Allen is 1669041265. It was assigned to this individual provider in the NPPES registry on June 18, 2021.

Where is Theodore Allen located?

Theodore Allen practices at 680 N Lake Shore Dr Ste 110-1113, Chicago, IL 60611. The listed phone number is (872) 205-0456.

What is Theodore Allen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Theodore Allen enrolled in Medicare?

Yes. Theodore Allen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Theodore Allen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Allen reassigns Medicare benefits to Centerstone Of Tennessee, Inc. (Hinesville, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodore Allen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodore Allen accept?

Health plans from Oscar Health list Theodore Allen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Allen was last updated on October 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.