EXCLUDEDPROVIDER
Individual Revocation

Adrian Scott Warren

Pekin, IL 61555

Public HHS-OIG LEIE exclusion record

Adrian Scott Warren of Pekin, IL is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1215265129 with a primary specialty of Counselor, Professional. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Adrian Scott Warren is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of April 20, 2025.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Pekin, IL 61555
Exclusion date
April 20, 2025
Exclusion type
Revocation (1128b4)
NPI
1215265129

Record summary

Adrian Scott Warren appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Pekin, Illinois. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is April 20, 2025, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateApril 20, 2025
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1215265129
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Pekin, IL 61555. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Counselor.

NPI Registry context

The LEIE record lists NPI 1215265129. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Counselor, Professional (101YP2500X). Registered practice location: San Antonio, TX. NPI enumeration date: Dec 4, 2009. NPPES status: Active. The NPI Registry lists credential: PhD, LPC.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Pekin, IL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Pekin, IL address.

Tammie J Pitts Individual Program Crime
Pekin, IL · Conviction of program-related crimes · Excluded May 2026
Iris Winchester Individual Drug Felony
Pekin, IL · Felony conviction relating to controlled substance · Excluded Dec 2025
Michele Ritter Individual Drug Felony
Pekin, IL · Felony conviction relating to controlled substance · Excluded Dec 2025
Mona Ghosh Individual Program Crime
Pekin, IL · Conviction of program-related crimes · Excluded Nov 2025
Debbie Ann Taylor Individual Drug Felony
Pekin, IL · Felony conviction relating to controlled substance · Excluded Oct 2025
Thalisa Walton Individual Program Crime
Pekin, IL · Conviction of program-related crimes · Excluded Jul 2025
Amber Lynn Dorr Delger Individual Felony Fraud
Pekin, IL · Felony conviction relating to health care fraud · Excluded Jul 2025
Barbara Jackson Individual Program Crime
Pekin, IL · Conviction of program-related crimes · Excluded Jun 2025

See all 65 excluded providers in Pekin →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More Excluded Individuals in Illinois More Records in Pekin More Revocation Records