Organization Active NPI

Little Wings Counseling LLC

  • Mental Health Counselor
  • Beachwood, OH
National Provider Identifier
1043198682
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LITTLE WINGS COUNSELING LLC
Practice address
3401 Enterprise Pkwy Ste 340
Beachwood, OH 44122-7340
Phone
(216) 630-1010
NPI assigned
Aug 22, 2025
Last updated
Oct 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tyler Markum Wade, LPCC-SNPI 1134788474
Title
Owner/President
Phone
(216) 630-1010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3401 Enterprise Pkwy Ste 340
Beachwood, OH 44122-7340

Mailing address

723 Edgewood Rd
Richmond Heights, OH 44143-2913
Phone (216) 630-1010

Other practice location 1

723 Edgewood Rd
Richmond Heights, OH 44143-2913
Phone (216) 609-2655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260603004055 OH Part B Supplier - Clinic/Group Practice 9739650466 Receives reassigned benefits from 1 practitioner
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761004800000",
    "number": "1043198682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 EDGEWOOD RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432913",
            "telephone_number": "216-630-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 ENTERPRISE PKWY STE 340",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227340",
            "telephone_number": "216-630-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "723 Edgewood Rd",
            "address_purpose": "LOCATION",
            "city": "Richmond Heights",
            "state": "OH",
            "postal_code": "441432913",
            "country_code": "US",
            "telephone_number": "216-609-2655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LITTLE WINGS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "MARKUM",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "216-630-1010",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.