Organization Active NPI

Wingspan Therapy, PLLC

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1457039596
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
WINGSPAN THERAPY, PLLC
Practice address
5117B Main St Ste 12
Downers Grove, IL 60515-4602
Phone
(630) 320-6981
Fax
(312) 748-4245
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Authorized official

Name
Meredith Entler, LCPCNPI 1700478260
Title
Owner
Phone
(630) 320-6981

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

5117B Main St Ste 12
Downers Grove, IL 60515-4602

Mailing address

155 N Hudson St
Westmont, IL 60559-1625
Phone (630) 320-6981

Other practice location 1

155 N Hudson St
Westmont, IL 60559-1625
Phone (630) 320-6981

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741046400000",
    "number": "1457039596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N HUDSON ST",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591625",
            "telephone_number": "630-320-6981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5117B MAIN ST STE 12",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154602",
            "telephone_number": "630-320-6981",
            "fax_number": "312-748-4245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Hudson St",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591625",
            "country_code": "US",
            "telephone_number": "630-320-6981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WINGSPAN THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A",
        "authorized_official_last_name": "ENTLER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-320-6981",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.