Individual provider Active NPI

Meredith Entler, LCPC

  • Professional Counselor
  • Downers Grove, IL
National Provider Identifier
1700478260
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
178016714 Issued in IL
Practice address
5117B Main St Ste 12
Downers Grove, IL 60515-4602
Phone
(630) 320-6981
NPI assigned
Feb 5, 2021
Last updated
Feb 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 178016714 IL 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 (312) 752-7041

Other practice location 1

155 N Hudson St
Westmont, IL 60559-1625
Phone (312) 752-7041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
178016714ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Wingspan Therapy, PLLC Professional CurrentSince Jul 1, 2023 Accepting new patients

Locations

30 N Michigan Ave
Ste 711
Chicago, IL 60602
Phone (312) 263-0752

5117 Main St
Ste 12
Downers Grove, IL 60515
Phone (630) 320-6981

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1700478260",
    "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": "312-752-7041"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 N Hudson St",
            "address_purpose": "LOCATION",
            "city": "Westmont",
            "state": "IL",
            "postal_code": "605591625",
            "country_code": "US",
            "telephone_number": "312-752-7041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENTLER",
        "first_name": "MEREDITH",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178016714",
            "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 Feb 13, 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.