MS. TYLER MARKUM WADE LPC
NPI 1134788474
Counselor - Mental Health in Cleveland, OH

Q: What is Tyler Wade's NPI number?

The NPI number for Tyler Wade is 1134788474. It was assigned to this individual provider in the NPPES registry on June 11, 2019.

Q: What is Tyler Wade's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Wade was last updated on May 20, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2019PECOS EnrolledAccepts Medicare Assignment

3500 CARNEGIE AVE, CLEVELAND, OH 44115 Get Directions Write a Review

NPPES record last updated: May 20, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2020, Sep 11, 2019, Jun 11, 2019 (3 updates tracked since 2019).

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About Ms. Tyler Markum Wade Lpc NPPES

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

MS. TYLER MARKUM WADE LPC (NPI 1134788474) is an individual mental health provider in Cleveland, Ohio, licensed in Ohio (C.2002628) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1134788474

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. TYLER MARKUM WADECredential: LPC

Location Address3500 CARNEGIE AVECleveland, OH 44115

Mailing Address434 Eastland RdBerea, OH 44017-1217 · (440) 234-2006

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateJune 11, 2019

Last NPPES UpdateMay 20, 20203 updates tracked since enumeration

NPPES CertifiedMay 20, 2020

✔ NPI 1134788474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in OH · C.2002628

3500 CARNEGIE AVE, Cleveland, OH 44115

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Secondary Practice Locations 2

Location 18445 Munson RdMentor, OH 44060-2410 · Phone (440) 205-2441

Location 23500 Carnegie AveCleveland, OH 44115

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Tyler Markum Wade 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 ID5890228753

PECOS Enrollment IDI20241030002623

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.

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Other Providers at the Same Location NPPES 20

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

KIM M JACKSON LISW

Social Worker (Clinical)