Individual provider Active NPI

Tessa Whittredge, ED. S.

  • School Psychologist
  • Lancaster, OH
National Provider Identifier
1023941457
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LSP.02825 Issued in OH
Practice address
1160 Sheridan Dr
Lancaster, OH 43130-1927
Phone
(740) 687-7352
NPI assigned
Jun 5, 2026
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LSP.02825 OH Primary

Addresses

Primary practice location

1160 Sheridan Dr
Lancaster, OH 43130-1927

Mailing address

2780 Coonpath Rd NE
Lancaster, OH 43130-9343
Phone (740) 687-7352

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
LSP.02825OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1023941457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 COONPATH RD NE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309343",
            "telephone_number": "740-687-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 SHERIDAN DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301927",
            "telephone_number": "740-687-7352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTREDGE",
        "first_name": "TESSA",
        "credential": "ED. S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.02825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.