Active NPI
Ellie Lukas, EDD
- School Psychologist
- Chardon, OH
National Provider Identifier
1114830502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- LSP.01875
- Practice address
- 308 Maple Ave
Chardon, OH 44024-1040 - Phone
- (440) 285-4066
- NPI assigned
- Sep 25, 2026
- Last updated
- Sep 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | LSP.01875 | OH | Primary |
Addresses
Primary practice location
308 Maple Ave
Chardon, OH 44024-1040
Mailing address
308 Maple Ave
Chardon, OH 44024-1040
Phone (440) 285-4066
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790294400000",
"number": "1114830502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 MAPLE AVE",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241040",
"telephone_number": "440-285-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 MAPLE AVE",
"city": "CHARDON",
"state": "OH",
"postal_code": "440241040",
"telephone_number": "440-285-4066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUKAS",
"first_name": "ELLIE",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-25",
"last_updated": "2026-09-25",
"certification_date": "2026-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "LSP.01875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.