Individual provider Active NPI

Michaela Jellen Tennant, MA, MED, EDS

  • School Psychologist
  • Powell, OH
National Provider Identifier
1780598854
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
LSP.00777 Issued in OH
Practice address
2800 Carriage Rd
Powell, OH 43065-8502
Phone
(740) 657-4871
NPI assigned
Sep 28, 2026
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 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.00777 OH Primary

Addresses

Primary practice location

2800 Carriage Rd
Powell, OH 43065-8502

Mailing address

2800 Carriage Rd
Powell, OH 43065-8502
Phone (740) 657-4871

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": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1780598854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 CARRIAGE RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658502",
            "telephone_number": "740-657-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 CARRIAGE RD",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658502",
            "telephone_number": "740-657-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JELLEN TENNANT",
        "first_name": "MICHAELA",
        "credential": "MA, MED, EDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "LSP.00777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.