Individual provider Active NPI

Kimberly Watts, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Worthington, OH
National Provider Identifier
1124899646
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037478 Issued in OH
Practice address
1035 Proprietors Rd
Worthington, OH 43085-3284
Phone
(614) 785-1115
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.521942 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037478 OH Primary

Addresses

Primary practice location

1035 Proprietors Rd
Worthington, OH 43085-3284

Mailing address

1035 Proprietors Rd
Worthington, OH 43085-3284
Phone (614) 785-1115

Other practice location 1

5080 Bradenton Ave Ste D
Dublin, OH 43017-7582
Phone (206) 785-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203003967 OH Practitioner - Nurse Practitioner 6406382209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Counseling Inc.Group PAC ID 1052203445, 14 clinicians

Practice addresses (Care Compare)

1035 Proprietors Rd
Worthington, OH 43085-3230
Phone (614) 785-1115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.521942OHMDPsychiatric/Mental Health Registered Nurse
APRN.CNP.0037478OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Counseling Inc. CurrentSince Jun 15, 2025 Accepting new patients
Columbus Physicians Group LLC CurrentSince Oct 10, 2024 Accepting new patients
Prisma Wellness Ohio LLC PastSince Apr 20, 2025 Accepting new patients

Locations

3184 W Broad St
Fl 1
Columbus, OH 43204
Phone (614) 515-2500

4995 Bradenton Ave
Ste 110
Dublin, OH 43017
Phone (614) 515-2500

6189 Memorial Dr
Dublin, OH 43017
Phone (614) 515-2500

1035 Proprietors Rd
Worthington, OH 43085
Phone (614) 785-1115

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1124899646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 PROPRIETORS RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853284",
            "telephone_number": "614-785-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 PROPRIETORS RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853284",
            "telephone_number": "614-785-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5080 Bradenton Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430177582",
            "country_code": "US",
            "telephone_number": "206-785-1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATTS",
        "first_name": "KIMBERLY",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.521942",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.