Individual provider Active NPI

Grace Kakie Awo Aidoo, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Blacklick, OH
National Provider Identifier
1639860182
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0040680 Issued in OH
Practice address
8693 Brenstuhl Park Dr
Blacklick, OH 43004-8828
Phone
(614) 989-6019
Fax
(614) 321-1788
NPI assigned
May 16, 2023
Last updated
Feb 16, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 Nurse Practitioner 363LP0808X 0040680 OH Primary
Registered Nurse 163W00000X 499910 OH

Addresses

Primary practice location

8693 Brenstuhl Park Dr
Blacklick, OH 43004-8828

Mailing address

8693 Brenstuhl Park Dr
Blacklick, OH 43004-8828
Phone (614) 989-6019

Other names 1

  • Ms. Grace Ocansey Former name

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
I20251201003157 OH Practitioner - Nurse Practitioner 6103319934 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

8693 Brenstuhl Park Dr
Blacklick, OH 43004-8828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
499910OHMDRegistered Nurse
0040680OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kaylora Holistic Wellness & Recovery LLC Psychiatric/Mental Health CurrentSince Nov 13, 2025 Accepting new patients
Signify Health, LLC CurrentSince Jan 1, 2026 Accepting new patients
Kaylora Home Health Services LLC CurrentSince Nov 7, 2025 Accepting new patients
Columbus Family Practice,LLC CurrentSince Oct 28, 2025 Accepting new patients

Locations

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

2575 W Broad St
Columbus, OH 43204
Phone (614) 274-7448

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1639860182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8693 BRENSTUHL PARK DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048828",
            "telephone_number": "614-989-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8693 BRENSTUHL PARK DR",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048828",
            "telephone_number": "614-989-6019",
            "fax_number": "614-321-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIDOO",
        "first_name": "GRACE",
        "middle_name": "KAKIE AWO",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0040680",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "499910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "OCANSEY",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blacklick, OH

Sources for this page

Verify at the official NPI Registry.