Individual provider Active NPI

John M Williamson, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Westerville, OH
National Provider Identifier
1740847946
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025091 Issued in OH
Practice address
5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone
(614) 948-3273
Fax
(855) 740-2025
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025091 OH Primary

Addresses

Primary practice location

5011 Pine Creek Dr
Westerville, OH 43081-4849

Mailing address

5011 Pine Creek Dr
Westerville, OH 43081-4849
Phone (614) 948-3273

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
I20191015000834 OH Practitioner - Nurse Practitioner 7416288998 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Serenity Behavioral Health Services, Inc.Group PAC ID 6002164845, 15 clinicians

Practice addresses (Care Compare)

623 Park Meadow Rd
Suite H
Westerville, OH 43081-2876
Phone (614) 948-3273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Behavioral Health Solutions, LLC CurrentSince Apr 27, 2021 Accepting new patients
Serenity Behavioral Health Services, Inc. CurrentSince Oct 10, 2024 Accepting new patients
Ohio State University CurrentSince Aug 1, 2019 Accepting new patients
Osu Observation Medicine, LLC Past Accepting new patients

Locations

495 E Mound St
Ste 110
Columbus, OH 43215
Phone (614) 948-3273

700 Ackerman Rd
Ste 2120
Columbus, OH 43202

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

5011 Pine Creek Dr
Westerville, OH 43081
Phone (614) 948-3273

623 Park Meadow Rd
Ste H
Westerville, OH 43081
Phone (614) 774-1120

635 Park Meadow Rd
Ste 107
Westerville, OH 43081
Phone (614) 948-3273

4214 E Main St
Whitehall, OH 43213
Phone (330) 334-6903

4000 E Main St
Whitehall, OH 43213
Phone 6143346903 ext. 1316

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1740847946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 PINE CREEK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814849",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 PINE CREEK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430814849",
            "telephone_number": "614-948-3273",
            "fax_number": "855-740-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.