Individual provider Active NPI

Lydia Williamson, APRN, CNP-PMH

  • Psychiatric/Mental Health Nurse Practitioner
  • Cincinnati, OH
National Provider Identifier
1790525053
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0036471 Issued in OH
Practice address
446 Morgan St
Cincinnati, OH 45206-2348
Phone
(866) 934-7450
NPI assigned
May 25, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4022736 KY
Registered Nurse 163W00000X RN.456937 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0036471 OH Primary

Addresses

Primary practice location

446 Morgan St
Cincinnati, OH 45206-2348

Mailing address

4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600

Other practice location 1

2586 Lafeuille Ave
Cincinnati, OH 45211-8209
Phone (888) 837-5440

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
I20250429002907 OH Practitioner - Nurse Practitioner 5890211148 Reassigns benefits to 3 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
Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians
Brightview LLCGroup PAC ID 9032426044, 117 clinicians

Practice addresses (Care Compare)

20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061

446 Morgan St
Cincinnati, OH 45206-2348
Phone (833) 510-4357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.456937OHMDRegistered Nurse
4022736KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Care Services LLC CurrentSince Apr 22, 2025 Accepting new patients
Brightview, LLC CurrentSince Oct 6, 2025 Accepting new patients
Boulder Care Provider Group PA CurrentSince Feb 12, 2026 Accepting new patients
Brightview LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

1050 Chinoe Rd
Ste 350
Lexington, KY 40502
Phone (606) 275-9869

1090 Hospital Dr
Batavia, OH 45103
Phone (513) 732-2300

6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000

446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763

2586 Lafeuille Ave
Cincinnati, OH 45211
Phone (513) 622-2444

4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269

6125 N Main St
Englewood, OH 45415
Phone (513) 520-4794

5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959

421 Home St
Georgetown, OH 45121
Phone (937) 378-7510

1302 Millville Ave
Hamilton, OH 45013
Phone (513) 867-4100

4483 US N 42
Mason, OH 45040
Phone (513) 536-0050

1405 11th St
Portsmouth, OH 45662
Phone (740) 354-7718

20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061

9685 Chillicothe Rd
Willoughby, OH 44094
Phone (440) 256-8100

485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514

111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061

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": "1716595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1790525053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 MONTGOMERY RD STE 400",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 MORGAN ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452062348",
            "telephone_number": "866-934-7450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2586 Lafeuille Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452118209",
            "country_code": "US",
            "telephone_number": "888-837-5440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "LYDIA",
        "credential": "APRN, CNP-PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-25",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4022736",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.456937",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0036471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.