Individual provider Active NPI

Porsha Marie Lockett, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Gahanna, OH
National Provider Identifier
1851180228
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0039201 Issued in OH
Practice address
722 Buckles CT N Ste 210
Gahanna, OH 43230-6932
Phone
(614) 655-7025
NPI assigned
May 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 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 0039201 OH Primary

Addresses

Primary practice location

722 Buckles CT N Ste 210
Gahanna, OH 43230-6932

Mailing address

722 Buckles CT N Ste 210
Gahanna, OH 43230-6932
Phone (614) 656-7025

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
I20250909003562 OH Practitioner - Nurse Practitioner 9335642131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Private Psychological ServicesGroup PAC ID 9537549209, 4 clinicians

Practice addresses (Care Compare)

722 Buckles CT N
Suite 210
Columbus, OH 43230-6923
Phone (614) 656-7025

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0039201OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Private Psychological Services CurrentSince Aug 1, 2025 Accepting new patients

Locations

722 Buckles Ct N
Ste 210
Gahanna, OH 43230
Phone (614) 656-7025

Organizations & group practices 1

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": "1746144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1851180228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 BUCKLES CT N STE 210",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306932",
            "telephone_number": "614-656-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 BUCKLES CT N STE 210",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306932",
            "telephone_number": "614-655-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "PORSHA",
        "middle_name": "MARIE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-02",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0039201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.