Individual provider Active NPI

Stacey Lynn Carabin, APRN-CNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1699200162
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0031643 Issued in OH
Practice address
3909 Woodley Rd
Toledo, OH 43606-1169
Phone
(419) 725-3330
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X I.2002286 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0031643 OH Primary

Addresses

Primary practice location

3909 Woodley Rd
Toledo, OH 43606-1169

Mailing address

3909 Woodley Rd
Toledo, OH 43606-1169

Other practice location 1

2267 Village Mall Dr.
Suite 2
Ontario, OH 44906
Phone (419) 951-2020

Other names 1

  • Ms. Stacey Lynn Carabin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 26, 2023 through Jan 26, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.2002286OHMDSocial Worker
APRN.CNP.0031643OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope419, LLC CurrentSince Sep 14, 2025 Accepting new patients
Hope419, LLC CurrentSince Jul 1, 2022 Accepting new patients
Harbor Past Accepting new patients
Harbor Past Accepting new patients
Harbor Social Worker Past Accepting new patients

Locations

2267 Village Mall Dr
Unit 2
Ontario, OH 44906
Phone (419) 951-2020

Organizations & group practices 5

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1699200162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 WOODLEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061169",
            "telephone_number": "419-725-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2267 Village Mall Dr.",
            "address_2": "Suite 2",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "44906",
            "country_code": "US",
            "telephone_number": "419-951-2020",
            "fax_number": "419-951-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARABIN",
        "first_name": "STACEY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "I.2002286",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0031643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "CARABIN",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "APRN-CNP, LISW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.