Individual provider Active NPI

Bethany Lynn Albaugh, APRN,PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Dover, OH
National Provider Identifier
1821680372
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0040080 Issued in OH
Practice address
404 N Walnut St
Dover, OH 44622-2850
Phone
(330) 343-6600
Fax
(330) 343-6405
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.290526 OH
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN.290526 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0040080 OH Primary

Addresses

Primary practice location

404 N Walnut St
Dover, OH 44622-2850

Mailing address

130 W 3Rd St
Dover, OH 44622-2934
Phone (330) 343-6600

Other practice location 1

130 W 3rd St
Dover, OH 44622-2934
Phone (330) 343-6600

Other practice location 2

301 Moody Ave SW
Carrollton, OH 44615-9367
Phone (330) 343-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN.290526OHMDRegistered Nurse
APRN.CNP.0040080OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan L Dunn, PH.D., Inc Psychiatric/Mental Health CurrentSince Jun 23, 2025 Accepting new patients

Locations

301 Moody Ave SW
Carrollton, OH 44615
Phone (216) 627-4866

130 W 3rd St
Dover, OH 44622
Phone (330) 343-6600

404 N Walnut St
Dover, OH 44622
Phone (330) 343-6600

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1821680372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 W 3RD ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222934",
            "telephone_number": "330-343-6600",
            "fax_number": "330-343-6405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N WALNUT ST",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222850",
            "telephone_number": "330-343-6600",
            "fax_number": "330-343-6405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Dover",
            "state": "OH",
            "postal_code": "446222934",
            "country_code": "US",
            "telephone_number": "330-343-6600",
            "fax_number": "330-343-6405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 MOODY AVE SW",
            "address_purpose": "LOCATION",
            "city": "CARROLLTON",
            "state": "OH",
            "postal_code": "446159367",
            "country_code": "US",
            "telephone_number": "330-343-6600",
            "fax_number": "330-343-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBAUGH",
        "first_name": "BETHANY",
        "middle_name": "LYNN",
        "credential": "APRN,PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.290526",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "RN.290526",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0040080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.