Organization Active NPI

Southern Magnolia Management LLC

Doing business as Magnolia Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
National Provider Identifier
1346866845
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOUTHERN MAGNOLIA MANAGEMENT LLC
Doing business as
Magnolia Psychiatry
Practice address
22325 Gosling Rd
Spring, TX 77389-4409
Phone
(281) 724-7980
Fax
(281) 746-6268
NPI assigned
Jun 19, 2020
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Kevin Joseph Stump, APRN, PMHNP, FNPNPI 1639331895
Title
Owner / Ceo
Phone
(281) 724-7980

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

22325 Gosling Rd
Spring, TX 77389-4409

Mailing address

22325 Gosling Rd
Spring, TX 77389-4409
Phone (281) 724-7980

Other practice location 1

8118 Fry Rd Ste 401
Cypress, TX 77433-7851
Phone (281) 724-7980

Other practice location 2

501 E San Antonio Ave
Boerne, TX 78006-2055
Phone (281) 724-7980

Other practice location 3

1904 Longmire Rd Ste 401
Conroe, TX 77304-5024
Phone (281) 724-7980

Other practice location 4

13145 Spring Cypress Rd
Cypress, TX 77429-2004
Phone (281) 724-7980

Other practice location 5

8118 Fry Rd Ste 1203
Cypress, TX 77433-7852
Phone (281) 724-7980

Other practice location 6

23410 Grand Reserve Dr Ste 802
Katy, TX 77494-4983
Phone (281) 724-7980

Other practice location 7

13803 Madera Run Pkwy Ste 105
Humble, TX 77346-5422
Phone (281) 724-7980

Other practice location 8

17015 Seven Pines Dr Ste 4
Spring, TX 77379-5350
Phone (281) 724-7980

Other practice location 9

22329 Gosling Rd
Spring, TX 77389-4409
Phone (281) 724-7980

Other names 1

  • MAGNOLIA PSYCHIATRY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210811002623 TX Part B Supplier - Clinic/Group Practice 7810391984 Receives reassigned benefits from 34 practitioners
Practice locations: Boerne, TX; Conroe, TX; Cypress, TX; Humble, TX; Katy, TX; Spring, TX

National Provider Directory

National Provider Directory

Locations

501 E San Antonio Ave
Boerne, TX 78006
Phone (210) 951-9328

1904 Longmire Rd
Ste 401
Conroe, TX 77304

13145 Spring Cypress Rd
Cypress, TX 77429

17510 Huffmeister Rd
Ste 103
Cypress, TX 77429
Phone (281) 373-5200

8118 Fry Rd
Ste 1203
Cypress, TX 77433
Phone (716) 683-2717

8118 Fry Rd
Ste 401
Cypress, TX 77433
Phone (281) 638-5349

13803 Madera Run Pkwy
Ste 105
Humble, TX 77346

23410 Grand Reserve Dr
Ste 802
Katy, TX 77494

17015 Seven Pines Dr
Ste 4
Spring, TX 77379

22325 Gosling Rd
Spring, TX 77389

Practitioners & affiliated clinicians

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1346866845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22325 GOSLING RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894409",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22325 GOSLING RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773894409",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8118 Fry Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337851",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 E San Antonio Ave",
            "address_purpose": "LOCATION",
            "city": "Boerne",
            "state": "TX",
            "postal_code": "780062055",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1904 Longmire Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773045024",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13145 Spring Cypress Rd",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774292004",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8118 Fry Rd Ste 1203",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774337852",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23410 Grand Reserve Dr Ste 802",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774944983",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13803 Madera Run Pkwy Ste 105",
            "address_purpose": "LOCATION",
            "city": "Humble",
            "state": "TX",
            "postal_code": "773465422",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17015 Seven Pines Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773795350",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22329 Gosling Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773894409",
            "country_code": "US",
            "telephone_number": "281-724-7980",
            "fax_number": "281-746-6268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN MAGNOLIA MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "STUMP",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "281-724-7980",
        "authorized_official_credential": "APRN, PMHNP, FNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAGNOLIA PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.