Individual provider Active NPI

Stacy Yvonne Marlin, PMHNP--BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lumberton, TX
National Provider Identifier
1376379529
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1179148 Issued in TX
Practice address
156 S Main St Ste 300
Lumberton, TX 77657-7882
Phone
(409) 449-1989
NPI assigned
Sep 12, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1179148 TX Primary
Psychiatry Physician 2084P0800X 2024058583 TX

Addresses

Primary practice location

156 S Main St Ste 300
Lumberton, TX 77657-7882

Mailing address

306 Glen Canyon Dr
Garland, TX 75040-0920
Phone (409) 449-1989

Other identifiers 2

IdentifierTypeStateIssuer
2024058583OtherANCC
1179148OtherTXAPRN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250520004794 TX Practitioner - Nurse Practitioner 5294253456 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
Seva Pain and WellnessGroup PAC ID 8820328719, 15 clinicians
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

1850 Lakepointe Dr
Suite 700
Lewisville, TX 75057-6442
Phone (214) 306-4116

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024058583TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Solutions LLC CurrentSince Mar 24, 2025 Accepting new patients
Seva Pain and Wellness CurrentSince Feb 3, 2026 Accepting new patients
Psychiatry of Texas PLLC Psychiatry CurrentSince Apr 23, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Psychiatry CurrentSince Apr 23, 2025 Accepting new patients
Seva Pain and Wellness CurrentSince Feb 3, 2026 Accepting new patients

Locations

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

1850 Lakepointe Dr
Ste 700
Lewisville, TX 75057
Phone (214) 306-4116

1301 Summer Lee Dr
Rockwall, TX 75032
Phone (214) 306-4116

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": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1376379529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 GLEN CANYON DR",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750400920",
            "telephone_number": "409-449-1989",
            "fax_number": "409-217-3976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 S MAIN ST STE 300",
            "city": "LUMBERTON",
            "state": "TX",
            "postal_code": "776577882",
            "telephone_number": "409-449-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "STACY",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP--BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1179148",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "2024058583",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2024058583",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN",
            "identifier": "1179148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, TX

Sources for this page

Verify at the official NPI Registry.