Marcos Grant-Pena Sr.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1242441 Issued in TX

Practice address

22325 Gosling Rd
Spring, TX 77389-4409

Phone

(281) 724-7980

NPI assigned

Jul 9, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Southern Magnolia Management LLC

  dba Magnolia Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Spring, TX
  • NPI 1346866845
  NPD

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

{
    "created_epoch": "1783555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1669390308",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT-PENA",
        "first_name": "MARCOS",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-09",
        "last_updated": "2026-07-09",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1242441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham Eye Associates PLLC
• Emily Ellen Graham, D.D.S.
• Sara Blythe Graham
• Grand Oaks Psychiatry, P.L.L.C.
• Grand Trails Dental
• Devona Renay Grant
• Erica Grant, QMHP-CS
• Shana Ranae Grant, M.S.,CCC-SLP
• Rachel Grass
• Christopher Grasty, L.A.T.

• Psychiatric/Mental Health Nurse Practitioner in Spring, TX
• Providers in Spring, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.