Individual provider Active NPI

Marilyn Marlaine Stark, LMHC ACAPC LMHP LAPC

  • Mental Health Counselor
  • Council Bluffs, IA
National Provider Identifier
1942292636
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHP1648 Issued in IA
Practice address
515 E Broadway
Council Bluffs, IA 51503-4419
Phone
(712) 322-6833
NPI assigned
Aug 18, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X ACADC97038 IA
Mental Health Counselor 101YM0800X LMHC00258 IA
Mental Health Counselor 101YM0800X LMHP1648 IA Primary

Addresses

Primary practice location

515 E Broadway
Council Bluffs, IA 51503-4419

Mailing address

2327 Dodge CT
Plattsmouth, NE 68048-4816
Phone (402) 235-3896

Other names 1

  • Marilyn Martin Former name

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
ACADC97038IAMDAddiction (Substance Use Disorder) Counselor
LMHC00258IAMDMental Health Counselor
LMHP1648IAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942292636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2327 DODGE CT",
            "city": "PLATTSMOUTH",
            "state": "NE",
            "postal_code": "680484816",
            "telephone_number": "402-235-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034419",
            "telephone_number": "712-322-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARK",
        "first_name": "MARILYN",
        "middle_name": "MARLAINE",
        "name_prefix": "Mrs.",
        "credential": "LMHC ACAPC LMHP LAPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IA",
            "license": "ACADC97038",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "LMHC00258",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "LMHP1648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MARTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.