Organization Active NPI

Mindrestorative Psychiatry

Doing business as MindRestorative Behavioral Health Tennessee

  • Psychiatry Physician
  • Houston, TX
National Provider Identifier
1215675152
Registry record updated Dec 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MINDRESTORATIVE PSYCHIATRY
Doing business as
MindRestorative Behavioral Health Tennessee
MindRestorative Clinic
Practice address
2500 Citywest Blvd Ste 150
Houston, TX 77042-3034
Phone
(409) 333-1344
NPI assigned
May 20, 2022
Last updated
Dec 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2025

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

Authorized official

Name
Dr. Simonpeter Odion Emokpaire, CNPNPI 1578106217
Title
Pmhnp-BC
Phone
(832) 545-7352

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2500 Citywest Blvd Ste 150
Houston, TX 77042-3034

Mailing address

2500 Citywest Blvd Ste 150
109
Houston, TX 77042-3034
Phone (409) 333-1344

Other practice location 1

3000 Market St NE Ste 510
Salem, OR 97301-1807
Phone (844) 495-1053

Other practice location 2

6000 Poplar Ave Ste 250
Memphis, TN 38119-3974
Phone (409) 333-1344

Other practice location 3

4345 Phelan Blvd Ste 103
Beaumont, TX 77707-2157
Phone (409) 333-1344

Other identifiers 1

IdentifierTypeStateIssuer
20299419MedicaidTX

Other names 2

  • MindRestorative Behavioral Health Tennessee Doing business as
  • MindRestorative Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230213001437 TX Part B Supplier - Clinic/Group Practice 0749652147 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX
O20240223000389 TN Part B Supplier - Clinic/Group Practice 0749652147 Receives reassigned benefits from 2 practitioners
Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

4345 Phelan Blvd
Beaumont, TX 77707
Phone (409) 899-4099

4345 Phelan Blvd
Ste 103
Beaumont, TX 77707
Phone (409) 333-1344

2500 Citywest Blvd
Ste 150
Houston, TX 77042
Phone (409) 333-1344

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1653004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765584000000",
    "number": "1215675152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 CITYWEST BLVD STE 150",
            "address_2": "109",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423034",
            "telephone_number": "409-333-1344",
            "fax_number": "832-321-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 CITYWEST BLVD STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770423034",
            "telephone_number": "409-333-1344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Market St NE Ste 510",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973011807",
            "country_code": "US",
            "telephone_number": "844-495-1053",
            "fax_number": "832-321-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Poplar Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381193974",
            "country_code": "US",
            "telephone_number": "409-333-1344",
            "fax_number": "832-321-2981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4345 Phelan Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Beaumont",
            "state": "TX",
            "postal_code": "777072157",
            "country_code": "US",
            "telephone_number": "409-333-1344",
            "fax_number": "855-928-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDRESTORATIVE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-20",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A",
        "authorized_official_last_name": "EMOKPAIRE",
        "authorized_official_first_name": "SIMONPETER",
        "authorized_official_middle_name": "ODION",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "832-545-7352",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20299419",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MindRestorative Behavioral Health Tennessee",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MindRestorative Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2025; 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.