Individual provider Active NPI

Olubunmi Tope Aina, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Huntsville, TX
National Provider Identifier
1306722111
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1029174 Issued in TX
Practice address
1719 11TH St Ste 102
Huntsville, TX 77340-3700
Phone
(856) 536-7192
NPI assigned
Aug 15, 2025
Last updated
Apr 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1029174 TX Primary

Addresses

Primary practice location

1719 11TH St Ste 102
Huntsville, TX 77340-3700

Mailing address

1719 11TH St Ste 102
Huntsville, TX 77340-3700
Phone (856) 536-7192

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
I20251030001532 TX Practitioner - Nurse Practitioner 2163911090 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Supportive Care of Texas PCGroup PAC ID 1658744503, 28 clinicians

Practice addresses (Care Compare)

12777 Beechnut St
Houston, TX 77072-3820
Phone (732) 712-2215

25150 Lakecrest Manor Dr
Katy, TX 77493-3184
Phone (866) 708-1240

825 W Kearney St
Mesquite, TX 75149-3206
Phone (866) 708-1240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1029174TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Supportive Care of Texas PC CurrentSince Nov 15, 2025 Accepting new patients
New Hope Behavioral Health LLC CurrentSince Oct 17, 2025 Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

1500 Industrial Blvd
Ste 202
Abilene, TX 79602
Phone (325) 480-2900

1112 Smith Dr
Alvin, TX 77511
Phone (281) 331-3001

2660 Brickyard Rd
Beaumont, TX 77703
Phone (406) 892-1533

1115 Anderson St
College Station, TX 77840
Phone (979) 693-1515

25150 Lakecrest Manor Dr
Katy, TX 77493
Phone (281) 347-8200

825 W Kearney St
Mesquite, TX 75149
Phone (972) 288-7660

7820 Skyline Park Dr
Wht Settlemt, TX 76108
Phone (817) 246-4671

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1306722111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 11TH ST STE 102",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403700",
            "telephone_number": "856-536-7192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 11TH ST STE 102",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773403700",
            "telephone_number": "856-536-7192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AINA",
        "first_name": "OLUBUNMI",
        "middle_name": "TOPE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1029174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

Verify at the official NPI Registry.