Individual provider Active NPI

Mikel Josh Alarcon Aviso, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1699637611
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1227170 Issued in TX
Practice address
100 Independence PL
Tyler, TX 75703-1310
Phone
(430) 288-5800
NPI assigned
Nov 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 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 PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 1227170 TX Primary

Addresses

Primary practice location

100 Independence PL
Tyler, TX 75703-1310

Mailing address

527 W Erwin St
Tyler, TX 75702-7123
Phone (903) 216-5092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20260417001751 TX Practitioner - Nurse Practitioner 3173099058 Reassigns benefits to 1 organization
I20260529003815 WA Practitioner - Nurse Practitioner 3173099058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Independence PL
Suite 307
Tyler, TX 75703-1336

15811 Ambaum Blvd SW
Suite 110
Burien, WA 98166-3071

339 Stars and Stripes
Fischer, TX 78623-1928

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1227170TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Texas Psychiatry and Counseling PLLC Single Specialty CurrentSince Jun 1, 2026 Accepting new patients

Locations

100 Independence Pl
Ste 307
Tyler, TX 75703
Phone (214) 326-8795

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1764201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1699637611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 W ERWIN ST",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757027123",
            "telephone_number": "903-216-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE PL",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031310",
            "telephone_number": "430-288-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVISO",
        "first_name": "MIKEL JOSH",
        "middle_name": "ALARCON",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1227170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.