Psychiatric Nurse Practitioner
Mikel Aviso, PMHNP-BC
Board-certified psychiatric-mental health nurse practitioner providing adult psychiatric evaluation and medication management — in Tyler, TX and by secure video across Texas.
Quick Answer
Mikel Aviso, MSN, APRN, PMHNP-BC is a board-certified psychiatric-mental health nurse practitioner at East Texas Psychiatry and Counseling. He provides comprehensive psychiatric evaluations and evidence-based medication management for adults, and brings clinical experience from the Philippines, the United Kingdom, and the United States to culturally informed, patient-centered care. Appointments are available in Tyler, TX or by secure video anywhere in Texas — call (430) 288-5800.
Key Takeaways
- Board-certified psychiatric nurse practitioner in Tyler, TX — diagnoses, prescribes, and coordinates therapy.
- Focus on adult psychiatry: comprehensive evaluation and evidence-based medication management.
- Clinical background spans high-acuity nursing in the Philippines and practice in the UK and US.
- Treats culture, language, and family context as part of the clinical picture — not background detail.
- Available in person in Tyler or by secure video anywhere in Texas, with the same provider each visit.
01 — AboutMeet Mikel Aviso, PMHNP-BC
Mikel Aviso is a board-certified psychiatric-mental health nurse practitioner who brings a global perspective to psychiatric care in East Texas. An Asian immigrant with a foundation in both psychiatric and critical care nursing, he pairs international clinical experience with a commitment to culturally informed, patient-centered treatment for adults.
What that looks like in practice: unhurried evaluations, plain explanations of what the findings mean, and a medication plan built with you rather than handed to you. He works from the view that mental health treatment is a collaborative and dynamic process — one that extends well beyond managing symptoms.
A psychiatric nurse practitioner in Tyler, TX and statewide
Mikel sees adult patients in person at our Tyler office and by secure video anywhere in Texas through telepsychiatry. Like every provider here, he stays with his patients visit to visit, so care builds on what came before. He is a board-certified PMHNP on our provider team.
02Clinical Background and Training
Mikel began his nursing career in high-acuity clinical settings in the Philippines, caring for patients with complex medical and psychiatric needs. That environment built the clinical judgment and adaptability that still shape how he works: stabilize what's urgent, understand the whole picture, adjust as it changes.
He later practiced in the United Kingdom and the United States, expanding his expertise across different healthcare systems and patient populations. Working inside three systems with different assumptions about mental illness gave him a nuanced understanding of how symptoms present within cultural, social, and systemic contexts — and how often those contexts get misread.
With a background in inpatient psychiatric nursing, Mikel moved into advanced practice psychiatry driven by mental health advocacy and by what he saw firsthand: significant unmet psychiatric need across diverse communities. He holds an MSN and practices as an APRN, board-certified as a PMHNP.
High-acuity nursing
Complex medical and psychiatric care in the Philippines built clinical judgment under pressure.
Three health systems
Practice across the Philippines, the United Kingdom, and the United States.
Inpatient to advanced practice
Inpatient psychiatric nursing experience carried into outpatient advanced practice psychiatry.
03What Mikel Treats
Mikel provides comprehensive psychiatric evaluations and medication management for adults across a broad range of mental health conditions. His clinical focus areas include:
- Comprehensive psychiatric evaluation
- Evidence-based medication management
- Anxiety and depressive disorders
- Mood disorders in adults
- Culturally informed mental health care
- Patient education and long-term wellness
You can browse the practice's full list on our conditions we treat page. If you're not sure whether your concern is a fit, call and our intake team will tell you — or point you toward a provider who is a better match. Mikel sees adults; for a child or teenager, our team can direct you to the right provider.
Diagnosis, prescribing, and therapy coordination in one place
As a board-certified PMHNP, Mikel can evaluate and diagnose, prescribe and adjust medication, and coordinate therapy as part of one plan. Prescribing is always paired with monitoring — tracking how a medication is working, watching for side effects, and revising with you rather than setting it and forgetting it. More on that process is on our medication management page. Curious how the role compares to a physician psychiatrist? See our guide to PMHNP vs psychiatrist.
04His Approach to Care
Mikel treats symptom relief as the starting point, not the finish line. He emphasizes patient education, therapeutic alliance, and long-term wellness — helping people develop insight, strengthen resilience, and reach meaningful, sustainable improvement in quality of life.
Culturally informed care, in practice: the way distress is described, what a family considers a symptom, and how comfortable someone feels asking for help all vary. Mikel treats that context as clinical information — because missing it can lead to the wrong read.
That approach shows up in small, concrete ways: asking what a symptom is called at home before naming it clinically, asking who else is involved in a decision about treatment, and explaining the reasoning behind a recommendation so you can weigh it. If something about your background, language, or family situation feels relevant to your care, it belongs in the first conversation.
Take the first step
Book with Mikel Aviso, PMHNP-BC — in Tyler or by secure video anywhere in Texas.
05How to Book With Mikel
New patients begin with a psychiatric evaluation. Review patient information to prepare, or see what to expect at your first appointment.
Request Mikel by name
Call (430) 288-5800 or use our contact page and ask for Mikel Aviso. Our team will confirm availability and find the earliest opening.
Complete your evaluation
Your first visit is an unhurried psychiatric evaluation — history, symptoms, context, and goals — before any treatment plan is set.
Continue with the same provider
You stay with Mikel for ongoing medication management and therapy coordination, in Tyler or by secure video across Texas.
The Bottom Line
Mikel Aviso, PMHNP-BC provides adult psychiatric evaluation and medication management with a culturally informed, collaborative approach shaped by practice in three countries. Call (430) 288-5800 or schedule online to book with him — in Tyler or by secure video anywhere in Texas.
Frequently Asked Questions
Who is Mikel Aviso, PMHNP-BC?
Mikel Aviso, MSN, APRN, PMHNP-BC is a board-certified psychiatric-mental health nurse practitioner at East Texas Psychiatry and Counseling in Tyler, TX. He provides comprehensive psychiatric evaluations and evidence-based medication management for adults. His clinical career began in high-acuity settings in the Philippines and continued in the United Kingdom and the United States, which shaped a practice focused on culturally informed, patient-centered care. He sees patients in person in Tyler and by secure video anywhere in Texas.
What age groups does Mikel treat?
Mikel's practice focuses on adults. If you're seeking psychiatric care for a child or teenager, our practice has other providers who take those referrals, so families can stay under one roof. Our intake team can help you decide who fits your situation — call (430) 288-5800 and describe what's going on. If we aren't the right fit at all, we'll help point you toward appropriate resources.
Does Mikel prescribe and manage medication?
Yes. As a board-certified PMHNP, Mikel can evaluate and diagnose mental health conditions, prescribe psychiatric medication, and coordinate therapy as part of your overall plan. Prescribing is paired with monitoring — he tracks how a medication is working, watches for side effects, and adjusts with you over time rather than setting a plan once and leaving it. Because diagnosis, prescribing, and therapy coordination happen in the same practice, the pieces of your care stay aligned. You can read more on our medication management page.
Can I see Mikel by video instead of coming to Tyler?
Yes. Mikel offers telepsychiatry to patients located anywhere in Texas, including full first evaluations by secure video — not only brief follow-ups. Video visits remove travel, childcare, and distance barriers, and many patients mix in-person and virtual appointments over time. The evaluation, the provider, and the ongoing medication oversight are the same either way. A few situations call for an in-person visit, and he'll tell you clearly if that applies to you.
What does "culturally informed care" actually mean?
It means culture, language, and family context are treated as clinical information rather than background detail. How distress is described, what a family considers a symptom, and how comfortable someone feels asking for help all vary — and missing that can lead to the wrong read. Having practiced in the Philippines, the United Kingdom, and the United States, Mikel has seen the same symptoms described very differently across systems and communities. If something about your background feels relevant to your care, bring it up at your first visit.
What happens at a first appointment with Mikel?
Your first visit is a psychiatric evaluation: an unhurried conversation covering your symptoms, history, what you've already tried, your context, and what you want to be different. Nothing is prescribed before that picture is clear. At the end, Mikel explains what he's seeing and walks through the options with you, including what each one involves and what to watch for. You can review what to expect at your first appointment beforehand if it helps you prepare.
Is Mikel accepting new patients?
Yes — we hold space for new adult patients and aim for same-week access. Call (430) 288-5800 and ask for Mikel Aviso, and our intake team will confirm his current availability and book the earliest appointment, in Tyler or by secure video. If your situation feels urgent but isn't an emergency, say so and we'll do our best to prioritize you. If you're ever in immediate danger, call 911, or call or text 988 to reach the Suicide & Crisis Lifeline at any hour.
How can I verify Mikel's credentials?
Mikel is a licensed advanced-practice registered nurse, and his licensure can be verified through the Texas Board of Nursing. Board certification (PMHNP-BC) reflects national certification specific to psychiatric-mental health nursing. We're glad for patients to confirm credentials — transparency is part of trustworthy care. If you have questions about his background or scope of practice, ask at your first visit and he'll answer directly.
About This Page
This profile is provided by East Texas Psychiatry and Counseling and reviewed by our board-certified psychiatric-mental health nurse practitioners for accuracy. Provider licensure can be verified through the Texas Board of Nursing. We follow Google's E-E-A-T principles: experience, expertise, authoritativeness, and trustworthiness.
What's new: August 2026 — profile published as Mikel Aviso, PMHNP-BC joined the provider team.
References & Trusted Resources
- Texas Board of Nursing. https://www.bon.texas.gov/
- American Nurses Credentialing Center — Psychiatric-Mental Health Nurse Practitioner Certification. https://www.nursingworld.org/our-certifications/psychiatric-mental-health-nurse-practitioner/
- American Psychiatric Nurses Association. https://www.apna.org/
- American Association of Nurse Practitioners — What's an NP? https://www.aanp.org/about/all-about-nps/whats-a-nurse-practitioner
