Mission Trail Mental Health Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MISSION TRAIL MENTAL HEALTH CLINIC PLLC

Practice address

700 N Saint Marys St Ste 1400
San Antonio, TX 78205-3535

Phone

(913) 963-6059

NPI assigned

Sep 18, 2026

Organization subpart

No

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

Authorized official

Name

Collins Izimba, PMHNP

Title

Medical Director

Phone

(913) 963-6059

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789689600000",
    "number": "1780596304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N SAINT MARYS ST STE 1400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053535",
            "telephone_number": "913-963-6059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 N SAINT MARYS ST STE 1400",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782053535",
            "telephone_number": "913-963-6059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION TRAIL MENTAL HEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-18",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "IZIMBA",
        "authorized_official_first_name": "COLLINS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "913-963-6059",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Road Developmental Center
• Mission Road Developmental Center
• Mission Surgery Center LLC
• Mission Therapy and Publications, Inc.
• Mission Toxicology LLC
• Mission Trail OB/GYN Associates, PLLC
• Mission Vascular Specialists Corp
• Mission Vista Behavioral Health Services, Inc. (Mission Vista Hospital)
• Madeline Mistich, PT, DPT
• Jay Mistry, D.C.

• Psychiatric/Mental Health Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.