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

Last updated

Oct 8, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Collins Izimba, PMHNPNPI 1750145355

Title

Medical Director

Phone

(913) 963-6059

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Collins Kipruto Izimba

  • Psychiatric/Mental Health Nurse Practitioner
  • Rowland Heights, CA
  • NPI 1750145355
  Authorized official Same address or phone

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

{
    "created_epoch": "1789689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "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": "2026-10-08",
        "certification_date": "2026-10-08",
        "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": "193200000X MULTI-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 Oct 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.