Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MISSION TRAIL MENTAL HEALTH CLINIC PLLC
NPI 1780596304
Nurse Practitioner - Psychiatric/Mental Health in San Antonio, TX

Active since September 18, 2026
700 N SAINT MARYS ST STE 1400, SAN ANTONIO, TX 78205(913) 963-6059 Get Directions Write a Review

NPPES record added: September 18, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mission Trail Mental Health Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISSION TRAIL MENTAL HEALTH CLINIC PLLC (NPI 1780596304) is a healthcare organization registered as a psychiatric/mental health in San Antonio, Texas and active in the NPI registry since September 2026. The organization lists Collins Izimba, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1780596304
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMISSION TRAIL MENTAL HEALTH CLINIC PLLC
Location Address700 N SAINT MARYS ST STE 1400San Antonio, TX 78205-3535
Mailing Address700 N Saint Marys St Ste 1400San Antonio, TX 78205-3535 · (913) 963-6059
Organization SubpartNo
Authorized OfficialCollins IzimbaMedical Director · (913) 963-6059
Enumeration DateSeptember 18, 2026
NPPES CertifiedSeptember 17, 2026
✔ NPI 1780596304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
700 N SAINT MARYS ST STE 1400, San Antonio, TX 78205

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Technician
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Behavior Analyst
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Behavior Technician
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Behavior Technician
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Behavior Technician
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Assistant Behavior Analyst
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Behavior Analyst
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205
Behavior Technician
700 N SAINT MARYS ST STE 1400
SAN ANTONIO, TX 78205

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mission Trail Mental Health Clinic PLLC's NPI number?

The NPI number for Mission Trail Mental Health Clinic PLLC is 1780596304. It was assigned to this organization in the NPPES registry on September 18, 2026.

Where is Mission Trail Mental Health Clinic PLLC located?

Mission Trail Mental Health Clinic PLLC is located at 700 N Saint Marys St Ste 1400, San Antonio, TX 78205. The listed phone number is (913) 963-6059.

What is Mission Trail Mental Health Clinic PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Mission Trail Mental Health Clinic PLLC was last updated on September 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.