Active NPI
Kelly Sue Reitzler, LMHC, CADC
- Mental Health Counselor
- Cedar Rapids, IA
National Provider Identifier
1154400703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 00840
- Practice address
- 1073 Rockford Rd SW
Cedar Rapids, IA 52404-1870 - Phone
- (319) 530-5992
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 01016 | IA | |
| Mental Health Counselor | 101YM0800X | 00840 | IA | Primary |
Addresses
Primary practice location
1073 Rockford Rd SW
Cedar Rapids, IA 52404-1870
Mailing address
1073 Rockford Rd SW
Cedar Rapids, IA 52404-1870
Phone (319) 430-5992
Other practice location 1
3601 16th Ave SW
Cedar Rapids, IA 52404-2328
Phone (319) 390-4611 ext. 161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00840 | IA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556841600000",
"number": "1154400703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 ROCKFORD RD SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041870",
"telephone_number": "319-430-5992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 ROCKFORD RD SW",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524041870",
"telephone_number": "319-530-5992"
}
],
"practiceLocations": [
{
"address_1": "3601 16th Ave SW",
"address_purpose": "LOCATION",
"city": "Cedar Rapids",
"state": "IA",
"postal_code": "524042328",
"country_code": "US",
"telephone_number": "319-390-4611 x161",
"fax_number": "319-390-4381",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REITZLER",
"first_name": "KELLY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "LMHC, CADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2019-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "IA",
"license": "01016",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "00840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.