Individual provider Active NPI

Kelly Kay McReynolds, LCPC LMHC

  • Mental Health Counselor
  • Davenport, IA
National Provider Identifier
1336716307
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
093516 Issued in IA
Practice address
4624 Progress Dr Ste 7
Davenport, IA 52807-3490
Phone
(563) 219-7766
NPI assigned
Jun 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 093516 IA Primary
Mental Health Counselor 101YM0800X 180012053 IL

Addresses

Primary practice location

4624 Progress Dr Ste 7
Davenport, IA 52807-3490

Mailing address

3544 Crow Creek Rd
Davenport, IA 52807-7601
Phone (563) 593-8861

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

LicenseStateTypeSpecialty
093516IAMDMental Health Counselor
180012053ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The M.a.D. Therapy, PLLC Mental Health CurrentSince Jun 15, 2021 Accepting new patients

Locations

2435 Kimberly Rd
Ste 270
Bettendorf, IA 52722
Phone (563) 219-7700

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1336716307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 CROW CREEK RD",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528077601",
            "telephone_number": "563-593-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4624 PROGRESS DR STE 7",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073490",
            "telephone_number": "563-219-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCREYNOLDS",
        "first_name": "KELLY",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "LCPC LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "093516",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180012053",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; 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.