Active NPI
Kelly Kay McReynolds, LCPC LMHC
- Mental Health Counselor
- Davenport, IA
National Provider Identifier
1336716307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 093516
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 093516 | IA | MD | Mental Health Counselor |
| 180012053 | IL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The M.a.D. Therapy, PLLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Bettendorf, IA
- NPI 1609406941
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.