Active NPI
Free Your Mind Therapy Services, LLC
- Mental Health Counselor
- Davenport, IA
National Provider Identifier
1699674234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FREE YOUR MIND THERAPY SERVICES, LLC
- Practice address
- 4624 Progress Dr Unit 7
Davenport, IA 52807-3490 - Phone
- (563) 593-8861
- NPI assigned
- Nov 2, 2026
- Last updated
- Nov 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kelly Kay McReynolds, LCPC LMHC
- Title
- Owner, Therapist
- Phone
- (563) 593-8861
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4624 Progress Dr Unit 7
Davenport, IA 52807-3490
Mailing address
3544 Crow Creek Rd
Davenport, IA 52807-7601
Phone (563) 593-8861
Practitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Davenport, IA
- NPI 1336716307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793577600000",
"number": "1699674234",
"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 UNIT 7",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073490",
"telephone_number": "563-593-8861"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREE YOUR MIND THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-11-02",
"last_updated": "2026-11-02",
"certification_date": "2026-11-02",
"status": "A",
"authorized_official_last_name": "MCREYNOLDS",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "OWNER, THERAPIST",
"authorized_official_telephone_number": "563-593-8861",
"authorized_official_credential": "LCPC LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.