Organization Active NPI

Free Your Mind Therapy Services, LLC

  • Mental Health Counselor
  • Davenport, IA
National Provider Identifier
1699674234
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Kelly Kay McReynolds, LCPC LMHCNPI 1336716307
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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.

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.

Verify at the official NPI Registry.