Kevin James Reynolds, MS, LMHC, NCC
Individual provider Active NPI Mental Health Counselor · Audubon, IA
NPI 1750824934 · NPPES record last updated Jan 7, 2026
Key facts
- NPI
- 1750824934
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 095019 (IA)
- Practice address
- 515 Pacific Ave Ste 1
Audubon, IA 50025-1056 - Phone
- (712) 563-5285
- Fax
- (855) 303-9139
- NPI assigned
- Nov 21, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Touching Lives Center, LLC
Practice addresses (Care Compare)
515 Pacific Ave
Audubon, IA 50025-1056
Phone (712) 563-5285
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240711003820 | IA | Practitioner - Mental Health Counselor | 8123563319 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095019 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touching Lives Center, LLC | Mental Health | Current |
Accepting new patients |
| Counseling Services, LLC | Multi-Specialty | Past |
Accepting new patients |
Locations
515 Pacific Ave
Ste 1
Audubon, IA 50025
Phone (712) 563-5285
515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611
322 E 6th St
Carroll, IA 51401
Phone (712) 563-5285
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 095019 | IA | Yes |
Addresses
Primary practice location
515 Pacific Ave Ste 1
Audubon, IA 50025-1056
Mailing address
515 Pacific Ave Ste 1
Audubon, IA 50025-1056
Phone (712) 563-5285
Other practice location 1
322 E 6th St
Carroll, IA 51401-2501
Phone (712) 563-5285
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0140292 | Medicaid | IA | |
| 1140292 | Medicaid | IA | |
| 0716148 | Medicaid | IA |
Other providers in Audubon, IA
- Madison Faith Obmann
- Douglas Mark Olsen
- Paul R Schultz DDS
- Brett Pietig
- Lois Kay Potthoff
- Valerie Ann Riesberg
- Rocky Mountain Holdings, LLC
- Mindi Jo Rotert
- Paul Richard Schultz
- Shopko Stores Operating Co LLC
All providers in Audubon, IA · Mental Health Counselor in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.