Organization Active NPI

Kylie Russell

  • Mental Health Counselor
  • Cedar Falls, IA
National Provider Identifier
1942019310
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KYLIE RUSSELL
Practice address
2302 W 1St St Ste 109
Cedar Falls, IA 50613-1854
Phone
(319) 406-2561
NPI assigned
Dec 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Authorized official

Name
Kylie Russell, LISW
Title
Owner
Phone
(319) 406-2561

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2302 W 1St St Ste 109
Cedar Falls, IA 50613-1854

Mailing address

PO Box 71602
Clive, IA 50325-0602
Phone (515) 243-2057

Other names 1

  • Resilient Solutions, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2302 W 1st St
Ste 109
Cedar Falls, IA 50613
Phone (319) 406-2561

NPI Registry JSON

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

{
    "created_epoch": "1735603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1942019310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71602",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503250602",
            "telephone_number": "515-243-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 W 1ST ST STE 109",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506131854",
            "telephone_number": "319-406-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLIE RUSSELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-31",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "KYLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-406-2561",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilient Solutions, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.