Healthcare Provider Details

I. General information

NPI: 1588936116
Provider Name (Legal Business Name): STEVEN KYLE CARDWELL PSYD,LPCC, LMHC, LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: S. KYLE CARDWELL PSYD,LPCC, LMHC, LPC

II. Dates (important events)

Enumeration Date: 01/27/2012
Last Update Date: 01/22/2026
Certification Date: 01/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MAIN ST
AMES IA
50010-6189
US

IV. Provider business mailing address

6701 CORPORATE DR STE N
JOHNSTON IA
50131-1659
US

V. Phone/Fax

Practice location:
  • Phone: 515-393-1898
  • Fax:
Mailing address:
  • Phone: 336-918-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number776
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCP61002263
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number119568
License Number StateIA
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20373
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60635911
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC-21158
License Number StateAZ
# 8
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC5394
License Number StateOR
# 9
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number180016226
License Number StateIL
# 10
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9882
License Number StateSC
# 11
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number98686
License Number StateTX
# 12
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPCOP801
License Number StateAK
# 13
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number11549
License Number StateCA
# 14
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9898
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: