Healthcare Provider Details

I. General information

NPI: 1275163560
Provider Name (Legal Business Name): KAYLA MARGARET REISINGER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2020
Last Update Date: 05/19/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 W 4TH ST
CEDAR FALLS IA
50613-2432
US

IV. Provider business mailing address

1208 W 4TH ST
CEDAR FALLS IA
50613-2432
US

V. Phone/Fax

Practice location:
  • Phone: 319-243-9607
  • Fax:
Mailing address:
  • Phone: 319-243-9607
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number097895
License Number StateIA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: