Provider Demographics
NPI:1275163560
Name:REISINGER, KAYLA MARGARET (LMHC)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARGARET
Last Name:REISINGER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR FALLS
Mailing Address - State:IA
Mailing Address - Zip Code:50613-2432
Mailing Address - Country:US
Mailing Address - Phone:319-243-9607
Mailing Address - Fax:
Practice Address - Street 1:1208 W 4TH ST
Practice Address - Street 2:
Practice Address - City:CEDAR FALLS
Practice Address - State:IA
Practice Address - Zip Code:50613-2432
Practice Address - Country:US
Practice Address - Phone:319-243-9607
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-25
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA097895101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health