Healthcare Provider Details

I. General information

NPI: 1851981187
Provider Name (Legal Business Name): KALI CUENDET
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2021
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4642 S 132ND ST
OMAHA NE
68137-1764
US

IV. Provider business mailing address

9021 BERRY ST
OMAHA NE
68127-3521
US

V. Phone/Fax

Practice location:
  • Phone: 402-275-6413
  • Fax:
Mailing address:
  • Phone: 402-646-8388
  • Fax: 531-200-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14922
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: