Kendra Kay McCallie, LCSW LMHP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2612 Issued in NE

Practice address

1246 Golden Gate Dr
Suite 2
Papillion, NE 68046-2838

Phone

(402) 339-2544

Fax

(402) 339-4358

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1528050663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12746 S 38TH ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681232803",
            "telephone_number": "402-292-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 GOLDEN GATE DR",
            "address_2": "SUITE 2",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462838",
            "telephone_number": "402-339-2544",
            "fax_number": "402-339-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCALLIE",
        "first_name": "KENDRA",
        "middle_name": "KAY",
        "credential": "LCSW LMHP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "2612",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NE",
            "license": "1079",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKenna Mathewson
• Rider Cristian Mattheis
• Matt Mausbach
• Linda Maxwell
• Racheal Mayen
• Amy K McCarthy, MD
• Michelle Maile McCaslin, APRN, NP-C
• Kimberly McClintick
• Travis Lee McClintick
• Shannon Marie McConnell

• Mental Health Counselor in Papillion, NE
• Providers in Papillion, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.