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GOOKOMIS ENDAAD
NPI 1669970729
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lac Du Flambeau, WI

Active since January 24, 2018CLIA 52D2318170 · Waiver
3378 N. SCHILLEMAN RD, LAC DU FLAMBEAU, WI 54538(715) 388-0762(715) 588-1889 Get Directions Write a Review

NPPES record last updated: September 13, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 13, 2018, Mar 20, 2018 (2 updates tracked since 2018).

About Gookomis Endaad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOKOMIS ENDAAD (NPI 1669970729) is a healthcare organization registered as a mental health (including community mental health center) in Lac Du Flambeau, Wisconsin and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Pamela Ahlborn, Compliance & Contract Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669970729
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameLAC DU FLAMBEAU BAND OF LAKE SUPERIOR CHIPPEWA INDIANS
Location Address3378 N. SCHILLEMAN RDLac Du Flambeau, WI 54538-0815
Mailing AddressPo Box 815Lac Du Flambeau, WI 54538-0815 · (715) 588-4422 · Fax (715) 588-1889
Phone(715) 388-0762
Fax(715) 588-1889
Organization SubpartNo
Authorized OfficialPamela AhlbornCompliance & Contract Coordinator · (715) 588-4422
Enumeration DateJanuary 24, 2018
Last NPPES UpdateSeptember 13, 20182 updates tracked since enumeration
✔ NPI 1669970729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Federally Qualified Health Center (FQHC)Taxonomy 261QF0400X
Also ListedSubstance Abuse Rehabilitation FacilityTaxonomy 324500000X · License 3100 (WI)
3378 N. SCHILLEMAN RD, Lac Du Flambeau, WI 54538
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Other Names 1

Doing Business AsGookomis Endaad

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2318170

Gookomis Endaad · Lac Du Flambeau, WI
Active · expires Feb 5, 2027
CLIA Number52D2318170
Laboratory TypeSubstance Abuse Recovery
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorDeborah G. Swiader
Laboratory Phone(715) 588-1105
Laboratory LocationGookomis Endaad3378 N Schilleman Rd, Lac Du Flambeau, WI 54538
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELI FAUST PC, SAC-IT
Counselor (Professional)
3378 N. SCHILLEMAN RD
LAC DU FLAMBEAU, WI 54538
Vilas County (715) 588-4422

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lac Du Flambeau Band Of Lake Superior Chippewa Indians's NPI number?

The NPI number for Lac Du Flambeau Band Of Lake Superior Chippewa Indians is 1669970729. It was assigned to this organization in the NPPES registry on January 24, 2018. The provider is doing business as Gookomis Endaad.

Where is Lac Du Flambeau Band Of Lake Superior Chippewa Indians located?

Lac Du Flambeau Band Of Lake Superior Chippewa Indians is located at 3378 N. Schilleman Rd, Lac Du Flambeau, WI 54538. The listed phone number is (715) 388-0762.

What is Lac Du Flambeau Band Of Lake Superior Chippewa Indians's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Lac Du Flambeau Band Of Lake Superior Chippewa Indians hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2318170) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lac Du Flambeau Band Of Lake Superior Chippewa Indians was last updated on September 13, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.