Provider Demographics
NPI:1124098975
Name:GOKIE, DANIEL EDWARD (MS)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:EDWARD
Last Name:GOKIE
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 N 33RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-1450
Mailing Address - Country:US
Mailing Address - Phone:402-558-3856
Mailing Address - Fax:402-558-3039
Practice Address - Street 1:4535 LEAVENWORTH ST STE 4
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-1453
Practice Address - Country:US
Practice Address - Phone:402-558-3856
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE599101YA0400X
NE2499101YM0800X
NE529101YM0800X
NE1358101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10025790200Medicaid
NE10025790200Medicaid