CHARLES RANDALL GOODING SUDP
NPI 1104577162
Counselor - Addiction (Substance Use Disorder) in Kent, WA

Q: What is Charles Gooding's NPI number?

The NPI number for Charles Gooding is 1104577162. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Q: What is Charles Gooding's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Charles Gooding was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2022

23830 PACIFIC HWY S STE 202A, KENT, WA 98032(206) 501-5295 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Charles Randall Gooding Sudp NPPES

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

CHARLES RANDALL GOODING SUDP (NPI 1104577162) is an individual addiction (substance use disorder) provider in Kent, Washington, licensed in Washington (CP60474403) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1104577162

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameCHARLES RANDALL GOODINGCredential: SUDP

Location Address23830 PACIFIC HWY S STE 202AKent, WA 98032-7706

Mailing Address23830 Pacific Hwy S Ste 202aKent, WA 98032-7706 · (206) 501-5295

Phone(206) 501-5295

Sole ProprietorYes

Enumeration DateJanuary 12, 2022

NPPES CertifiedJanuary 12, 2022

✔ NPI 1104577162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP60474403

23830 PACIFIC HWY S STE 202A, Kent, WA 98032

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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 Charles Gooding's NPI number?

The NPI number for Charles Gooding is 1104577162. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Charles Gooding located?

Charles Gooding practices at 23830 Pacific Hwy S Ste 202A, Kent, WA 98032. The listed phone number is (206) 501-5295.

What is Charles Gooding's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Charles Gooding was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.