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MR. DE'RESE ZYIRE GOODEN NCC, LCMHC, CCHT
NPI 1265957914
Prevention Professional in Dayton, OH

Active since August 03, 2017
31 S MAIN ST, DAYTON, OH 45402(937) 860-1038(270) 203-0587 Get Directions Write a Review

NPPES record last updated: January 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2025, Dec 3, 2022, Jul 21, 2022 and 6 more (9 updates tracked since 2017).

About Mr. De'rese Zyire Gooden Ncc, Lcmhc, Ccht NPPES

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

MR. DE'RESE ZYIRE GOODEN NCC, LCMHC, CCHT (NPI 1265957914) is an individual prevention professional provider in Dayton, Ohio, licensed in Ohio (C.1700611) and active in the NPI registry since August 2017.

NPPES Registry Identity

NPI1265957914
Entity TypeIndividualMale
Primary Taxonomy405300000X
Provider Legal NameMR. DE'RESE ZYIRE GOODENCredential: NCC, LCMHC, CCHT
Location Address31 S MAIN STDayton, OH 45402-2070
Mailing Address31 S Main StDayton, OH 45402-2070 · (937) 860-1038 · Fax (270) 203-0587
Phone(937) 860-1038
Fax(270) 203-0587
Sole ProprietorYes
Enumeration DateAugust 3, 2017
Last NPPES UpdateJanuary 5, 20259 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2025
✔ NPI 1265957914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
License✔ Licensed in OH · C.1700611
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License C.1700611 (OH)
Also ListedPsychoanalystTaxonomy 102L00000X · License 11725 (OH)
31 S MAIN ST, Dayton, OH 45402
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Other Identifiers 1

Medicaid0307155OH

Other Providers at the Same Location NPPES 4

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

EMPOWERING TO ELEVATE INC
Clinic/Center (Adolescent and Children Mental Health)
31 S MAIN ST
DAYTON, OH 45402
Montgomery County (937) 248-1264
RESEREVELATIONS, LLC
Voluntary or Charitable
31 S MAIN ST
DAYTON, OH 45402
Montgomery County (937) 860-1038
ASHLEY JOHNSON
Social Worker
31 S MAIN ST
DAYTON, OH 45402
Montgomery County (614) 842-7649
CALMING ANGELS, LLC
Home Health
31 S MAIN ST
DAYTON, OH 45402
Montgomery County (937) 714-9070

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 De'rese Gooden's NPI number?

The NPI number for De'rese Gooden is 1265957914. It was assigned to this individual provider in the NPPES registry on August 3, 2017.

Where is De'rese Gooden located?

De'rese Gooden practices at 31 S Main St, Dayton, OH 45402. The listed phone number is (937) 860-1038.

What is De'rese Gooden's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for De'rese Gooden was last updated on January 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.