De'rese Gooden, NCC, LCMHC, CCHT
De'rese Gooden, NCC, LCMHC, CCHT is a provider specialising in Prevention Professional in Dayton, OH, registered under NPI 1265957914. This provider registers 5 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 31 S MAIN ST, Dayton, OH 45402. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| C.1700611 | OH | Professional Counselor |
| 11725 | OH | Psychoanalyst |
| C.1700611 | OH | Prevention Professional primary |
This provider holds licence C.1700611 issued in OH. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Prevention Professional covers
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. NUCC Health Care Provider Taxonomy, code 405300000X
All registered taxonomy codes
This provider registers 5 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | — | — | |
| 101YM0800X | Mental Health Counselor Mental Health | — | — | |
| 101YP2500X | Professional Counselor Professional | C.1700611 | OH | |
| 102L00000X | Psychoanalyst | 11725 | OH | |
| 405300000X | Prevention Professional | C.1700611 | OH | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1265957914 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Aug 3, 2017 |
| Last updated | Jan 5, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | NCC, LCMHC, CCHT |
| Practice address |
31 S MAIN ST Dayton, OH 45402 (937) 860-1038 Fax (270) 203-0587 |
| Other identifiers |
0307155
· Medicaid (OH) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 6 | 5 | 9 | 5 | 7 | 9 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 3 | 5 | 9 | 5 | 5 | 9 | 2 |
Sum = 66 · next multiple of 10 = 70 · check digit = 4 · actual last digit = 4
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.