National Provider Identifier Database

DERESE Z GOODEN, NCC, LCMHC, CCHT – NPI #1265957914
Prevention Professional

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.


Contact Information

DERESE Z GOODEN, NCC, LCMHC, CCHT
31 S MAIN ST
DAYTON, OH45402-2070
Phone: 937-860-1038
Fax: 270-203-0587
Website:
Specialty Taxonomy Code
* Prevention Professional 405300000X
Addiction (Substance Use Disorder) 101YA0400X
Mental Health 101YM0800X
Professional 101YP2500X
Psychoanalyst 102L00000X

* Indicates primary specialty

NPI Profile & details for DERESE Z GOODEN

NPI Number 1265957914
Credentials NCC, LCMHC, CCHT
Entity Individual
Enumeration date 08/03/2017
Last updated 01/05/2025 - More than a year ago
Sole proprietor1 Yes
Identifiers
  • OH License #: 11725
  • OH License #: C.1700611
  • OH Medicaid: 0307155
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DERESE Z GOODEN, NCC, LCMHC, CCHT

There are currently no reviews for DERESE Z GOODEN, NCC, LCMHC, CCHT


NPIdb - Home
v2.201