De'Rese Zyire Gooden, NCC, LCMHC, CCHT
NPI 1265957914ActiveIndividual· Prevention Professional· Dayton, OH
Prevention Professional (NCC, LCMHC, CCHT) in Dayton, Ohio, licensed in OH, with an NPI issued in August 2017.
Overview
| NPI | 1265957914 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NCC, LCMHC, CCHT |
| Sole proprietor | Yes |
| NPI issued | Aug 3, 2017 |
| Last updated in NPPES | Jan 5, 2025 |
| Certified by provider | Jan 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Prevention Professional Primary | 405300000X | C.1700611 | OH |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
| Counselor, Professional | 101YP2500X | C.1700611 | OH |
| Psychoanalyst | 102L00000X | 11725 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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