Active NPI
Cedrick D Gooden, LICDC162258, C22042
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1841562949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LICDC.162258
- Practice address
- 17608 Euclid Ave
Cleveland, OH 44112-1216 - Phone
- (216) 417-6166
- NPI assigned
- Feb 3, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | C.2204255 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LICDC.162258 | OH | Primary |
Addresses
Primary practice location
17608 Euclid Ave
Cleveland, OH 44112-1216
Mailing address
17608 Euclid Ave
Cleveland, OH 44112-1216
Phone (216) 417-6166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0273389 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LICDC.162258 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| C.2204255 | OH | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1841562949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17608 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441121216",
"telephone_number": "216-417-6166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17608 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441121216",
"telephone_number": "216-417-6166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "CEDRICK",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LICDC162258, C22042",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-03",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "C.2204255",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "LICDC.162258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0273389",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.