Active NPI
Adaiah Gooden, LAAC
- Addiction (Substance Use Disorder) Counselor
- Mesa, AZ
National Provider Identifier
1942941919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 13228
- Practice address
- 1930 S Alma School Rd Ste 203
Mesa, AZ 85210-3064 - Phone
- (480) 448-6588
- NPI assigned
- Apr 5, 2022
- Last updated
- Jan 30, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 13228 | AZ | Primary |
Addresses
Primary practice location
1930 S Alma School Rd Ste 203
Mesa, AZ 85210-3064
Mailing address
21150 N Tatum Blvd Apt 4010
Phoenix, AZ 85050-7242
Phone (602) 561-4617
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 |
|---|---|---|---|
| 13228 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1942941919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21150 N TATUM BLVD APT 4010",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850507242",
"telephone_number": "602-561-4617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 S ALMA SCHOOL RD STE 203",
"city": "MESA",
"state": "AZ",
"postal_code": "852103064",
"telephone_number": "480-448-6588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODEN",
"first_name": "ADAIAH",
"credential": "LAAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-05",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "13228",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.