Kim M Gonzaga, LCDP
Counselor, Addiction (Substance Use Disorder) in Charlestown, Rhode Island
1215738265- Practice location
- 4705 Old Post RD, Charlestown, RI 02813-1841
- Phone
- 401-364-7705
- Fax
- 401-364-1982
- Last updated
- May 16, 2025
Kim Marie Gonzaga is a Counselor, Addiction (Substance Use Disorder) based in Charlestown, RI. Kim Marie Gonzaga practices in Charlestown, RI and has the professional credentials of LCDP. The NPI Number for Kim Marie Gonzaga is 1215738265 and holds a License No. CDP01032 (RI). The current practice location address for Kim Marie Gonzaga is 4705 Old Post RD, Charlestown, RI 02813-1841 and can be reached out via phone at 401-364-7705 and via fax at 401-364-1982.
Provider Profile Details
- NPI Number
- 1215738265
- Provider Name
- Kim Marie Gonzaga
- Credential
- LCDP
- Provider Entity Type
- Individual
- Address
- 4705 Old Post RD, Charlestown, RI 02813-1841
- Phone Number
- 401-364-7705
- Fax Number
- 401-364-1982
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 24, 2025
- Last Update Date
- May 16, 2025
- Certification Date
- May 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4705 Old Post RD
Charlestown, RI 02813-1841 - City
- Charlestown
- State
- Rhode Island
- Zip
- 02813-1841
- Phone Number
- 401-364-7705
- Fax Number
- 401-364-1982
Provider Business Mailing Address Details
- Address
- 117 Ellenfield St Ste 101
Providence, RI 02905-4541 - City
- Providence
- State
- RI
- Zip
- 02905-4541
License Information
- License Number
- CDP01032
- License State
- RI
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Addiction (Substance Use Disorder) providers near Charlestown, RI
View all Counselor, Addiction (Substance Use Disorder) providers in Charlestown →- Alan P Whelan, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1083845309
- Alison K BarberCounselor, Addiction (Substance Use Disorder) · NPI 1346765914
- Jessica L O'Connor, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1851061022
- Kailynn Deoliveira, LCDPCounselor, Addiction (Substance Use Disorder) · NPI 1306261557
- Kathleen Garlick, PCCounselor, Addiction (Substance Use Disorder) · NPI 1295991586
- Mr. Joshua J KrupkaCounselor, Addiction (Substance Use Disorder) · NPI 1548920630
Frequently Asked Questions
What is the NPI number of Kim M Gonzaga, LCDP?
The NPI number of Kim M Gonzaga, LCDP is 1215738265. It was assigned on March 24, 2025 and is currently active in the NPPES registry.
What is the specialty of Kim M Gonzaga, LCDP?
Kim M Gonzaga, LCDP is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP01032.
Where does Kim M Gonzaga, LCDP practice?
The practice location is 4705 Old Post RD, Charlestown, RI 02813-1841. The office can be reached at 401-364-7705 (phone) or 401-364-1982 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215738265 directly on the NPPES registry website.