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KIM MARIE GONZAGA LCDP
NPI 1215738265
Counselor - Addiction (Substance Use Disorder) in Charlestown, RI

Active since March 24, 2025
4705 OLD POST RD, CHARLESTOWN, RI 02813(401) 364-7705(401) 364-1982 Get Directions Write a Review

NPPES record last updated: May 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 16, 2025, Mar 24, 2025 (2 updates tracked since 2025).

About Kim Marie Gonzaga Lcdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM MARIE GONZAGA LCDP (NPI 1215738265) is an individual addiction (substance use disorder) provider in Charlestown, Rhode Island, licensed in Rhode Island (CDP01032) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1215738265
Entity TypeIndividual
Primary Taxonomy101YA0400X
Provider Legal NameKIM MARIE GONZAGACredential: LCDP
Location Address4705 OLD POST RDCharlestown, RI 02813-1841
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541
Phone(401) 364-7705
Fax(401) 364-1982
Sole ProprietorNo
Enumeration DateMarch 24, 2025
Last NPPES UpdateMay 16, 20252 updates tracked since enumeration
NPPES CertifiedMay 16, 2025
✔ NPI 1215738265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in RI · CDP01032
4705 OLD POST RD, Charlestown, RI 02813
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN BURTIS KENNY RN
Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705
SARAH HAUSER LCSW
Social Worker (Clinical)
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 662-2682
MISS MAGWYRE MAYHEW MSW
Social Worker (Clinical)
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705
JORDAN RUSSELL
Registered Nurse
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705
DAWN PANCIERA RN
Registered Nurse (School)
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705
KATHLEEN GARLICK PC
Counselor (Addiction (Substance Use Disorder))
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705
ELYSE CONNOLLY
Registered Nurse
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705
KRISTINE DOMINIQUE LICSW
Social Worker (Clinical)
4705 OLD POST RD
CHARLESTOWN, RI 02813
Washington County (401) 364-7705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kim Gonzaga's NPI number?

The NPI number for Kim Gonzaga is 1215738265. It was assigned to this individual provider in the NPPES registry on March 24, 2025.

Where is Kim Gonzaga located?

Kim Gonzaga practices at 4705 Old Post Rd, Charlestown, RI 02813. The listed phone number is (401) 364-7705.

What is Kim Gonzaga's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Kim Gonzaga accept?

Health plans from Harvard Pilgrim Health Care list Kim Gonzaga as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kim Gonzaga was last updated on May 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.