KATIE RENEE GONZALEZ LCDP
NPI 1417810888
Counselor - Addiction (Substance Use Disorder) in Providence, RI

Active since December 03, 2025
110 ELMWOOD AVE, PROVIDENCE, RI 02907(401) 545-5433 Get Directions Write a Review

NPPES record last updated: January 11, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 11, 2026, Dec 3, 2025 (2 updates tracked since 2025).

About Katie Renee Gonzalez Lcdp NPPES

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

KATIE RENEE GONZALEZ LCDP (NPI 1417810888) is an individual addiction (substance use disorder) provider in Providence, Rhode Island, licensed in Rhode Island (CDP01075) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1417810888
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATIE RENEE GONZALEZCredential: LCDP
Location Address110 ELMWOOD AVEProvidence, RI 02907-2423
Mailing Address110 Elmwood AveProvidence, RI 02907-2423 · (401) 545-5433
Sole ProprietorYes
Enumeration DateDecember 3, 2025
Last NPPES UpdateJanuary 11, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2026
NPI 1417810888 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 · CDP01075
110 ELMWOOD AVE, Providence, RI 02907

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Addiction Medicine)
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Marriage & Family Therapist
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Pharmacy
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907
Counselor (Addiction (Substance Use Disorder))
110 ELMWOOD AVE
PROVIDENCE, RI 02907

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 Katie Gonzalez's NPI number?

The NPI number for Katie Gonzalez is 1417810888. It was assigned to this individual provider in the NPPES registry on December 3, 2025.

Where is Katie Gonzalez located?

Katie Gonzalez practices at 110 Elmwood Ave, Providence, RI 02907. The listed phone number is (401) 545-5433.

What is Katie Gonzalez's specialty?

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

When was this NPI record last updated?

The NPPES record for Katie Gonzalez was last updated on January 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.