Dawn Gonsalves, LCMHC – Marriage & Family Therapist

Key facts

NPI: 1508107426
Entity type: Individual (NPI type 1)
Primary specialty: Marriage & Family Therapist 106H00000X
License: MHC00558 (RI)
Practice address: 75 Lambert Lind Hwy
Suite 120-100
Warwick, RI 02886-1131
Phone: (401) 681-4274
Fax: (401) 681-4285
NPI assigned: Mar 4, 2013
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Quality Behavioral Health Counselor · Warwick, RI · NPI 1154485480

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MHC00558	RI	MD	Marriage & Family Therapist

Practice roles

Organization	Specialty	Status	New patients
Quality Behavioral Health		Past since Jan 1, 2014	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Marriage & Family Therapist	106H00000X	MHC00558	RI	Yes

Addresses

Primary practice location

75 Lambert Lind Hwy
Suite 120-100
Warwick, RI 02886-1131

Mailing address

75 Lambert Lind Hwy
Suite 120-100
Warwick, RI 02886-1131
Phone (401) 681-4274

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 4, 2013.

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1508107426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 LAMBERT LIND HWY",
            "address_2": "SUITE 120-100",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861131",
            "telephone_number": "401-681-4274",
            "fax_number": "401-681-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 LAMBERT LIND HWY",
            "address_2": "SUITE 120-100",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861131",
            "telephone_number": "401-681-4274",
            "fax_number": "401-681-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONSALVES",
        "first_name": "DAWN",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "RI",
            "license": "MHC00558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

All providers in Warwick, RI · Marriage & Family Therapist in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.