Individual provider Active NPI

Lorena Iveliz Gonzalez, LPC, LCMHC, LCAS

  • Mental Health Counselor
  • Charlotte, NC
National Provider Identifier
1629386982
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10838 Issued in NC
Practice address
1977 J N Pease PL Ste 104
Charlotte, NC 28262-4528
Phone
(980) 406-5428
Fax
(704) 405-4299
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NC
Professional Counselor 101YP2500X VA
Mental Health Counselor 101YM0800X 10838 NC Primary
Professional Counselor 101YP2500X 10838 NC

Addresses

Primary practice location

1977 J N Pease PL Ste 104
Charlotte, NC 28262-4528

Mailing address

9673 Laurie Ave NW
Concord, NC 28027-3604
Phone (704) 954-9358

Other practice location 1

8815 University East Dr Ste 100
Charlotte, NC 28213-4106
Phone (980) 406-5428

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lorenagonzalez@dsmcharlotte.com

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Above Counseling Services, PLLC Addiction (Substance Use Disorder) Current Accepting new patients

Locations

1977 J N Pease Pl
Ste 104
Charlotte, NC 28262
Phone (704) 215-4095

8815 University East Dr
Ste 100
Charlotte, NC 28213
Phone (704) 405-4251

9900 Poplar Tent Rd
Ste 115
Concord, NC 28027
Phone (313) 624-6654

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1629386982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9673 LAURIE AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280273604",
            "telephone_number": "704-954-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL STE 104",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624528",
            "telephone_number": "980-406-5428",
            "fax_number": "704-405-4299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8815 University East Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282134106",
            "country_code": "US",
            "telephone_number": "980-406-5428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "LORENA",
        "middle_name": "IVELIZ",
        "name_prefix": "Ms.",
        "credential": "LPC, LCMHC, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10838",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "10838",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lorenagonzalez@dsmcharlotte.com",
            "affiliation": "N",
            "address_1": "8815 University East Dr Ste 100",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282134106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.