Karen Gongola, DOCTOR PSYCHOTHERAPY
NPI 1275784506ActiveIndividual· Counselor, Mental Health· Russellville, AR
Counselor, Mental Health (DOCTOR PSYCHOTHERAPY) in Russellville, Arkansas, licensed in AR, with an NPI issued in October 2008. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1275784506 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DOCTOR PSYCHOTHERAPY |
| Sole proprietor | No |
| NPI issued | Oct 6, 2008 |
| Last updated in NPPES | Apr 17, 2024 |
| Certified by provider | Apr 17, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | P0512076 | AR |
| Counselor, Professional | 101YP2500X | P0512076 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (AR) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Mental Health Counselor |
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