Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Karen Gongola, DOCTORPSYCHOTHERAPY

Individual provider Mental Health Counselor · NPI 1275784506

Dr. Karen Gongola, DOCTORPSYCHOTHERAPY is a Mental Health Counselor in Russellville, Arkansas. Qualified in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
19
Licensed in
AR
In the registry since
2008
Specialties on file
2

Practice location Address checks out

1305 E Main St
Russellville, AR 72801-5322
Phone: (479) 393-9866
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P0512076 (AR)
Professional Counselor Taxonomy 101YP2500X · Licence P0512076 (AR)

Record details

NPI number1275784506
Entity typeIndividual (Type 1)
GenderFemale
Credentials DOCTORPSYCHOTHERAPY
Sole proprietorNo
NPI enumeratedOctober 6, 2008
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Russellville