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

Jonathan C Gogol, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1437894748

Jonathan C Gogol, PMHNP is a Nurse Practitioner in Petersburg, Virginia. Qualified in 2021, 5 years ago. Practices with Revive Behavioral Health, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

416 3rd St Ste D
Petersburg, VA 23803-3300
Phone: (804) 653-7009
Fax: (804) 773-4688
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 0024183300 (VA)

Record details

NPI number1437894748
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedMay 2, 2022
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Revive Behavioral Health — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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