Inhope Counseling Services Company

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P0512076 Issued in AR

Legal business name

INHOPE COUNSELING SERVICES COMPANY

Practice address

1305 E Main St
Russellville, AR 72801-5322

Phone

(479) 393-9866

Fax

(479) 358-1464

NPI assigned

May 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Karen S Gongola, PHD, LPCNPI 1275784506

Title

Doctor of Psychotherapy

Phone

(479) 393-9866

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Gongola, DOCTOR PSYCHOTHERAPY

  • Mental Health Counselor
  • Russellville, AR
  • NPI 1275784506

  Professional

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713571200000",
    "number": "1023496262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 EAST MAIN STREET",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015322",
            "telephone_number": "479-393-9866",
            "fax_number": "479-358-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728015322",
            "telephone_number": "479-393-9866",
            "fax_number": "479-358-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INHOPE COUNSELING SERVICES COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2024-04-20",
        "certification_date": "2024-04-20",
        "status": "A",
        "authorized_official_last_name": "GONGOLA",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF PSYCHOTHERAPY",
        "authorized_official_telephone_number": "479-393-9866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P0512076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Russellville, AR
• Providers in Russellville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.