PAULA S. GORDY LISW, LLC
NPI 1174858963
Clinic/Center - Mental Health (Including Community Mental Health Center) in Centerville, IA

NPI Status: Active since October 12, 2009

Contact Information

501 N 12TH ST STE 1
CENTERVILLE, IA
ZIP 52544
Phone: (641) 856-2688
Fax: (641) 856-2690

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Mental Health (Including Community Menta...
Accepts Insurance

About PAULA S. GORDY LISW, LLC

This page provides the complete NPI Profile along with additional information for Paula S. Gordy Lisw, Llc, a provider established in Centerville, Iowa operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1174858963 assigned on October 2009. The practitioner's primary taxonomy code is 261QM0801X with license number 01294 (IA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Paula Sue Gordy Lisw (Owner)

NPI: 1174858963
Provider Name: PAULA S. GORDY LISW, LLC
Entity Type: Organization
Location Address: 501 N 12TH ST STE 1 CENTERVILLE, IA 52544
Location Phone: (641) 856-2688
Location Fax: (641) 856-2690
Mailing Address: 501 N 12TH ST STE 1 CENTERVILLE, IA 52544
Mailing Phone: (641) 856-2688
Mailing Fax: (641) 856-2690
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-12-2009
Last Update Date: 05-06-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Mental Health (Including Community Mental Health Center)
Taxonomy Code: 261QM0801X
Type: Ambulatory Health Care Facilities
License No.: 01294
License State: IA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter from Nebraska Total Care

Choice Bronze HSA - HMO
Choice Bronze HSA + Vision + Adult Dental - HMO
Clear Gold - HMO
Clear Gold + Vision + Adult Dental - HMO
Complete Silver - HMO
Complete Silver + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Gold - HMO
Elite Gold + Vision + Adult Dental - HMO

Ambetter from NH Healthy Families

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Silver - EPO
Clear Silver + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO

Ambetter from Sunflower Health Plan

Clear Silver - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO

Ambetter Health

Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - HMO
Elite Silver - HMO
Elite Silver + Vision + Adult Dental - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Ambetter of Illinois

Central Bronze - HMO
Central Bronze + Vision + Adult Dental - HMO
Central Gold - HMO
Central Gold + Vision + Adult Dental - HMO
Clear Silver - HMO
Everyday Bronze - HMO
Everyday Bronze + Vision + Adult Dental - HMO
Everyday Gold - HMO
Everyday Gold + Vision + Adult Dental - HMO
Focused Silver - HMO

Medica

Elevate by Medica Bronze $0 Copay PCP Visits - EPO
Elevate by Medica Bronze Share - EPO
Elevate by Medica Expanded Bronze Standard - EPO
Elevate by Medica Gold $0 Copay PCP Visits - EPO
Elevate by Medica Gold Share - EPO
Elevate by Medica Gold Standard - EPO
Elevate by Medica Silver $0 Copay PCP Visits - EPO
Elevate by Medica Silver Share - EPO
Elevate by Medica Silver Standard - EPO
Inspire by Medica Bronze $0 Copay PCP Visits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: PAULA SUE GORDY LISW
Authorized Official Title: OWNER
Authorized Official Phone: (641) 856-2688

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	1	7	4	8	5	8	9	6	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	1	14	4	16	5	16	9	12
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 1 + 6 + 5 + 1 + 6 + 9 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 3									3

The NPI number 1174858963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.