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

Active since October 12, 2009
501 N 12TH ST STE 1, CENTERVILLE, IA 52544(641) 856-2688(641) 856-2690 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 10, 2025, May 6, 2021 (2 updates tracked since 2021).

About Paula S. Gordy Lisw, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAULA S. GORDY LISW, LLC (NPI 1174858963) is a healthcare organization registered as a mental health (including community mental health center) in Centerville, Iowa and active in the NPI registry since October 2009. The organization maintains 2 additional practice locations and lists Jason Hart, Hippa Compliance Officer, as its authorized official.

NPPES Registry Identity

NPI1174858963
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePAULA S. GORDY LISW, LLC
Location Address501 N 12TH ST STE 1Centerville, IA 52544-1439
Mailing Address501 N 12th St Ste 1Centerville, IA 52544-1439 · (641) 856-2688 · Fax (641) 856-2690
Fax(641) 856-2690
Organization SubpartNo
Authorized OfficialJason HartHippa Compliance Officer · (641) 856-2688
Enumeration DateOctober 12, 2009
Last NPPES UpdateDecember 10, 20252 updates tracked since enumeration
NPPES CertifiedDecember 10, 2025
NPI 1174858963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
License Licensed in IA · 01294
501 N 12TH ST STE 1, Centerville, IA 52544

Secondary Practice Locations 2

Location 1116 N Dodge StBloomfield, IA 52537-1453 · Phone (641) 856-2688 · Fax (641) 856-2690
Location 21111 N Quincy Ave Ste 127Ottumwa, IA 52501-3864 · Phone (641) 856-2688 · Fax (641) 856-2690

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
501 N 12TH ST STE 1
CENTERVILLE, IA 52544
Nurse Practitioner (Psychiatric/Mental Health)
501 N 12TH ST STE 1
CENTERVILLE, IA 52544
Occupational Therapist
501 N 12TH ST STE 1
CENTERVILLE, IA 52544
Social Worker
501 N 12TH ST STE 1
CENTERVILLE, IA 52544

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174858963, enumerated as an "organization" on October 12, 2009.

The provider is located at 501 N 12TH ST STE 1 CENTERVILLE, IA 52544 and the phone number is (641) 856-2688.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.