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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: October 25, 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
Phone(641) 856-2688
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
Open in Google Maps ↗

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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paula S. Gordy Lisw, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Paula S. Gordy Lisw, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Paula Gordy, LISW
Clinical Social Worker
NPI 1912052325
501 N 12TH ST SUITE 1
Centerville, IA 52544
(641) 856-2688
✔ PECOS✔ Accepts MedicareSame address
Allison Brown, LMHC
Mental Health Counselor
NPI 1700353083
1527 ALBIA RD
Ottumwa, IA 52501
(641) 682-8772
✔ PECOS29 mi
Sydney Thomas
Clinical Social Worker
NPI 1326665373
1111 N QUINCY AVE STE 137
Ottumwa, IA 52501
(641) 856-2688
✔ PECOS30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paula S. Gordy Lisw, LLC's NPI number?

The NPI number for Paula S. Gordy Lisw, LLC is 1174858963. It was assigned to this organization in the NPPES registry on October 12, 2009.

Where is Paula S. Gordy Lisw, LLC located?

Paula S. Gordy Lisw, LLC is located at 501 N 12th St Ste 1, Centerville, IA 52544. The listed phone number is (641) 856-2688.

What is Paula S. Gordy Lisw, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Paula S. Gordy Lisw, LLC enrolled in Medicare?

Yes. Paula S. Gordy Lisw, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paula S. Gordy Lisw, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Paula S. Gordy Lisw, LLC, in Clinical Social Worker and Mental Health Counselor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Paula S. Gordy Lisw, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Paula S. Gordy Lisw, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paula S. Gordy Lisw, LLC was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.