PAOLA KARLA GORDILLO LPC, LCDC
NPI 1396529236
Counselor - Professional in Fort Worth, TX

Q: What is Paola Gordillo's NPI number?

The NPI number for Paola Gordillo is 1396529236. It was assigned to this individual provider in the NPPES registry on August 22, 2023. The provider is also known as Paola Gonzalez-Frayre.

Q: What is Paola Gordillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Paola Gordillo was last updated on August 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since August 22, 2023PECOS Enrolled

3200 SANGUINET ST, FORT WORTH, TX 76107(817) 255-2652(817) 255-2657 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Paola Karla Gordillo Lpc, Lcdc NPPES

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

PAOLA KARLA GORDILLO LPC, LCDC (NPI 1396529236) is an individual professional provider in Fort Worth, Texas, licensed in Texas (85816) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396529236

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NamePAOLA KARLA GORDILLOCredential: LPC, LCDC

Location Address3200 SANGUINET STFort Worth, TX 76107-5355

Mailing Address3200 Sanguinet StFort Worth, TX 76107-5355 · (817) 255-2652 · Fax (817) 255-2657

Phone(817) 255-2652

Fax(817) 255-2657

Sole ProprietorNo

Enumeration DateAugust 22, 2023

NPPES CertifiedAugust 22, 2023

✔ NPI 1396529236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in TX · 85816

3200 SANGUINET ST, Fort Worth, TX 76107

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Other Names 1

Former Name (1)Paola Gonzalez-frayre

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paola Karla Gordillo Lpc, Lcdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Paola Gordillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lena Pope Home, Inc.

Same address

Professional

3200 SANGUINET ST
Fort Worth, TX 76107

Reassigned Medicare billing, Texas enrollment
26 clinicians in this Medicare group

NPI 1093856924 (817) 255-2652

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

Other Providers at the Same Location NPPES 20

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

TELA HEDBERG THORNTON LCSW

Social Worker (Clinical)