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KATHERINE GILLMOR LMHC
NPI 1972142057
Counselor - Mental Health in Clive, IA

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment
12493 UNIVERSITY AVE STE 100, CLIVE, IA 50325(515) 358-0060 Get Directions Write a Review

NPPES record last updated: September 14, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Katherine Gillmor Lmhc NPPES

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

KATHERINE GILLMOR LMHC (NPI 1972142057) is an individual mental health provider in Clive, Iowa, licensed in Iowa (101305) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1972142057
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHERINE GILLMORCredential: LMHC
Location Address12493 UNIVERSITY AVE STE 100Clive, IA 50325-8286
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 358-0060
Phone(515) 358-0060
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 6, 2020
Last NPPES UpdateSeptember 14, 2023
NPPES CertifiedSeptember 14, 2023
✔ NPI 1972142057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IA · 101305✔ Licensed in FL · MH17672
12493 UNIVERSITY AVE STE 100, Clive, IA 50325
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Katherine Gillmor Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496104911
PECOS Enrollment IDI20231209000176
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 Katherine Gillmor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Clinics, Inc
Same address
Neuromuscular Medicine
12493 UNIVERSITY AVE STE 100
Clive, IA 50325
  • Reassigned Medicare billing, Iowa enrollment
  • 516 clinicians in this Medicare group
NPI 1073853461 (515) 358-9461

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 17

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

DAVID B PAUL PSYD
Clinical Neuropsychologist
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-0060
MCKENNA MARIE GARLAND PHD
Clinical Neuropsychologist
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-0060
BLAIR CAMILLE RUNDE PA-C
Physician Assistant
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-9461
MERCY CLINICS, INC
Physical Medicine & Rehabilitation (Neuromuscular Medicine)
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-9461
KARLA RICHARDS OT
Occupational Therapist
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-9461
NICOLE KUHL OT
Occupational Therapist
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-9461
MS. CATHERINE WARGO PSY.D.
Clinical Neuropsychologist
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-0060
JEFFREY ALLEN PEDERSON D.O.
Physical Medicine & Rehabilitation
12493 UNIVERSITY AVE STE 100
CLIVE, IA 50325
Polk County (515) 358-9461

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 Katherine Gillmor's NPI number?

The NPI number for Katherine Gillmor is 1972142057. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is Katherine Gillmor located?

Katherine Gillmor practices at 12493 University Ave Ste 100, Clive, IA 50325. The listed phone number is (515) 358-0060.

What is Katherine Gillmor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Katherine Gillmor enrolled in Medicare?

Yes. Katherine Gillmor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Katherine Gillmor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Gillmor reassigns Medicare benefits to Mercy Clinics, Inc (Clive, IA). The 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 Katherine Gillmor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Gillmor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 4 other insurers list Katherine Gillmor 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 Katherine Gillmor was last updated on September 14, 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.