Paula S. Gordy Lisw, LLC
NPI 1174858963 · Mental Health Clinic/Center (Including Community Mental Health Center) · Centerville, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paula S. Gordy Lisw, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Centerville, IA (NPI 1174858963).
Provider details
- NPI number
- 1174858963
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Hart, Hippa Compliance Officer(641) 856-2688
- License
- 01294 (IA)
Specialties & taxonomies
- Mental Health Clinic/Center (Including Community Mental Health Center)Primary261QM0801XLicense 01294 (IA)
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 116 N Dodge StBloomfield, IA 52537-1453Phone: (641) 856-2688Fax: (641) 856-2690
- 1111 N Quincy Ave Ste 127Ottumwa, IA 52501-3864Phone: (641) 856-2688Fax: (641) 856-2690
Registry dates
- Enumerated
- 2009-10-12
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Frequently asked questions
- What is Paula S. Gordy Lisw, LLC's NPI number?
- Paula S. Gordy Lisw, LLC's National Provider Identifier (NPI) is 1174858963, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paula S. Gordy Lisw, LLC?
- Paula S. Gordy Lisw, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Paula S. Gordy Lisw, LLC located?
- Paula S. Gordy Lisw, LLC's practice location on file with NPPES is 501 N 12th St Ste 1, Centerville, IA 52544-1439.
- What is Paula S. Gordy Lisw, LLC's phone number?
- The practice phone number listed in the NPPES registry for Paula S. Gordy Lisw, LLC is (641) 856-2688.
- Does Paula S. Gordy Lisw, LLC accept Medicare?
- Paula S. Gordy Lisw, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Paula S. Gordy Lisw, LLC?
- The authorized official listed on Paula S. Gordy Lisw, LLC's NPPES record is Jason Hart, Hippa Compliance Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paula S. Gordy Lisw, LLC's NPI active?
- Yes — Paula S. Gordy Lisw, LLC's NPI (1174858963) is active in the NPPES registry as of the last update on 2025-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.