Michelle Leigh Cushman, PH.D.

Individual provider Active NPI Counseling Psychologist · Ankeny, IA

NPI 1023367018 · NPPES record last updated Jan 6, 2026

Key facts

NPI
1023367018
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
001360 (IA)
Practice address
702 SW 4TH St Ste 112
Ankeny, IA 50023-2964
Phone
(515) 325-4133
Fax
(844) 799-6001
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
001360IAMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Poweshiek County Mental Health Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 001360 IA Yes

Addresses

Primary practice location

702 SW 4TH St Ste 112
Ankeny, IA 50023-2964

Mailing address

702 SW 4TH St Ste 112
Ankeny, IA 50023-2964
Phone (515) 325-4133

Other names

  • Michelle Leigh Johnston Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 6, 2026.

{
    "created_epoch": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1023367018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 SW 4TH ST STE 112",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232964",
            "telephone_number": "515-325-4133",
            "fax_number": "844-799-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 SW 4TH ST STE 112",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500232964",
            "telephone_number": "515-325-4133",
            "fax_number": "844-799-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "MICHELLE",
        "middle_name": "LEIGH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IA",
            "license": "001360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JOHNSTON",
            "middle_name": "LEIGH",
            "credential": "M.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

All providers in Ankeny, IA · Counseling Psychologist in Iowa

Sources for this page

Verify at the official NPI Registry.