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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 001360 | IA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poweshiek County Mental Health Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
NPI Registry JSON
{
"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"
}
]
}
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All providers in Ankeny, IA · Counseling Psychologist in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.