Active NPI
Michaela Kathleen Gibson
- Mental Health Counselor
- Urbandale, IA
National Provider Identifier
1114768801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 126476
- Practice address
- 6200 Aurora Ave Ste 305E
Urbandale, IA 50322-2863 - Phone
- (515) 724-8920
- NPI assigned
- Jun 5, 2024
- Sex
- Female
- Sole proprietor
- No
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.
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- Mental Health Counselor
- Urbandale, IA
- NPI 1417103649
Mental Health
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
6200 Aurora Ave
Suite 305E
Urbandale, IA 50322-2668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 126476 | IA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Family Counseling Center, Inc. | Mental Health | Current | Accepting new patients |
Locations
610 10th St
Perry, IA 50220
Phone (515) 465-3547
6200 Aurora Ave
Ste 305E
Urbandale, IA 50322
Phone (515) 724-8920
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 126476 | IA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
6200 Aurora Ave Ste 305E
Urbandale, IA 50322-2863
Mailing address
1390 NW 18TH St Apt 216
Ankeny, IA 50023-9314
Phone (515) 450-7230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2026.
{
"created_epoch": "1717545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782777600000",
"number": "1114768801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1390 NW 18TH ST APT 216",
"city": "ANKENY",
"state": "IA",
"postal_code": "500239314",
"telephone_number": "515-450-7230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 AURORA AVE STE 305E",
"city": "URBANDALE",
"state": "IA",
"postal_code": "503222863",
"telephone_number": "515-724-8920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "MICHAELA",
"middle_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-05",
"last_updated": "2026-06-30",
"certification_date": "2026-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "126476",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbandale, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.