Individual provider Active NPI

Michaela Kathleen Gibson

  • Mental Health Counselor
  • Urbandale, IA
National Provider Identifier
1114768801
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
126476 Issued in IA
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.

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
126476IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Family Counseling Center, Inc. Mental Health CurrentSince Jun 9, 2024 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)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 126476 IA Primary

Addresses

NPPES NPI Registry

Primary 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

Verify at the official NPI Registry.