Individual provider Active NPI

Brett Gaylon Vitzthum, M.S. LMHC

  • Mental Health Counselor
  • West Des Moines, IA
National Provider Identifier
1588371223
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
105065 Issued in IA
Practice address
1200 Valley West Dr Ste 612
West Des Moines, IA 50266-1907
Phone
(515) 669-0915
NPI assigned
Nov 2, 2022
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 105065 IA Primary

Addresses

Primary practice location

1200 Valley West Dr Ste 612
West Des Moines, IA 50266-1907

Mailing address

1200 Valley West Dr Ste 612
West Des Moines, IA 50266-1907
Phone (515) 669-0915

Other identifiers 1

IdentifierTypeStateIssuer
105065OtherIASTATE OF IOWA

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: No
  • 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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
105065IAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1588371223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 612",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661907",
            "telephone_number": "515-669-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 612",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661907",
            "telephone_number": "515-669-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITZTHUM",
        "first_name": "BRETT",
        "middle_name": "GAYLON",
        "name_prefix": "Mr.",
        "credential": "M.S. LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-02",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "105065",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF IOWA",
            "identifier": "105065",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.