Individual provider Active NPI

Dawn Renee Brenniman, TLMHC

  • Mental Health Counselor
  • Des Moines, IA
National Provider Identifier
1790279487
Registry record updated Jul 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
091210 Issued in IA
Practice address
600 42ND St
Des Moines, IA 50312-2701
Phone
(515) 255-8399
NPI assigned
Jun 18, 2018
Last updated
Jul 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2026

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 091210 IA Primary

Addresses

Primary practice location

600 42ND St
Des Moines, IA 50312-2701

Mailing address

600 42ND St
Des Moines, IA 50312-2701

Other names 1

  • Dawn Wirtz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231122001604 IA Practitioner - Mental Health Counselor 1850781543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erika Smith, Lisw, LLCGroup PAC ID 3072953462, 3 clinicians

Practice addresses (Care Compare)

1609 N Ankeny Blvd
Suite 120
Ankeny, IA 50023-4112
Phone (515) 681-2610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
091210IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Smith, Lisw, LLC Mental Health CurrentSince Mar 5, 2024 Accepting new patients

Locations

1609 N Ankeny Blvd
Ste 120
Ankeny, IA 50023
Phone (515) 635-5016

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783036800000",
    "number": "1790279487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 42ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 42ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122701",
            "telephone_number": "515-255-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENNIMAN",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "credential": "TLMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2026-07-03",
        "certification_date": "2026-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "091210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "WIRTZ",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.