Individual provider Active NPI

Petrina Denise Leitz, EDD, MA

  • Marriage & Family Therapist
  • West Des Moines, IA
National Provider Identifier
1881147742
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
082487 Issued in IA
Practice address
1308 8TH St Ste 5
West Des Moines, IA 50265-2649
Phone
(515) 276-6338
Fax
(515) 598-7452
NPI assigned
Jul 27, 2016
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 082487 IA
Marriage & Family Therapist 106H00000X 0001650 CO
Marriage & Family Therapist 106H00000X 98454 CA
Marriage & Family Therapist 106H00000X 082487 IA Primary

Addresses

Primary practice location

1308 8TH St Ste 5
West Des Moines, IA 50265-2649

Mailing address

12277 Apple Valley Rd # 217
Apple Valley, CA 92308-1701

Other practice location 1

11167 Aurora Ave
Urbandale, IA 50322-7904
Phone (402) 435-2811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240212002555 IA Practitioner - Marriage and Family Therapist 4284077736 Reassigns benefits to 1 organization
I20251009001558 NE Practitioner - Marriage and Family Therapist 4284077736 Reassigns benefits to 1 organization
I20251222000595 IL Practitioner - Marriage and Family Therapist 4284077736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inclusive Insight Psychotherapy and ConsultingGroup PAC ID 4880937903, 16 clinicians
The Community Supports Network IncGroup PAC ID 1658816962, 5 clinicians

Practice addresses (Care Compare)

1370 NW 114TH St
305 Iipc Iowa Office
Clive, IA 50325-7012
Phone (773) 659-9207

5539 S 27TH St
Suite 204
Lincoln, NE 68512-1600
Phone (402) 435-2811

840 W Irving Park Rd
Suite 302
Chicago, IL 60613-3011
Phone (773) 659-9207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
98454CAMDMarriage & Family Therapist
0001650COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Community Supports Network Inc CurrentSince Sep 1, 2025 Accepting new patients
Inclusive Insight Psychotherapy & Consulting CurrentSince Feb 6, 2024 Accepting new patients
Stepping Stone Family Services Inc. Mental Health CurrentSince Oct 10, 2021 Accepting new patients

Locations

1370 NW 114th St
Ste 305
Clive, IA 50325
Phone (515) 216-0032

5005 Douglas Ave
Ste 105
Des Moines, IA 50310
Phone (515) 499-8363

1308 8th St
Ste 5
West Des Moines, IA 50265
Phone (515) 276-6338

10540 S Western Ave
Ste 313
Chicago, IL 60643
Phone (312) 566-8596

840 W Irving Park Rd
Ste 302
Chicago, IL 60613
Phone (773) 871-5150

5539 S 27th St
Ste 204
Lincoln, NE 68512
Phone (402) 423-3696

Organizations & group practices 3

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": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1881147742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD # 217",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 8TH ST STE 5",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652649",
            "telephone_number": "515-276-6338",
            "fax_number": "515-598-7452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11167 Aurora Ave",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503227904",
            "country_code": "US",
            "telephone_number": "402-435-2811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEITZ",
        "first_name": "PETRINA",
        "middle_name": "DENISE",
        "name_prefix": "Dr.",
        "credential": "EDD, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "082487",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": "0001650",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98454",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IA",
            "license": "082487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.