MR. BRETT GAYLON VITZTHUM M.S. LMHC NPI 1588371223

NPI Information

NPI: 1588371223
Provider Name: MR. BRETT GAYLON VITZTHUM, M.S. LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
309 COURT AVE STE 241
DES MOINES, IA
ZIP 50309
Phone: (515) 901-2974
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MR. Brett Gaylon Vitzthum, M.S. LMHC is a mental health counselor in Des Moines, IA. MR. Brett Gaylon Vitzthum, M.S. LMHC NPI is 1588371223. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

309 COURT AVE STE 241
DES MOINES, IA
ZIP 50309-282
Phone: (515) 901-2974
Fax: (515) 875-4817

The NPI 1588371223 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 11/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	105065	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	105065	OTHER	IOWA	STATE OF IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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