About Us

What We Do

At 515 Therapy and Consulting, we believe growth starts from the inside out. We help individuals, families, and teams create meaningful change that lasts.

Our clinicians provide therapy, medication management, psychological testing, and specialized services such as play therapy, discernment counseling, and co-parent counseling. Whether you’re working through personal challenges or wanting to strengthen relationships, we’re here to help you move forward with confidence. We offer in-office appointments at our West Des Moines location and virtual appointments across Iowa and select states (contact us for more details).

Beyond therapy, we bring our deep experience in psychology, human development, and leadership to the business world. Through executive coaching, leadership development, and organizational consulting, we help companies strengthen trust, navigate change, and create healthier, more effective teams.

Our consulting services include:
Executive and leadership coaching
Team and culture development
Authentic leadership conversations
Difficult conversations with confidence
Keynote speaking and customized workshops on leadership, resilience, and growth


We believe people do their best work, and live their best lives, when they feel seen, supported, and connected. At 515 Therapy and Consulting, we partner with you to make that happen.

Company History

515 Therapy & Consulting was founded by Crystal Hemesath, Ph.D., LMFT, LMHC. December of 2011, marks the beginning of our journey, together. Crystal’s guiding premise was the concept of the win/win. She believed in creating a space where all parties benefit, from consumers, to employees, to the community. It is Crystal’s intention to create a positive, collaborative, transparent, and rewarding environment, for all.

We are located at 6600 Westown Parkway, Suite 240, West Des Moines, IA 50266.

Mission Statement

Where growth begins, courage leads, and change takes root.

Values and Core Beliefs

  • We believe that success requires grit.
  • We believe in being the change you seek.
  • We believe unity is strength. We support and show up for one another.
  • We believe in the greater good – the “win/win”
  • We believe in accountability - do what you say.
  • We believe in creating spaces where employees thrive, clients heal, and lives are transformed, one conversation at a time.

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