About Us

What We Do

Voted Des Moines Register’s Metro’s Best in both 2024 and 2025, 515 Therapy & Consulting is proud to be Central Iowa’s leading mental health practice. Located in West Des Moines, we’re dedicated to helping individuals, couples, and families find healing, growth, and connection through compassionate, evidence-based care.

Our team of experienced providers offers a full spectrum of mental health services, including:

‍Therapy for individuals, couples, and families
‍Medication management for mental wellness and stability
‍Psychological testing to guide diagnosis and treatment
‍Support groups that foster connection and community

We also specialize in unique areas of care such as play therapy, discernment counseling, and co-parent counseling, allowing us to meet the needs of clients at every stage of life. In addition to our clinical work, we’re deeply passionate about empowering others through public speaking and interactive workshops that spark authentic communication and meaningful growth. Learn more on our Services page.

We offer in-office appointments at our West Des Moines location and virtual sessions across Iowa and select states, making expert mental health care more accessible than ever.

‍515 Therapy & Consulting — Where growth begins, courage leads, and change takes root.

Company History

515 Therapy & Consulting was founded by Crystal Hemesath, Ph.D., LMFT, LMHC in December, 2011. 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.

Vision Statement

We believe change and personal growth are acts of courage. That’s why we challenge the status quo with curiosity, empathy, and relentless learning opportunities for ourselves and those we serve. We are inspired to transform what’s possible in mental health and well-being for individuals, families, leaders, and communities—embracing thriving, not just surviving.

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.