Skip to main content
Main navigation
Find a Provider
Tools & Resources
Upcoming Community Events
About Us
Stay Connected
Contact
Crisis Support
User account menu
Become a Provider
Donate
Provider login
Menu
User account menu
Become a Provider
Donate
Provider login
Main navigation
Find a Provider
Tools & Resources
Upcoming Community Events
About Us
Stay Connected
Contact
Crisis Support
Select your language
English
Persian, Farsi
Arabic
Burmese
التبويبات الأساسية
Log in
Create new account
Reset your password
Email
This email address is not made public.
Password
Confirm password
Is this an individual profile or organization profile?
Choose whether you'd like to create a profile for yourself or on behalf of an organization.
Individual
Organization
Contact Information
Name
Job Title
For example: Psychiatrist, Licensed Marriage and Family Therapist. Spell out.
Do not use acronyms
Work Phone Number
Website
This must be an external URL such as
https://example.com
.
Supervisor Name
Office Information
Office Address
Country
- None -
الولايات المتحدة
Street address
Street address line 2
Street address line 3
City
State
- اختر -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (AA)
Armed Forces (AE)
Armed Forces (AP)
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Micronesia
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip code
Other Office Information
About text formats
Describe the accessibility of this office. For example, is it wheelchair accessible? Provide directions using public transit, how to enter the building, and include any other specific instructions.
Background and Expertise
Picture
One file only.
100 MB limit.
Allowed types: png gif jpg jpeg.
Content
Behavior
License(s)
Toggle Actions
Order
License
Toggle Actions
License Type
- None -
Art Therapist
Expressive Arts Therapist
Licensed Clinical Mental Health Counselor (LCMHC)
Licensed Clinical Professional Counselor (LCPC)
Licensed Clinical Social Worker (LCSW)
Licensed Marriage and Family Therapist (LMFT)
Licensed Mental Health Counselor (LMHC)
Licensed Mental Health Practitioner (LMHP)
Licensed Professional Clinical Counselor of Mental Health (LPCC)
Licensed Professional Counselor (LPC)
Licensed Psychological Associate (LPA)
Nurse Practitioner
Psychiatric Mental Health Nurse Practitioner
Psychiatrist
Psychologist
Speech Therapist
License Number
Weight for row 1
-1
0
1
Degrees / Qualifications
Order
Degrees / Qualifications (value 1)
Weight for row 1
0
List the degrees and qualifications relevant to your practice. For example, MD or PsyD.
Year your practice started
Brief Bio
About text formats
A two to three sentence description of you or your organization.
Introductory Video
Include a video introducing yourself to potential clients.
It is recommended to upload your video to
YouTube
and then paste the video URL into this field.
Gender(s)
Choose gender identities that apply to you. This will help potential clients find providers that reflect their own gender experience.
Female
Male
Non-Binary / Third Gender
Transgender / Gender Variant
Other
Prefer not to answer
Pronouns
Provider Pronouns
Choose pronouns that apply to you.
He / him / his
She / her / hers
They / them / theirs
Other
Other pronouns
Provider Race
Choose all that apply to you.
American Indian / Alaska Native
Asian
Black / African American
Hispanic / Latinx
Multiracial
Native Hawaiian / Pacific Islander
Other
White
Ethnicities
Provider Ethnicities
Choose all that apply to you.
African
Asian Pacific Islander
Native Hawaiian / Pacific Islander
Asian Indian / South Asian
Caribbean
Central American
Chinese
Eastern European
European
Filipino
Japanese
Khmer / Cambodian
Korean
Lao
Mexican / Mexican-American / Chicano
Middle Eastern
Puerto Rican
Slavic
Spanish
South American
Vietnamese
Other
Other Ethnicities
Provider Identities
Choose all that apply to you.
Deaf / Hard of Hearing
Immigrant
LGBTQ+
Parent
Refugee
Veteran
Audiences Served
Choose all that apply.
LGBTQ+
Transitional Youth
Parents
Asylees/Refugees/Immigrants
Seniors
Veterans
Youth
Languages
Languages
Choose
only languages in which you are competent to provide services in
.
American Sign Language
Arabic
Burmese
Cantonese
Dari
English
Farsi
French
Hebrew
Hindi
Hmong
Japanese
Khmer
Korean
Kurdish
Lao
Mandarin
Nepali
Pashto
Punjabi
Russian
Spanish
Tagalog
Turkish
Ukrainian
Urdu
Vietnamese
Other
Other Languages
Areas of Expertise
Choose all that apply.
Cultural Issues
Depression / Anxiety
Domestic Violence / Intimate Partner Violence
Gender & Sexuality
Grief & Loss
Parenting Issues
Seniors
Spiritual Issues
Substance Use / Alcohol Treatment
Trauma
Youth
Types of services
Types of Services
Choose all that you offer.
Adoption Services
Education & Training
Behavioral & Mental Health Services
Case Management
Court Proceeding
Crisis Intervention
Crisis Management
Family Counseling / Support
Family Literacy
Foster Care Services
Immigration Proceeding
Individual Counseling
Medication Consultation / Management
Nutrition Services
Peer Support
Pregnant Women
Psychological Testing
Relationship Counseling
Therapeutic Services
Other
Other Types of Services
Modalities
Modalities
Choose all that you offer.
ARC (Attachment Regulation & Competency)
Art Therapy
Collaborative Problem Solving
CPP (Child Parent Psychotherapy)
DPT (Dialectical Behavior Therapy)
Drama Therapy
EMDR
Expressive Art Therapy
FAN (Facilitating Attuned iNteractions)
Hakomi
Mindfulness-Based Stress Reduction
Music Therapy
NMT (Neuro-sequential Mode of Therapeutics)
Somatic Therapy
TF-CBT (Trauma Focused - Cognitive Behavioral Therapy)
WRAP (Wellness Recovery Action Plan)
Other
Other Modalities
Finances
Average Cost (per session)
Insurance Liability Form
One file only.
100 MB limit.
Allowed types: jpg jpeg pdf png.
Fees
No Cost
None
Please Contact
Reduced Cost
Accepts Insurance
No
Yes
Accepted Insurance Plans
Check all that apply.
BlueCross
BlueCross & BlueShield
BlueShield
MediCal
MediCare
Optum
Tufts
United Health Care
Types of Payment Accepted
Choose all that apply.
ApplePay
Cash
Check
Credit
PayPal
Venmo
Availability
Offers Telehealth Sessions
No
Yes
Supported Telehealth Platforms
Select all of the platforms you are willing to use for sessions.
Chiron Health
Doxy.me
GoToMeeting
Medici
Mend
Phone
SimplePractice
thera-LINK
TheraNest
VSee
Zoom
Accepting New Patients
No
Yes
Published Status
If you are still working on your profile, set it to Draft.
Draft (do not show on site)
Publish (pending review)
Agree to Terms and Conditions
Please read our
Terms and Conditions
to understand our respective responsibilities and agreements