Collective Counseling Solutions

Helping licensed therapists actualize their dream of creating a thriving private practice.

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About
Find a Therapist
Join Our Counseling Collective
- Learn More
- Collective Services
Locations
Blog
Contact

Create Your Therapist Profile

Welcome to Collective Counseling Solutions!

If you have been approved as a therapist to be listed on the Collective Counseling Solutions website, please complete the form below. All questions in the form are required for us to build the most complete and appealing profile for you.

Once you have submitted your Therapist Profile Form, we will work to get your profile created and email you with website login credentials.

New Therapist Profile Form

Please fill out ALL the fields below to submit your profile details.

Name(Required)

First Last

Name/Title(Required)

Enter your name and title as you wish it to appear on the website. (i.e. Nicholas Mancini, LMFT, LPC)

Email Address(Required)

Emails are not published to the website. We use your email to create a user account for you to access the site.

LOCATION DETAILS

Do you have physical location to display on the website?(Required)

Yes

No

Address

Street Address City State / Province / Region ZIP / Postal Code

If you don't have a physical location, what is the best City, State to list on your profile?

Please type in a single City, State to represent your primary location served (i.e. Denver, CO).

What types of sessions are you available for?(Required)

In-Person Sessions

Teletherapy/Virtual Sessions

Which States are you available for sessions?(Required)

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho

Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri

Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania

Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Teletherapy/Virtual

BIO

Profile/Description About Yourself(Required)

This is your chance to tell visitors about yourself, your experience level, and your philosophy. Please write a few paragraphs of text to make this area shine on your profile. Make sure to proofread your profile.

EDUCATION

Earned Degree or Education History(Required)

Please use the format of B.A. Psychology, University of Dayton. List one degree per line.

SPECIALTY/INSURANCE

Primary Areas of Specialty(Required)

Abuse

Addiction

Adolescents

Adults

Anxiety

At-Risk Youth

Behavior Disorders

Bonding

Caregiver Stress

Chemical Dependency

Childhood Trauma

Children

Children/Adolescents

Co-Occurring Disorders

Couples/Families

Culturally Diverse Populations

Depression

Divorce

Domestic Violence

EMDR

Eating Disorders

Expressive Arts Therapy

Family Conflicts

Family Systems

Family/Peer Relationship Issues

First Responders

Formerly Incarcerated Adults

Grief and Loss

Healthy Coping Strategies

Homeless Families

Identity/Body Image Issues

Infant/Child Loss

Infertility

Interpersonal Relationships

Intimate Partner Violence

LGBTQIA Community

Life Changes

Life Transitions

Maternal Mental Health

Miscarriage

Mood Disorders

OCD

PTSD

Parenting Support

People with Disabilities

Postpartum Depression

Pregnancy Issues

Relationship Issues

Sex Addiction

Sexual Disorders

Stress Management

Substance Abuse

Third-Party Reproductive Consultation

Trauma

Trauma/PTSD

Veterans

Vulnerable and Aging Adults

Young Adults

Check all that apply. We use these areas of specialty for the primary searchability on the website. Don’t worry, you can list out additional specialties below.

Additional Areas of Specialty

Please list out any additional areas of speciality. Insert one per line.

What types of insurance do you accept?(Required)

Aetna

AmeriHealth

Blue Cross/Blue Shield

Cigna

Highmark Blue Shield

Humana

Independence Blue Cross

Kaiser Permanente

Magellan

Self-Pay

Tricare

United Healthcare/Optum

Check all that apply.

Additional Types of Insurance Accepted

Please list out any additional types of insurance accepted. Insert one per line.

PROFILE PHOTO

Upload Profile Photo(Required)

Accepted file types: jpg, png, Max. file size: 1 MB.

Please upload a high-quality photo that is at least 500×500 pixels in size.

Accepting Patients?

Yes

No

Seeking Therapy

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