Clinical Supervision · Washington State

You don't have to wait until you're fully licensed to open your own private practice.

Supervision for LMHCAs who are ready to start private practice now, with the support and infrastructure to make it work.

About supervision

Good supervision is one of the most formative experiences in a clinician's development. It's not just about fulfilling licensure hours. It's a chance to develop your own authentic way of being with clients, to understand how your own history and relational patterns show up in the work, and to build the kind of self-awareness that makes you a thoughtful, effective therapist. The supervisory relationship itself becomes a place to explore what it means to hold complexity, sit with uncertainty, and grow in confidence as a clinician. I offer supervision that is relationally centered, with the goal of providing the container that you need while developing as a clinician. I also offer the ability to bill insurance under my provider contracts while you're still completing your associate hours, something that can make the difference for many of us when it comes to building a caseload.

I know what it's like to start out not knowing whether you're doing everything right.

My experience

Most associates assume private practice comes later, after the agency job, after getting fully licensed, after everything feels more certain. I started mine in 2021, right out of graduate school, in the middle of a pandemic, and there were real moments of uncertainty about whether I was doing everything right and whether clients would come. What changed things was finding a supervisor who let me bill insurance under her contracts, and once I could take insurance, I filled quickly. That experience is what I now offer to the associates I work with.

How it works

Private practice development with insurance billing

Private practice is usually out of reach for associates because insurance companies won't credential you independently until you're fully licensed, and most people end up working in agencies or group practices in the meantime. This arrangement is different: you see clients in your own private practice and bill their insurance under my provider contracts, while receiving full clinical supervision and hands-on support building your practice from the ground up.

What this includes

  • Unlimited supervision meetings
  • Ability to bill insurance under my contracts
  • Case consultation and clinical guidance
  • Access to a professional billing service
  • Support developing your clinical identity
  • Guidance with business setup and practice logistics
  • Exploration of countertransference and relational dynamics
  • Support building your caseload from the ground up

Who this is for

This is a good fit if you're ready to do the work of building your private practice but need the right support structure to make it feel possible. Maybe you've always pictured yourself in private practice but assumed it wasn't an option yet, or maybe the uncertainty of going out on your own, the what-ifs, the fear of getting something wrong, has made it feel safer to wait.

I work with clinicians who are drawn to complex presentations including OCD, anxiety, eating disorders, and relational difficulties, and if you've chosen this field in part because you understand from the inside what it's like to struggle, and if that same self-awareness sometimes makes you doubt yourself as a clinician, this kind of supervision is designed with you in mind.

Requirements: LMHCA license in Washington State, working with adult individual clients, and an openness to exploring your own experience as part of the supervisory process.

Other supervision options

I also offer two other supervision arrangements for associates whose situation calls for something different.

Adjunct supervision

Specialized consultation on specific cases or populations alongside an existing primary supervisor. Particularly helpful for work with eating disorders, OCD, and complex presentations.

Standard hourly supervision

Individual supervision for associates in agency or group settings who need to fulfill Washington State licensure requirements, or who prefer an hourly fee arrangement.

Ready to talk about whether this is a good fit?

The first step is a free introductory conversation where we can talk about what you're looking for, whether this model makes sense for where you are, and whether working together feels right.

Schedule a free intro conversation