For mental health professionalsA HIPAA-aware operations partner for the solo practice you've built.
The savvy right-hand for solo therapists — a HIPAA-aware virtual assistant and fractional operations partner built for cash-pay practices, private practitioners, and small group practices. Practice management, intake, calendar, EHR, and the small details that keep a practice running clean — so you can hold space for your clients without losing your weekends to admin.
01 — What's breakingYou went to grad school for the clinical work. Not the admin.
The intake process is a maze. A prospective client fills out a contact form, waits forty-eight hours for a reply, gets a confusing email back about your fee and availability, and either books a sloppy first session or quietly disappears to another therapist's website.
The calendar is a mess of last-minute cancellations, forgotten buffers between sessions, and the occasional double-booking from the week your scheduling tool wasn't syncing with your EHR. The EHR itself is half set up — notes get written but the client portal isn't enabled. Superbills go out late. The sliding-scale tracking lives in a Google Doc nobody can find.
None of this means anything is wrong with you or your practice. It means you're running a business that was never designed around an operator — only around a clinician. That's the gap I close.
02 — What a therapy-practice VA handlesInside the tools your practice already uses.
For solo therapists
I work inside SimplePractice, TherapyNotes, TheraNest, Sessions Health, Spruce, HushMail, IvyPay, and the Google Workspace underneath — signing BAAs, using HIPAA-aware credential management, and respecting the line between PHI and de-identified data at every step.
In practice, that means a clean path from inquiry to first session, a calendar that protects your clinical energy instead of fragmenting it, an EHR finally set up the way you'd actually want it, and a Friday recap of everything that got handled that week.
For cash-pay practices
I run the superbill cadence, payment-plan tracking, no-show policy enforcement, and the client-experience details that turn one good session into a lasting therapeutic relationship — all on a schedule, not whenever it happens to surface.
The goal isn't more emails answered. It's a practice that runs cleanly enough that your working hours stay clinical — and your off hours stay genuinely off.
Tools I loveSimplePractice
TherapyNotes
TheraNest
Sessions Health
IvyPay
Spruce
Spruce
HushMail
Stripe
Google Workspace
Calendly
QuickBooks
SimplePractice TherapyNotes TheraNest Sessions Health IvyPay Spruce Spruce HushMail Stripe Google Workspace Calendly QuickBooks
04 — Common questionsFrom solo practitioners, answered.
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Yes. I work with HIPAA-aware tools, sign BAAs before any PHI access, use LastPass for credential management, and understand the operational difference between PHI and de-identified data.
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Not at all — solo cash-pay practices are most of who I work with. The Essentials or Starter tier is built for exactly this: manageable support that gives you back five to ten hours a week on intake, scheduling, and billing without a long contract.
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Yes — this is one of my favorite Sprint engagements. I set up superbill workflows, communicate the change to existing clients, restructure your intake process, and build the cash-pay infrastructure (Thrizer, Mentaya, Stripe, fee schedules, no-show policies).
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Absolutely — this is a Sprint engagement I run several times a year. I set up your EHR, build your intake process, draft your forms, dial in your calendar, and have you ready to take clients within a few weeks.
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Yes. Solo therapists and cash-pay practices are a core focus, and the work is HIPAA-aware throughout: I sign a BAA before any access to protected health information, manage credentials in secure password tools, and work from a clear understanding of the difference between PHI and de-identified data.
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It means handling your operations in a way that protects client confidentiality and meets your privacy obligations. In practice: a signed Business Associate Agreement before any access to protected health information, secure tools for credentials and communication, and a clear line between what's PHI and what isn't — so delegating your admin never becomes a compliance risk.
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Practice platforms including SimplePractice, TherapyNotes, TheraNest, and Sessions Health, alongside secure communication and payment tools like Spruce, HushMail, Thrizer, Mentaya, Quickbooks and Stripe — plus the Google Workspace setup underneath. The stack is matched to how your practice already runs, not the other way around.
Virtual assistant for solo therapistsGet the back of your practice running as well as the front.
30 minutes · No pitch · No clinical advice given