01
Referrals feel inconsistent
You may be relying on directories, word of mouth, or hope — without a clear strategy for becoming known by the right clients and referral sources.
Private Pay Practice Consulting
Build a full-fee practice that feels sustainable, ethical, and like you.
One-on-one consulting for mental health therapists who are ready to move beyond undercharging, insurance dependence, vague messaging, and inconsistent referrals — without using fear-based marketing or becoming someone they are not.
The Challenge
You are a strong clinician. Building a practice asks for a different skill set.
Most therapists were trained to do meaningful clinical work, not to price their services, explain their value, write website copy, build referral pathways, or make strategic decisions about insurance and private pay. Consulting gives you a focused place to think through the business side of practice without shame, pressure, or one-size-fits-all advice.
02
Your fee feels hard to own
You know your work has value, but talking about fees, raising rates, or moving toward private pay can bring up guilt, fear, and second-guessing.
03
Your messaging is too broad
Your website may explain what you do, but not clearly enough for the right clients to recognize themselves and take the next step.
04
Insurance feels limiting
You may be wondering how to transition toward a full-fee model while staying ethical, clinically grounded, and financially realistic.
How It Works
Simple, focused, built around the practice you want.
01
Reach out with where your practice feels stuck
Share what you are building, what is not working, and what kind of decision or clarity you need next.
02
Book a focused consulting session
Use a 60- or 90-minute session to look at your niche, website, fees, consultation process, referral strategy, or private-pay transition.
03
Clarify the strategy underneath the symptoms
We will look beyond surface-level tips and identify the positioning, messaging, systems, and mindset pieces that are shaping your practice growth.
04
Leave with next steps you can actually use
Walk away with clearer language, more strategic priorities, and a plan that fits your ethics, personality, clinical style, and life.
Consulting Focus Areas
The pieces that make private pay feel less mysterious.
Niche and positioning
Clarify who you help, what you want to be known for, and how to communicate your work in a way that feels specific without feeling boxed in.
Website and copy clarity
Refine homepage, service page, directory, and consultation-call language so potential clients can understand what you offer and why it fits.
Full-fee strategy
Think through private-pay pricing, rate increases, insurance transitions, and the practical steps involved in building a sustainable caseload.
Referral ecosystem
Identify aligned referral sources, professional relationships, and visibility strategies that support a more consistent flow of right-fit inquiries.
Fee conversations
Practice language for fees, superbills, consultation calls, and boundaries so you can speak with warmth and steadiness.
Practice sustainability
Make decisions that support your income, schedule, clinical energy, and long-term capacity instead of building a practice that burns you out.
Investment
Focused consulting, without a formula.
Choose the focused strategy session that matches the depth of support you want for your private-pay practice.
60-Minute Strategy Consultation
$200
Best for one focused issue, such as website messaging, fee language, consultation-call structure, or a specific private-pay decision.
Book 60 Minutes90-Minute Practice Intensive
$400
Best when you want a deeper look at your niche, full-fee offer, referral strategy, and next steps for building or refining a private-pay practice.
Book 90 MinutesConsulting is educational and strategic support for therapists. It is not clinical supervision, legal advice, financial advice, therapy, or a guarantee of specific business results.
About
A grounded thinking partner for the business side of private practice.
Ivanna Colangelo is a Licensed Marriage and Family Therapist who understands that private practice asks therapists to hold both clinical depth and business responsibility. Her consulting style is warm, direct, collaborative, and practical — designed for therapists who want to build a practice that is financially sustainable without losing the relational integrity that brought them to this work.
This work is especially useful for clinicians who want clearer positioning, more confident fee conversations, more intentional referral pathways, and a full-fee practice model that feels aligned rather than performative.
What Becomes Clearer
You do not need louder marketing. You need clearer alignment.
The goal is not to pressure you into a generic formula. The goal is to help you make thoughtful decisions about who you serve, how you communicate, what you charge, where referrals come from, and what kind of practice you are actually trying to build.
Clearer niche and service language
More confidence explaining your fee
Stronger consultation-call structure
A more strategic homepage or service page
Practical next steps for referral-building
A private-pay plan that fits your ethics and capacity
FAQ
Questions answered.
Is this clinical supervision?
No. This is private practice consulting, not clinical supervision. It does not fulfill licensure requirements, supervised hours, or continuing education requirements.
Do you guarantee that I will build a full-fee caseload?
No. Consulting can help you clarify strategy, messaging, fees, and next steps, but it cannot guarantee inquiries, income, client retention, or business outcomes.
Is this only for therapists who are already private pay?
No. This can support therapists who are fully private pay, partially private pay, paneled with insurance and considering a transition, or still building a practice foundation.
Can we review my website or Psychology Today profile?
Yes. A consulting session can focus on your website copy, service page, directory profile, consultation-call flow, or how your messaging speaks to the clients you want to reach.
Can we talk about rates and fee conversations?
Yes. We can work on pricing decisions, rate increases, how to talk about fees, and how to hold boundaries around money with more steadiness and less shame.
Is this therapy for therapists?
No. While emotions and mindset may come up because practice-building is personal, this service is consulting and strategic support, not therapy.
Get Started
Build a practice that supports your clients without abandoning yourself.
If you are ready to make clearer decisions about your niche, fees, messaging, referrals, and private-pay model, consulting can help you move forward with more confidence and less isolation.