Starting Your Own Small Therapeutic Practice: Creating Work That Feels Aligned

A reflection for therapists who feel the quiet pull toward something more intentional — and the support available when you’re ready to build it.

Written by

April Wazny, LCPC

Licensed Clinical Professional Counselor · Founder, Lake County Care Collective · Gurnee, IL & Virtual

April Wazny is a Licensed Clinical Professional Counselor (LCPC) and co-founder of Lake County Care Collective. She provides individual therapy for children, adolescents, and adults, specializing in anxiety, depression, life transitions, intergenerational trauma, play therapy, and parent coaching. April is licensed in both Illinois and Wisconsin and brings a warm, trauma-informed approach to every client relationship.

At some point in your work as a therapist, you may notice a quiet pull inward — a desire to practice differently. To slow down. To deepen. To create space for healing that feels more aligned with who you are, both personally and professionally.

For many clinicians, this is where the idea of starting a small private practice begins. Not something large or impersonal, but something intentional. A therapeutic space that reflects your values, your voice, and your understanding of what it truly means to support healing.

And often, that vision expands beyond traditional models of care.

Honoring Whole-Person Healing

More and more therapists are recognizing that healing doesn’t happen in just one dimension. It’s not only cognitive. It’s not only emotional.

Healing is also held in the body, shaped by the nervous system, influenced by relationships, and — for many — deeply connected to meaning, spirituality, and lived experience.

Starting your own therapeutic practice can create room for:

  • Somatic and body-based approaches
  • Nervous system regulation and trauma-informed care
  • Mindfulness and grounding practices
  • Integrative or holistic modalities
  • Spiritually-informed or values-based work
  • A blend of theoretical orientations that reflect how you actually practice

This is where your work can become more congruent — where your clinical training and your intuitive understanding of healing begin to align.

The Vulnerability of Beginning

Even with clarity around how you want to practice, the question of how to begin can feel overwhelming. You’re not just stepping into a new clinical role — you’re stepping into ownership.

That can bring up very real and valid questions:

  • How do I market myself in an authentic way?
  • What does credentialing actually involve?
  • How do I know I’ve covered all the necessary steps?
  • Where will I see clients?
  • Can I really do this on my own?

These questions don’t mean you’re not ready. They mean you’re being thoughtful about building something that matters.

You Don't Have to Do This Alone

There’s a common belief that starting a private practice means doing everything independently. But independence doesn’t have to mean isolation.

In fact, many therapists thrive when they are supported — when they have access to shared knowledge, structure, and a community that understands both the clinical and business sides of this work.

At Lake County Care Collective , we’ve intentionally created a space for therapists in this exact season of growth. We support providers by offering:

  • Marketing support to help you connect with the clients who are aligned with your work
  • Credentialing guidance so you don’t have to navigate insurance panels alone
  • A thoughtful checklist and foundational support to ensure all aspects of your practice are covered
  • Office space rentals that feel warm, professional, and aligned with therapeutic work

But beyond the tangible resources, what matters most is the feeling of not being alone in it  — a space where you can ask questions, share ideas, and grow alongside other therapists who are also building something meaningful.

Permission to Build Differently

You are allowed to build a practice that reflects your beliefs about healing.

  • You are allowed to move away from models that feel limiting or misaligned.
  • You are allowed to create something smaller, slower, and more intentional.
  • You are allowed to integrate holistic and whole-body approaches into your work.
  • You are allowed to seek support while doing it.

A Final Reflection

If you’ve been considering starting your own small therapeutic practice, this may be your moment to gently explore that next step.

Not with pressure. Not with urgency. But with curiosity.

Because when therapists feel supported, aligned, and grounded in their work, it doesn’t just impact them — it transforms the care they’re able to offer others.

And that kind of work matters deeply.

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About the Author

April Wazny, LCPC

Licensed Clinical Professional Counselor · Founder, Lake County Care Collective

April Wazny is a Licensed Clinical Professional Counselor (LCPC) and co-founder of Lake County Care Collective. She specializes in anxiety, depression, life transitions, intergenerational trauma, play therapy, and parent coaching. April is licensed in both Illinois and Wisconsin and currently pursuing a Ph.D. in Social Psychology.

Interested in Joining Lake County Care Collective?
If you’re a therapist exploring what it means to build a practice that feels aligned, we’d love to connect. Reach out to learn more about our provider community.

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Kim Echtle · Billing Services

Billing & Credentialing Menu

Credentialing
Insurance
Fee
BCBS
$250
Aetna
$250
Cigna (Evernorth)
$250
Tricare
$250
Optum (UBH, UMR)
$250
Medicare
$500
Medicaid
$1,000
Monthly Billing & Bookkeeping

Normal billing companies charge 7–10% of billable income. For example, if you charge $10K/month (avg. $100/client, 25 clients/week), you would pay a 3rd-party billing company $1,000/month. Compare that to our flat rates below.

Client Volume
Monthly Rate
1–10 clients
$200 / month
10–20 clients
$300 / month
20–30 clients
$400 / month
30–40 clients
$500 / month
Account Setup
Full Account Setup
$250 one-time fee

Includes: therapy appointment setup (insurance setup, credit card setup, consent forms, client setup), QuickBooks account setup, and Availity & CAQH update.

Extra Services for Your Clients
Horse Therapy Facility
$50 per session

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4319 McCauley Rd, Woodstock, IL 60050

Friday & Saturday only (for now)

Liability waivers must be signed for every new client coming to the farm.

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