West of 42nd
We help you get out of working in your business so that you can work on your business.
Virtual operations and revenue cycle support for therapists, counselors, and behavioral health practices who are tired of doing admin after the last session of the day.
Explore our services
You Didn't Start Your Practice to Manage Every Detail
Somewhere between the intake paperwork, the insurance denials, the inbox, and the no-shows, your practice started running you. Every hour spent chasing a claim or answering a scheduling email is an hour not spent with clients, or with your own life.
I step in to handle the day-to-day operations of your practice so you can stay focused on care:
Claims that go out clean and get followed up on
Inquiries that get answered the same day
New clients who arrive with their paperwork already done
An inbox you're not afraid to open
All of it without the cost and commitment of hiring a full-time employee.
“If you want to go fast, go alone. If you want to go far, go together.” - unknown
Three Ways We Can Work Together
Ongoing Support
Monthly, deliverable-based support for the recurring work that keeps your practice running: customer service, intake, and insurance billing. No hourly tracking. You know exactly what's covered each month.
One-Time Projects
Practice launches, billing cleanups, credentialing setup, and systems builds. Each is scoped and quoted up front, with a clear finish line.
VA Day/Half Day
Not sure yet? Book a focused block of time to clear a backlog or knock out a project, and see what working together feels like. No monthly commitment.
Why West of 42nd?
The back office of a therapy practice isn't like other small businesses. Between payer rules, authorizations, documentation requirements, and client confidentiality, there's a lot that can go wrong quietly. Here's what working with me looks like:
Behavioral health–focused. I work with therapists, counselors, and mental health practices.
Billing know-how. Insurance verification, claims, EOBs, and denials are part of what I do every day, not an add-on I'm figuring out.
Systems, not just tasks. I don't only complete the work. I build processes so it keeps running smoothly.
Predictable pricing. Flat monthly fees and defined project scopes, so there are no surprise invoices.
Discretion built in. Your clients trust you with their stories. I treat their information with the same care. (See "How I Protect Client Information" below.)
How I Protect Client Information
Working in a behavioral health practice means handling protected health information, and I take that seriously.
I sign a Business Associate Agreement (BAA) with every client before accessing any client data.
I work only in HIPAA-compliant platforms and tools approved by you. [list: e.g., SimplePractice, TherapyNotes, Jane, Office Ally, Availity, Google Workspace with BAA]
Access is protected with multi-factor authentication and a password manager.
I work from a secure, private workspace on a device used only for work.
I complete HIPAA training every year.
I only access what I need to do the job, and access ends when our work does.