Let’s Make Your Practice Operations

Match Your Clinical Excellence

You're a Brilliant Therapist.

You love your work, and you’re good at it.

Your clients love you, they get real results and refer others to you. But behind the scenes, there’s a different story.

You're ready to hire but get stuck in operational bottlenecks. Maybe you’ve hit an income ceiling because your operations can't handle more growth. Or, you know you need operational upgrades, but every time you try to build them, they collapse when things get busy.

Sometimes it feels like you're running a successful practice that’s held together with duct tape.

You are not the problem.

What you're experiencing is just the natural journey of private practice growth.

Your instinct might be to hire admin help.

You might want to offload a mix of tasks: billing, operations, marketing, HR, etc. to ease the overwhelm.

On the surface, this seems reasonable. Other practice owners do it too.

But here’s the problem with that.

You hire for symptom relief,

not root cause change.

The challenges you’re experiencing at this point in your practice growth are structural, not about administrative execution.

If you're still deep in daily operations, seeing clients, and wearing all the hats, you probably don’t have the time or capacity to identify what’s actually broken. In the absence of this clarity, hiring becomes about treating the symptoms of your overwhelm, not what’s causing it at the root. This leads to inefficiencies, wasted effort, and unnecessary spending.

What you need is support in aligning your practice infrastructure with your growth stage and goals, not just someone to execute your to-do list.

These growing pains are not a sign you're doing something wrong. They're simply signaling that your practice has outgrown it’s current container.

I’m Josie. Licensed Relational Therapist. Ops Expert. Believer that Systems Can Set You Free.

I've spent 10+ years building systems in the education and mental health spaces that actually work.

From designing classroom systems that kept 25+ kindergarteners safe and thriving, to supporting couples and families in creating healthier relational patterns, to building my own successful practice and coaching other therapists on how to do the same, I have a natural talent for making complexity make sense.

Systems thinking isn't just a business skill, it's how I see the world and solve problems (I have a Virgo Mercury in the 10H if you’re into astro). I am always looking at how the parts work together. Whether it's a human system or an operational one, I can see through the haze of chaos and create clarity.

The best part? Our work together can help you reconnect with the liberation and purpose that inspired you to start your practice in the first place, which often gets lost in the overwhelm.

Client Testimonials

"Working with Josie was a complete gamechanger for my practice. As both a therapist and systems expert, she brought an incredibly rare blend of emotional intelligence and operational precision. Her framework didn’t just help me organize my backend, it helped me think like a true CEO. As a first-gen everything, I can’t tell you how proud this makes me feel. Josie doesn't offer cookie-cutter, typical advice either. She got to know me deeply and gave it to me straight so I could get to work. I came in overwhelmed and unsure how to grow without burning out. I left with a clear roadmap, a sustainable structure, and a business I could confidently scale. Or even sell one day. If you're a therapist ready to level up, Josie is the real deal.”

  • Kathy V, LMHC (NY), Former Client

“I worked with Josie before my maternity leave, and it was nothing short of transformational. I was overwhelmed, scared, unsure how I was going to step away without everything falling apart, especially since I still hadn’t hired someone to cover my caseload. Josie not only helped me get crystal clear on what I actually needed in a hire, but she also mapped out an onboarding process that was so focused and efficient, we pulled it off on a tight timeline I honestly didn’t think was possible. I went into leave confident that my clients and my team were supported, and I came back to a practice that ran better than when I left! Josie brings both operational brilliance and a deep understanding of what it means to be a therapist trying to do it all. I couldn’t recommend her enough.”

  • V. T., LCSW (NJ), Former Client

My ACE™ Approach

I meet you wherever you are in your practice journey. Whether you need to make sense of your vision, create a clear roadmap for it, or actually make it happen, I can be the ACE you need.

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Advisory

For when you need clarity

"I have an idea of where I want to go, but it feels all over the place - I’m overwhelmed!”

We'll clarify your vision and uncover the real bottlenecks blocking your growth.

Consultation

For when you need direction

“I have a vision but no clue how to get there.”

Get a customized roadmap with clear, actionable steps to get you there.

Execution

For when you need implementation

“ I know what needs to be built, but I don't have the time or technical skills to actually implement it properly.”

I'll build your systems with and for you, so your systems actually stick.

Kind Words

“I've worked as an OBM for all types of businesses, but I never had an onboarding process until I worked for Josie. From day one, I was completely floored by her systems…and a big part of my job is creating systems for other businesses! The training videos were crystal clear, the SOPs were detailed but digestible, and everything was so well-organized that I hit the ground running immediately. Even in my corporate roles, I never had an onboarding experience this seamless or comprehensive. What really stood out to me was how thoughtfully everything was designed. She’s really intentional, and honestly, the epitome of operational excellence. I’ve learned SO MUCH that I’m taking with me. Thank you, Josie!”

  • N.M., Former Online Business Manager

“I had hit a ceiling in my solo practice. I was making 6-figures, but I was burned out, overbooked, and unsure how to scale. Like most therapists, my dream has always been to build a group practice, but I didn’t know where to start. Enter Josie. She helped me shift from thinking only like a clinician to a CEO with a level of clarity and confidence I didn’t know I even had in me! We designed hiring processes, created back-end systems that were simpler than what I’d imagined they’d be, and built a sustainable infrastructure so I could grow without running myself into the ground. I’ve since hired two clinicians and delegated entire parts of the business. I wasn’t expecting that her operational support would help me step up and lead. I STILL can’t believe I’m here. Josie, I am beyond grateful for you!”

  • Maddy S., LCSW (NY), Former Client

Do You Need Admin Support or an Infrastructure Overhaul ?

While challenges are a natural part of entreprenurship, persistent overwhelm and chaos is not; they’re symptoms of (fixable!) structural problems. The key is knowing whether you need someone to execute tasks or someone to optimize your foundation.

You Need Admin Support If:

  • Your systems work but you're drowning in routine tasks that eat up client time

  • You know exactly what needs to happen, you just need someone to execute it

  • When you're away, your practice runs smoothly (you just have a pile of work waiting)

  • You could train someone in a day and trust them to handle your workflows

  • You fantasize about cloning yourself just to get through your to-do list

  • Your bottleneck is time, not confusion about what should happen next

  • You have clear processes but need bandwidth to focus on higher-level work

You Need Operational Consulting If:

  • You're ready to hire your first team member but have no idea how to structure the role or onboard them

  • Every time you try to step back from daily operations, something breaks and pulls you back in

  • You've hit a revenue ceiling and can't figure out what needs to change to break through

  • Your systems worked fine as a solo practice but are cracking under growth pressure

  • You're managing multiple clinicians but they each follow different processes

  • You know you need to scale but you're terrified it will create more chaos, not less

  • You've hired help before but somehow ended up with MORE work, not less

Answers to your Questions

  • My work focuses on making sure you have the operational foundation to turn your referrals into seamless client experiences and sustainable growth. The worst thing that can happen to your business is an influx of referrals without the backend to support it. Case in point: the #1 complaint from therapy-seekers is that they reach out to therapists and never hear back.

  • AI is brilliant for templates, research, and brainstorming, and I actually encourage my clients to use it for those things (I do)! Using AI strategically is smart business; it handles the foundational work so we can focus on what's uniquely human.

    Here's what 10+ years of building systems has taught me: the real work isn't creating the template. It's understanding why your current systems are breaking down, how your specific personality and values need to be reflected in your operations, and ensuring that what we build actually sticks when life gets messy.

    Most importantly, AI can't provide the accountability and relationship that ensures your systems transform from good ideas into sustainable practices. As therapists, we know that insight without integration doesn't create lasting change; the same is true for operational work.

  • Unless you're running a multi-state clinic with complex compliance requirements or managing 15+ clinicians across multiple locations, the operational foundation you need can be built efficiently and quickly.

    Most of my clients see immediate relief within the first 30 days, with full operational stability within 60-90 days. The work doesn't drag on for months because we focus on the systems that matter most for your specific practice size and complexity.

    The timeline depends on what you actually need (not what you think you need) and how ready you are to implement. During our clarity call, I'll give you a realistic timeframe based on your specific situation - no dragging things out unnecessarily.

  • The ROI depends on your practice's specific needs, but when operations aren't working, you're already paying for it in lost time, burnout, team confusion, and missed growth opportunities.

    This work gives you time back so you're not the bottleneck, clarity on what needs to happen and when, stability so systems don't collapse when you step away, and scalability so you can grow without recreating chaos.

    We align on your specific goals upfront, so your investment serves outcomes that matter to you.

  • An assistant executes your never-ending to-do list. I fix what's creating your to-do list to be never-ending in the first place. When you hire support without addressing the root operational issues, you end up paying someone to manage your chaos more efficiently.

    I redesign your practice infrastructure so that tasks flow smoothly, decisions have clear owners, and your team can actually help you scale.

  • Completely personalized. There are no plug-and-play templates here.

    Your practice, your capacity, your team, and your vision shape every step of our work together. Whether you're a solo therapist ready to scale or a group practice juggling growth and delivery, the strategy and systems we build are tailored to where you are and where you’re going.

  • Yes. You won’t be left to figure it out on your own. In addition to a clearly documented operational foundation, many clients choose to continue with monthly strategy or advisory calls, ongoing infrastructure updates as your practice evolves, or SOP handoffs and training for your team.

    If you need someone in-house to help execute your systems long-term, I can support you in the hiring and onboarding process, helping you find the right person for the role and setting them (and you) up for success. You’re supported through the transition and beyond.

Are we a good fit?

Let's start with a 30 min conversation about where you are, where you want to go, and what's getting in the way. No pressure, salesy, bro-y, fear-mongering tactics here, either. Just a conversation, therapist to therapist-consultant about how to get your operations to match your clinical excellence.

Once you fill this out, you’ll be redirected to my calendar. Looking forward to chatting with you soon!