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’re struggling to make more 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.

Your instinct might be to hire admin help and offload a mix of tasks: billing, operations, marketing, HR, etc. On the surface, this seems reasonable. Other business owners do it too.

But here’s the problem with that.

You hire for symptom relief,

not root cause change.

The issue is that you’re often treating the symptoms of overwhelm, not the root cause of it.

If you're still deep in daily operations, wearing all the hats, you probably don’t have the time or capacity to identify what’s actually broken. So you hire based on symptoms, which leads to inefficiencies, wasted effort, and unnecessary spending. The real problems in your business infrastructure remain unresolved.

What you actually need is support in thinking through your practice architecture, not just someone to execute your to-do list.

You are not the problem.

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

Different stages simply require different operational approaches.

What worked when you were solo won't work when you're managing multiple clinicians. The systems that got you to $100K won't get you to $300K and beyond. The growing pains you're experiencing are not a sign you're doing something wrong.

They're a sign you're ready for the next level of systems thinking.

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 for me, it's how I see the world and solve problems (I have a Virgo Mercury in the 10H if you’re into astro). I see patterns with ease and 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. She uncovered what was really behind our operational breakdowns and built systems that could actually scale with us. 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. What felt like an impossible task became seamless because we had the right systems in place. 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. 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

Can I be honest for a second?

You probably started your practice for the right reasons - making therapy more accessible, mentoring newer clinicians, and building something meaningful on your terms.

But a sneaky pattern probably rode shotgun with your beautiful dreams: the chaotic systems you likely came from.

Whether it was community mental health, hospital settings, or just the general chaos of how most practices operate, therapists seldom get a chance to detox from those patterns before building their own thing.

And there’s something else.

Sometimes, the operational chaos in your practice isn't accidental. Subconsciously, you might be creating them because “doing all the things” is where you feel most like yourself.

If you're reading this and thinking "ouch, but yes," I see you. I’ve been right where you are. You're exactly who this work is for.

How would it feel in your body if you gave yourself permission to be successful without the chaos?

Six months from now, you could wake up and realize that your practice is not the first thought on your mind. No crisis texts. Your team handled everything without you. Soon, you would’ve built the 7-figure practice you dreamed of, but more importantly, the chaos you once mistook for importance has been replaced by impact with ease.

You're still the brilliant clinician your team and clients need, but you're no longer the overwhelmed practice owner who can’t see the forest for the trees.

Frequently Asked Questions

  • 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.

  • Not at this time. My work focuses on making sure you have the operational foundation to turn your referrals into seamless client experiences and sustainable growth.

    Hot tip from a former marketing business coach for therapists: broken operations will kill your practice faster than the lack of marketing ever could.

  • An assistant executes your to-do list. I fix what's creating the to-do list 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 (it sounds harsh, but it’s the truth!)

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

  • It depends on your practice’s operational complexity, but most clients see immediate relief in the first 30 days: clearer priorities, better boundaries, and systems that actually work. The bigger transformations happen in the subsequent months as new processes become habits.

    While your timeline depends on your starting point and goals, you'll have clarity on next steps from day one, and we build momentum with quick wins while working toward longer-term stability.

  • 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 salesy, bro-y, fear-mongering tactics here. 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. Choose the time that works best for you.