Business tips


Should You Start A Private Practice As A Therapist?

13 Minute Read

Launch Your Private Practice Today: A Guide for Therapists Ready to Make a Difference



Are you a therapist looking to start your private practice and increase your income? The journey from setting up a practice to financially thriving might seem filled with uncertainties, but it is well within reach.

This article unpacks the strategies and insights that could transform your professional aspirations into reality.

How do therapists begin a private practice effectively?

Questions to Ask Yourself to Determine if Starting a Private Practice is The Right Decision

  1. Am I ready for the business responsibilities?
  2. Do I have the financial resources needed?
  3. Is there a market for my services?
  4. Can I meet all regulatory requirements?
  5. How will I manage working independently?
  6. Do I have the necessary experience and credentials?

Key Benefits of Starting a Private Therapy Practice

One of the principal benefits of taking the leap into private practice is the autonomy it provides. As a business owner, you can set your office hours, choose your ideal client, and tailor your therapy methods to suit your strengths and interests.

Financially, running a practice can be more lucrative than salaried positions, as you can set your rates per session and grow your practice according to market needs. Also, this autonomy can lead to higher job satisfaction as you see clients transform through your direct efforts.

Initial Considerations: Qualifications, Certifications, and Legal Requirements

Starting a private therapy practice requires careful planning and adherence to various regulations:

  • Qualifications and Licensure: To start a therapy private practice, you’ll need a valid professional license, usually necessitating a Master’s or Doctoral degree in a related field, followed by supervised clinical experience and a state-administered exam.
  • Certifications: Gaining additional certifications can help you attract the right clients by showcasing your expertise in specific therapeutic techniques like Cognitive Behavioral Therapy (CBT) or Eye Movement Desensitization and Reprocessing (EMDR).
  • Legal and Business Considerations: Every therapy practice owner must navigate several business and legal considerations to keep their therapy practice up and running. These include choosing the appropriate business entity, obtaining liability insurance, and registering with the appropriate municipality. It’s also important to have a solid practice management system in place.
  • Insurance and Billing: If you decide to join insurance panels and accept reimbursement through insurance providers, you’ll also need to understand the billing and coding process, including handling copays and keeping track of client sessions and payments.

Further reading: Startup Business Insurance - What You Need to Know

Setting Up Your Practice: Essential Steps

Identifying Your Therapy Practice Business Entity

  1. Sole Proprietorship: Simplest structure with no separation between owner and business but entails unlimited personal liability.
  2. Limited Liability Company (LLC): Provides limited liability protection to owners while offering flexibility in taxation and management.
  3. Professional Limited Liability Company (PLLC): Similar to LLC but tailored for licensed professionals like therapists, offering liability protection specific to their field.

Finding the Right Location and Setting Up Your Office Space

The success of your private practice may depend significantly on its location. Ideal office space should be accessible, inviting, and professional to attract potential clients. In setting up your space, investing in quality office furniture and designing a welcoming yet professional environment can help make your clients feel comfortable from the first session. Ensure privacy and compliance with HIPAA or similar regulations, especially if you're using teletherapy tools.

Necessary Equipment and Tools for a Therapy Practice

You'll likely need essential office equipment and software to operate your therapy practice efficiently. This includes computers, an EHR (Electronic Health Records) system that can help manage client data securely, and reliable teletherapy tools if offering online sessions. Quality soundproofing helps maintain privacy during every session, reinforcing your commitment to confidentiality and quality care.

Building a Business Plan and Understanding Finances


Create a detailed budget for all potential expenses, including salaries, office rent, marketing tools, and continuing education. Effective budgeting ensures that your practice remains financially viable and can grow to see many clients weekly without compromising on service quality.

Setting Rates for Services

Determining your service rates involves understanding what your market can bear and the value you offer. Your rates should reflect your experience, specialty, and the average going rates in your locality. Transparent billing policies and clear communication about costs are essential to ensure clients can pay and understand what they are paying for.

Insurance and Billing Systems

Deciding whether to take insurance can impact your practice's accessibility and administrative workload. If you choose to accept insurance, you'll need a billing system capable of handling claims and copays. Implementing an all-in-one practice management software can simplify these processes, making it easier to focus on providing care rather than managing paperwork.

Marketing Your Practice and Building a Client Base

Developing a Marketing Strategy: Online Presence, Social Media, and Networking

List your practice in relevant therapy directories and actively engage on social media platforms to connect with potential clients. Networking plays a vital role in building a practice. Regularly attending professional gatherings, participating in forums related to your profession, and linking up with other healthcare professionals can help increase your visibility and attract more clients to your practice each week.

Importance of a Professional Website and SEO for Therapists

A professional website is vital for therapists starting a private practice, as it acts as the digital front door to your services. Include essential elements such as a headshot, detailed service offerings, and contact information. Implementing effective SEO strategies will ensure your practice is visible to those needing a private therapy service. Optimize your website content with relevant keywords, maintain a mobile-friendly design, and ensure fast load times to improve your site’s ranking on search engines.

Engaging with the Community and Other Professionals

Building a practice involves more than just treating clients. It requires community engagement and professional collaboration. Participate in community events and offer your expertise at schools and local organizations to establish yourself as a trusted mental health resource. Collaborating with medical professionals and local businesses can also provide a steady referral stream for maintaining a healthy client base as you grow your practice.

Client Retention Strategies

For therapists, client retention is as critical as acquisition. Implement office policies prioritizing client comfort and confidentiality, such as flexible scheduling and comprehensive privacy measures. Use an EHR system that can help streamline appointment scheduling, billing, and client communication, ensuring each client's experience is smooth and professional. Maintaining a clear communication channel with clients about treatment plans and progress is also important, which fosters trust and satisfaction.

Legal and Ethical Considerations

Understanding HIPAA and Confidentiality Laws

Therapists starting a private practice should understand and comply with the Health Insurance Portability and Accountability Act (HIPAA) and other confidentiality laws. These laws safeguard the privacy and security of clients' health information. Compliance is not just ethical; it’s a legal requirement that can affect the type of practice you operate.

To ensure your therapy practice may comply, you should implement secure Electronic Health Record (EHR) systems that can help protect client data, conduct regular training for any staff, including receptionists, and maintain physical and technological security measures. Non-compliance could lead to serious legal and financial consequences.

Professional Ethics and Maintaining Boundaries

Maintaining professional ethics and clear boundaries is indispensable in any therapeutic setting. This involves managing relationships to prevent personal biases and conflicts of interest. A therapy practice may require you to handle situations that test these boundaries, such as receiving gifts or managing out-of-session encounters.

Therapists must practice following guidelines that preserve client trust and professional integrity. Professional associations often provide ethical guidelines that may recommend best practices for these situations. It is beneficial to regularly attend workshops or continuing education courses on ethics to stay updated on best practices and legal changes.

Handling Sensitive Client Information and Consent Forms

Handling sensitive client information with utmost confidentiality is critical to running a successful therapy practice. You must ensure that proper consent forms are in place and thoroughly explained to each client before beginning therapy.

These forms should detail the information to be collected, how it will be used, and the limits of confidentiality, including any potential copay or billing processes if you take insurance. Use accounting software to efficiently manage business income and expenses, ensuring that financial transactions remain transparent and traceable.

The Role of Bookkeeping and Accounting in Starting Your Private Therapy Practice

Establishing a Sound Financial Foundation

Effective financial management is essential when starting a private therapy practice. Implementing robust accounting software helps track income and expenses and manage payroll, ensuring a healthy cash flow. Regular financial oversight is also significant for making informed business decisions and staying compliant with IRS regulations.

Importance of Accurate Bookkeeping

Accurate bookkeeping supports several key areas:

  • Tax Compliance: Ensures precise income reporting and deduction claims, crucial for IRS compliance.
  • Billing and Payroll Management: Efficient tracking of client payments and payroll, critical for operational smoothness.

Role of a CPA

A Certified Public Accountant (CPA) provides invaluable assistance, offering tax advice, helping with quarterly tax filings, and advising on the best business structure to minimize liability and optimize financial outcomes. Therapists may consult a CPA for financial projections and preparing for IRS audits.

Key Takeaways

  1. Market Research: Conduct thorough market research to identify your target clientele and competition in your area, considering how much business you can expect to see each week.
  2. Business Plan: Develop a solid business plan outlining your services, pricing, marketing strategies, and financial projections, ensuring compliance with legal requirements that constitute legal standards.
  3. Licensing and Credentialing: Obtain the necessary licenses and credentials to practice therapy in your jurisdiction, ensuring compliance with legal requirements for business licenses, and consulting with a business advisor if needed.
  4. Office Setup: Set up a professional and inviting office space that reflects your therapeutic approach and meets regulatory standards, considering the use of an Electronic Health Record (EHR) that can help streamline administrative tasks.
  5. Marketing and Networking: Promote your private practice through online platforms, networking events, and collaborations with other healthcare professionals to attract clients and establish a strong presence in the community, seeking advice from a business advisor as needed.

Further reading: Learn How to Craft a Successful Business Plan (Even with No Experience)

How can Taxfyle help?

Finding an accountant to manage your bookkeeping and file taxes is a big decision. Luckily, you don't have to handle the search on your own.

At Taxfyle, we connect small businesses with licensed, experienced CPAs or EAs in the US. We handle the hard part of finding the right tax professional by matching you with a Pro who has the right experience to meet your unique needs and will manage your bookkeeping and file taxes for you.

Legal Disclaimer

Tickmark, Inc. and its affiliates do not provide legal, tax or accounting advice. The information provided on this website does not, and is not intended to, constitute legal, tax or accounting advice or recommendations. All information prepared on this site is for informational purposes only, and should not be relied on for legal, tax or accounting advice. You should consult your own legal, tax or accounting advisors before engaging in any transaction. The content on this website is provided “as is;” no representations are made that the content is error-free.

We recommend a Pro file your taxes. Click here to file today.Leave your books to professionals. Click to connect with a Pro.
Was this post helpful?
Yes, thanks!
Not really
Thank you for your feedback
Oops! Something went wrong while submitting the form.
Did you know business owners can spend over 100 hours filing taxes?
Is this article answering your questions?
Do you do your own bookkeeping?
Are you filing your own taxes?
How is your work-life balance?
Is your firm falling behind during the busy season?


May 13, 2024


Antonio Del Cueto, CPA

Antonio Del Cueto, CPA


by this author

Share this article