Therapist Add Listing Form

How did you hear about us?



Basic Information


Enter your first and last name only (without credentials).
Enter your full name as it appears on your license (only if different from above).
Enter your credentials: e.g. MS, LCSW, PsyD
Mark listing as a featured.


Contact Information


Enter your business phone number.
Enter the email address you use for business.
Enter the URL for your website: e.g. https://jewishtherapists.org/
Enter your most important/favorite business social media link: e.g. https://www.facebook.com/RecourseCounseling
Select the language(s) within which you offer therapy.
Select the language(s) within which you offer therapy.
Select where you are licensed to practice (do not list Compact Eligibility here).
Select where you are licensed to practice (do not list Compact Eligibility here).
Are you eligible to practice across state/provincial lines via Interstate Compact?
Choose how you offer your sessions.
Please fill in your address below, but check this box if you wish to hide your exact location and street address from your listing.


Therapy Services


Highlight your competencies.
Select the political orientations you're able to serve.
Select the age groups of the clients you serve.
Select the age groups of the clients you serve.
Select your basic practice structure(s).
Select the unique offerings your practice features.
Select any cross-cultural and identity community competencies.
Select your therapeutic approach(s).
Select the concerns you specialize in.
Please introduce yourself and describe your practice/services and who you love to serve! Share about your specialties and choice of modalities, as well as any additional services you'd like to highlight!


Media


Choose a 400x400 square image (JPG/PNG) that is under 1MB in size.


(Platinum-Only Feature) Logo can be square or rectangle. Min 275 width.
(Platinum-Only Feature) Image Requirements For Best Slideshow Results: a) MUST UPLOAD MINIMUM OF THREE(3) IMAGES. b) SIZE IMAGES to 635 pixels wide by 300 pixels high. c) IT IS ADVISABLE to upload sets of 3, 6, or 9 images. d) Max image size 1mb. Max number of images 9. Min 3.
Add your video URL - e.g. https://youtu.be/wDchsz8nmbo (Platinum-Only Feature)
List any special offerings, new client pricing, groups, events, etc. (Platinum-Only Feature)

Thank you for adding your listing details! We are close to the finish line...

Please complete this section of the form to create your account. Afterwards, we'll forward you to the checkout page to process payment for your listing. Your data is not saved until all steps are completed.