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NYC Counseling
Therapy for adults, couples, children & families. Additionally, we offer short, intensive programs and coaching.
Meet at our offices in Manhattan and Miami Beach, or meet virtually anywhere in New York, New Jersey, and Florida.
NYC Counseling
herapy for adults, couples, children & families. Additionally, we offer short, intensive programs and coaching.
Meet at our offices in Manhattan and Miami Beach, or meet virtually anywhere in New York, New Jersey, and Florida.
How we help?
We take an eclectic approach to therapy: we create bespoke treatment plans that balance practical, learned skills (CBT / DBT) with deeper insight into patterns and behaviors that may be blocking positive, lasting change.
Practice Emotional Regulation
- Alleviate sadness and depression
- Manage stress, anxiety, anger, and burnout
- Negotiate high-intensity or high-conflict environments
Navigate Relationships
- Learn to repair after ruptures
- Learn to fight fairly and constructively
- Learn to communicate effectively in couples therapy
- From dating apps to marriage to high-conflict divorce, we'll be your wingmen.
Understand Better
- Feelings of disconnection
- Success that feels unfulfilling
- What's holding you back in your career and your life
- Identity-related insecurities
- Coping with loss
How we help?
We take an eclectic approach to therapy: we create bespoke treatment plans that balance practical, learned skills (CBT / DBT) with deeper insight into patterns and behaviors that may be blocking positive, lasting change.
Practice Emotional Regulation
- Alleviate sadness and depression
- Manage stress, anxiety, anger, and burnout
- Negotiate high-intensity or high-conflict environments
Navigate Relationships
- Learn to repair after ruptures
- Learn to fight fairly and constructively
- Learn to communicate effectively in couples therapy
- From dating apps to marriage to high-conflict divorce, we'll be your wingmen.
Understand Better
- Feelings of disconnection
- Success that feels unfulfilling
- What's holding you back in your career and your life
- Identity-related insecurities
- Coping with loss
Justena Kavanagh
Founder, NYC Counselling
How We're Different
Expertise & Experience
Justena brings over 20 years in clinical experience, working with high-performers in high-intensity environments. Trained by many including Esther Perel and Terry Real, Justena has become a nationally recognized expert in coercive control, high-conflict relationships, and post-traumatic growth.
Justena has built a unique team with both deep expertise and broad lived experience. Our clinicians achieved success in media, business, finance, healthcare, academics and the creative arts prior to pursuing mental health care. Their robust lived experience informs their work with clients building fulfilling lives in hard-charging, high-intensity environments like New York and Miami.
Justena Kavanagh
Founder, NYC Counselling
How We're Different
Expertise & Experience
Justena brings over 20 years in clinical experience, working with high-performers in high-intensity environments. Trained by many including Esther Perel and Terry Real, Justena has become a nationally recognized expert in coercive control, high-conflict relationships, and post-traumatic growth.
Justena has built a unique team with both deep expertise and broad lived experience. Our clinicians achieved success in media, business, finance, healthcare, academics and the creative arts prior to pursuing mental health care. Their robust lived experience informs their work with clients building fulfilling lives in hard-charging, high-intensity environments like New York and Miami.
Bespoke Treatment Developed for You
We’re here to support you in building relationships and lives, not just to survive but to thrive.
We offer free 15-minute consults with our therapists to ensure the right fit for you.
Bespoke Treatment Developed for You
We’re here to support you in building relationships and lives, not just to survive but to thrive.
We offer free 15-minute consults with our therapists to ensure the right fit for you.
Fees /Insurance
We do not accept Medicaid/Medicare or in-network benefits from any insurance provider.
We are an out-of-network provider: if your insurance plan has out-of-network benefits, those may be used to either offset upfront costs or reimburse our fees. We partner with Thrizer to handle all of our out-of-network benefits billing.
Most clients use out-of-network benefits, and some receive up to 60% cost-offset from insurance providers. We can also provide superbills for your records. Please reach out with questions – we’re happy to help make therapy accessible.
fees/Insurance
We do not accept Medicaid/Medicare or in-network benefits from any insurance provider.
We are an out-of-network provider: if your insurance plan has out-of-network benefits, those may be used to either offset upfront costs or reimburse our fees. We partner with Thrizer to handle all of our out-of-network benefits billing.
Most clients use out-of-network benefits, and some receive up to 60% cost-offset from insurance providers. We can also provide superbills for your records. Please reach out with questions – we’re happy to help make therapy accessible.
FREQUENTLY ASKED questions
Q1. What are your fees?
Sessions are billed at a flat rate by session type. We are a private-pay practice, so you pay us directly and we help you recover what your plan will reimburse.
Session | Length | Fee |
Individual therapy | 45–50 min | $350 |
Couples therapy | 45–50 min | $350 |
Family therapy | 45–50 min | $350 |
Initial intake / diagnostic evaluation | 60 min | $350 |
Session with our founder, Justena Kavanagh | 45–50 min | $600 |
We offer sliding-scale options for clients with demonstrated financial need. If cost is the thing standing between you and starting, say so on your consult call. It is a normal conversation here, not an awkward one.
Before your first session we provide a Good Faith Estimate of your expected costs, as required under the No Surprises Act. We accept all major credit cards, checks, and cash.
Q2. Do you take insurance?
We are an out-of-network provider. We do not bill insurance directly, and we do not accept Medicare or Medicaid.
Your coverage | What that means with us |
Commercial plan with out-of-network benefits | Most common. You pay us; your plan reimburses you. We file the claim for you, see below. |
Commercial plan, in-network only | You pay privately. Ask us about sliding scale. |
Medicare or Medicaid | Not accepted. We are glad to point you toward providers who take it. |
No insurance | You pay privately. Sliding-scale options may apply. |
Being out-of-network is the norm for private practices in the New York market. It is what lets us keep sessions the length they should be and match you to the right clinician rather than the one your plan happens to list.
Q3. How does out-of-network reimbursement actually work?
If your plan includes out-of-network benefits, those benefits can be used either to offset your costs upfront or to reimburse you after the fact. We partner with a service called Thrizer to handle it, so you are not chasing paperwork.
Step | Who does it |
Verify your out-of-network benefits | Thrizer, before you start |
Estimate your real out-of-pocket cost | Thrizer, before you start |
Submit the claim after each session | Thrizer, automatically |
Pay only your co-insurance once your deductible is met | You |
Reimbursement rates vary by plan. Depending on your coverage, out-of-network benefits can cover up to 100% of the session fee once your deductible is met.
Most practices leave you to file out-of-network paperwork yourself. We don’t.
Q4. Do you offer sessions in person or online?
Both. We have offices in Manhattan and Miami Beach, and we see clients online anywhere in New York, New Jersey, and Florida.
Office | Address |
Manhattan | 220 Fifth Avenue, 11th Floor, New York, NY 10001 |
Miami Beach | 1111 Lincoln Road, 5th Floor, Miami Beach, FL 33139 |
Most of our clinicians work virtually; a few see clients in the office on set days. Your consult call will tell you who is available in the format you want.
New York areas we serve: Brooklyn, Chelsea, Downtown, East Village, Flatiron, Financial District, Manhattan, Midtown, Murray Hill, NoMad, Queens, TriBeCa, Union Square, Upper East Side, Upper West Side, and West Village.
Miami areas we serve: Miami, Miami Beach, Coral Gables, Coconut Grove, North Miami, Wynwood, Edgewater, Miami Shores, North Miami Beach, Sunny Isles, Bay Harbor, Bal Harbour, Surfside, and Brickell.
Q5. What states are you licensed in?
Our clinicians are licensed in New York, New Jersey, and Florida, and we can only provide therapy to clients physically located in those states at the time of the session. That is a licensing rule, not a preference.
If you are outside New York, New Jersey, or Florida, our Specialized Relationship & Life Coaching is available nationwide.
Q6. How do I get started?
Start with a free 15-minute consultation. It is a short call, no forms and no commitment, where we hear what is going on and tell you honestly whether we are the right fit.
- Book a free 15-minute consult.
- We match you to a clinician based on what you need, your schedule, and your budget.
- You complete your intake paperwork online before your first session.
- Your first full session is a 60-minute intake with your clinician.
If we are not the right fit, we will say so and point you somewhere better.
Q7. How do you decide which therapist I see?
We match rather than assign. The consult call covers what brings you in, whether the work is for you, your relationship, your family or your child, what you can invest, when you can meet, and whether you want to be in an office or online. We match on all of it, specialty first.
You are not stuck with the match. If it is not working after a session or two, tell us and we will move you. That is a normal request, and it is easier to make early.
Q8. What kinds of therapy do you offer?
We work with | Includes |
Adults | Individual therapy |
Couples | Relationship and marriage counseling |
Families | Family counseling |
Children and teens | Adolescent therapy, play-based work with younger children |
Groups | Group counseling |
Common reasons people come to us: anxiety, depression, trauma and PTSD, OCD, grief and bereavement, substance use and recovery, eating disorders, life transitions, work stress and burnout, relationship difficulties, parenting, LGBTQ+ concerns, and cultural and identity questions.
We also offer short intensive programs and coaching for people who want focused work in a compressed window rather than weekly sessions.
Q9. What if I need to cancel or reschedule?
We ask for at least 24 business hours’ notice to cancel or reschedule. Because that time is held exclusively for you and cannot be filled late, cancellations inside that window, and missed sessions, are billed at the full session fee.
Business hours matter here: for a Monday morning session, 24 business hours reaches back into the previous Friday. If you know you need to move a session, use your client portal as early as you can. Your clinician would always rather reschedule you than charge you.