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First Name*
Last Name*
E-mail* This will also be your username, used when you log in to edit your profile.
Agency
Address*
City*
State*
Zipcode* ex: 68502
Phone* Required phone number format: (###) ###-####
Licensure Number*
Professional Headshot*Upload Maximum upload file size: 100 MB
Website
Areas of Practice*
- Adjustment Disorders
- Aging
- Attention Deficit/Hyperactivity Disorder (ADHD)
- Anger Management
- Anxiety
- Attachment
- Autism Spectrum Disorders
- Bipolar
- Child Maltreatment
- Chronic Illness/Medical Issues
- Conduct/Oppositional Concerns
- Depression
- Developmental Disabilities (DD)
- Disasters
- Divorce
- Domestic Violence
- Eating Disorders
- Gambling Addiction
- Grief/Loss/Mourning
- Geriatrics
- Hoarding
- Hearing Things
- Interpersonal Concerns
- Lesbian/Gay/Bisexual/Transgender/Questioning (LGBTQ)
- Life Purpose
- Mood Disorders
- Obsessive Compulsive Disorder (OCD)
- Older Adults
- Personality Disorders
- Problematic Sexual Behaviors
- Post-Traumatic Stress Disorder (PTSD)
- Refugee/Immigrants/Asylum Seekers
- Schizophrenia
- Secondary Traumatization
- Seeing Things
- Severe and Persistent Mental Illness (SPMI)
- Sexual Abuse/Assault/Harassment
- Substance Abuse
- Suicidal Ideation
- Suicide Grief (losing a loved one to suicide)
- Work/Career/Educational Stress
- Other
Certification Specialty
- Adult Psychiatry
- Child Psychiatry
- CMFT
- CMSW
- CPC
- International Association of Eating Disorders
- Other
Other
Additional Information
Age Groups of Clientele Treated*
- Children (0-5 Years Old)
- Children (6-12 Years Old)
- Adolescent (13-18 Years Old)
- Young Adult (19-25 Years Old)
- Adult (26-40 Years Old)
- Adult (41-60 Years Old)
- Mature Adult (61 and Up)
Specialized Training
- N/A
- Acceptance and Commitment Therapy (ACT)
- Adlerian Therapy
- Alternatives For Families: A Cognitive Behavioral Therapy (AF-CBT)
- Applied Behavior Analysis (ABA)
- Brainspotting
- Child and Family Traumatic Stress Intervention (CFTSI)
- Child Parent Psychotherapy (CPP)
- Circle of Security (COS)
- Cognitive Behavioral Intervention for Trauma in Schools (CBITS)
- Cognitive Processing Therapy (CPT)
- Critical Incident Stress Management (CISM)
- Dialectical Behavioral Therapy (DBT)
- Eye Movement Desensitization and Reprocessing (EMDR)
- Faith-Based
- Functional Family Therapy (FFT)
- Gestalt Therapy
- Hypnotherapy
- Integrative therapy
- Marriage and Family Therapy (MFT)
- Motivational Interviewing (MI)
- Multi-Systemic Therapy (MST)
- Multi-Systemic Therapy-Problematic Sexual Behavior(MST-PSB)
- Narrative Therapy
- Neurofeedback
- Parent Child Interaction Therapy (PCIT)
- Person-Centered Therapy
- Play Therapy
- Problematic Sexual Behaviour-Cognitve Behavioral Therapy(PSB-CBT)
- Prolonged Exposure Therapy
- Psychoanalytic Therapy
- Psychodynamic Therapy
- Psychological First Aid
- Rational Emotive Behavior Therapy (REBT)
- Reality Therapy
- Solution Focused Brief Therapy
- Somatic Therapy
- Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
- The Gottman Method
- Training for Adoption Competency (TAC)
Alternatives For Families: A Cognitive Behavioral Therapy (AF-CBT)
Child and Family Traumatic Stress Intervention (CFTSI)
Child Parent Psychotherapy (CPP)
Circle of Security (COS)
Cognitive Behavioral Intervention for Trauma in Schools (CBITS)
Cognitive Processing Therapy (CPT)
Critical Incident Stress Management (CISM)
Dialectical Behavioral Therapy (DBT)
Eye Movement Desensitization and Reprocessing (EMDR)
Faith-Based
Functional Family Therapy (FFT)
Motivational Interviewing
Multi-Systemic Therapy (MST)
Parent Child Interaction Therapy (PCIT)
Play Therapy
Psychological First Aid
Trauma Focused Cognitive Behavioral Therapy (TF-CBT)
Training for Adoption Competency (TAC)
Licensures
- ARNP
- APRN
- Certified Health Service Provider in Psychology
- LADC
- LCSW
- Licensed Psychiatrist
- Licensed Psychologist
- LICSW
- LIMHP
- LMHF
- LMHC
- LMHP
- LMSW
- LPC
- MD
- LMFT (Licensed Marriage and Family Therapist)
- PCMSW
- PLADC
- PLMHP
- Provisionally Licensed Psychiatrist
- Psychological Assistant
- TLMHC
- TLMFT
- Other
Licensures Other
Provider Networks (check all that apply)
- Project Harmony Connections Program
- Project Harmony Children’s Services
- Nebraska Families Collaborative
- Region6 Behavioral Healthcare
Services Provided to Clientele
- Therapy to Non-English Speaking Clients
- Individual Therapy
- Family Therapy
- Couples Therapy
- Group Therapy
- Education Groups
- Support Groups
- In-Home
- In-Office
- In-School
- Telehealth
- Medication Management
- Brief Therapy
- Bridge Services
Evaluations Provided
- Custody Evaluations
- Parenting Risk Assessment/Parental Fitness Evaluation
- Initial Diagnostic Interview (IDI) NE Medicaid Specific
- Pre-Treatment Assessment (PTA) NE Medicaid Specific
- Mental Health Evaluation/Biopsychosocial Assessment (BPA)
- Neuro-Psych Evaluation
- Parent-Child Relationship Assessment
- Ages 0-5
- Ages 6 & Up
- Psychosexual Evaluation
- Psychological Evaluations
- Psychiatric Evaluations
- Integrated Substance Abuse and Mental Health Evaluation
- Chemical Dependency Evaluation
- None
Provides Services to Non-English Speaking Individuals
- Not at This Time
- Speak the Language
- Use a Qualified Interpreter
- Phone Service for Interpretation
Make Email Available To Clients?*
- Yes
- No
Willing To Testify In Court*
- Yes
- No
Transportation Offered?*
- Yes
- No
Languages Spoken
- American Sign Language
- Arabic
- Burmese
- Dinka
- English
- French
- German
- Italian
- Karen
- Nepali
- Nuer
- Portuguese
- Russian
- Somali
- Spanish
- Swahili
- Turkish
- Vietnamese
- Other
Other*
Race
- American Indian/Alaska Native
- Asian
- Black/African American
- Caucasian not of Hispanic Background
- Caucasian of Hispanic Background
- Native Hawaiian/Other Pacific Islander
- Other
- Prefer Not To Say
Other*
Affiliation with Tribe
- Yes
- No
Please list which Tribe(s)*
Cultures
- Afghanistan
- African
- Congolese
- Hispanic or Latino Cultural Background
- Karen
- Middle Eastern
- Nepali
- Somali
- South Sudanese
- Syrian
- Other
Other*
Gender
Gender Other
Payment Structure
- Private Pay
- Sliding Fee Scale
- Medicare
- Magellan
- Kids Connection
- Hawk-I
- Medipass
- BCBS
- Tricare
- Share Advantage
- Primary Care Plus
- Aetna
- Cigna/Coventry
- Midlands Choice
- Medica
- Optum
- UMR
- Medicaid Iowa
- Medicaid Nebraska Total Care
- Medicaid Nebraska UHC
- Medicaid Nebraska Healthy Blue
- Other
Other Payment
Are you approved as a Magellan provider for CPP?
Are you approved as a Magellan provider for PCIT?
Availability Schedule for a Provider to Its Clientele
Sunday
- Morning
- Afternoon
- Evening
Monday
- Morning
- Afternoon
- Evening
Tuesday
- Morning
- Afternoon
- Evening
Wednesday
- Morning
- Afternoon
- Evening
Thursday
- Morning
- Afternoon
- Evening
Friday
- Morning
- Afternoon
- Evening
Saturday
- Morning
- Afternoon
- Evening
Password* Minimum length of 10 characters.
The password must have a minimum strength of StrongStrength indicator
Repeat Password*

Availability Schedule for a Provider to Its Clientele