Ann Ahearn, LCSW Jan 23, 2019 Your Contact Information A HelpLine specialist may follow up with your listing update submission to verify the information is correct. Your First and Last Name Your Phone Number Your Email Address Provider/Agency Contact Information Provider or Agency Name Is this provider an agency? Is this provider an organization that has multiple provider/professionals not listed as individual providers? Yes No What is the new patient status? Is this provider accepting new patients or have a waitlist? Yes, accepting new patients No, not accepting new patients Patients will be put on a waitlist Session Style Is this provider's sessions in-person, telehealth/virtual, or both? In-person and telehealth In-person only Telehealth only Provider or Agency Address Phone Number Add new Fax Number Email Address Add new Website Address Insurance Information Insurance Types Accepted Please check all that apply. Aetna Anthem BCBS of Massachusetts Blue Cross/Blue Shield CareFirst Cigna Court-Ordered Psychological Testing Court-ordered Treatment EAP FAPT FEP - Federal BC/BS Free with no insurance Humana Insurance Reimbursement Kaiser Lyra EAP Medicaid Aetna Better Health Anthem Healthkeepers Plus Magellen/Molina Optima United Community Plan Virginia Premier Medicare Medicare Advantage Optum Private Pay Sliding Scale TriCare United Healthcare Veteran Affairs Community Care Network Worker's Compensation -- Parent -- Add New Additional Insurance Information Please list any additional insurance types not listed above or if a certain type is on a case-by-case basis. Client Focus Information Provider Type Please check all that apply. Community Service/Agency Counselor/Therapist Crisis Stabilization Day treatment / Partial Hospitalization Treatment Evaluation/Testing Foster Care Treatment Inpatient Treatment Intensive In-Home Services Intensive Outpatient Treatment Psychiatrist/Medication Residential Treatment Substance Use Treatment Telehealth ONLY -- Parent -- Add New Age Groups Serviced Please check all that apply. You can be more specific about ages in the additional information box found below. Adolescents Adults Children Seniors -- Parent -- Add New Modalities / Treatment Approaches Please check all that apply. Co-Parenting Couples Families Groups Individuals Teletherapy/Online -- Parent -- Add New Issues Treated Please check all that apply. ADD/ADHD Addiction Adjustment Issues Adolescent Issues Adoption Alcohol Abuse Alzheimer's/Dementia Anger Management Anxiety Attachment Issues Autism Spectrum Behavior Issues Behavioral Health Bereavement/Grief Bipolar Disorder Bullying Child Abuse Child Development Child Loss Chronic illness Codependency Conflict Management Crisis Custody Issues Depression Developmental Disorders Disability Issues Dissociative identity disorder Divorce Domestic Violence Drug/Substance Abuse Dual Diagnosis Eating Disorders Family issues Forensic Issues Gender Identity/Sexuality Hallucinations/Delusions Hoarding Human Trafficking Impulse control Infertility Insomnia Intellectual Disabilities Learning Problems Legal Issues Life Changes Medical Issues Men’s Issues Miscarriage/Death of a Child Mood Disorders Neurocognitive Disorders Obesity/Weight Management Obsession/Compulsion (OCD) Pain Management Panic Attacks/Disorders Parenting Issues Personality Disorders Physical Abuse Post-Traumatic Stress (PTSD) Postpartum Depression Premarital Psychosis Psychosomatic Disorder Rape/Sexual Assault Relationship Issues Schizoaffective Disorder Schizophrenia School Problems Self-injury Cutting Senior/Geriatric issues Sex/Pornography Addiction Sexual Abuse Sexual Dysfunction Spiritual Issues Stress Management Suicide/Suicidality Tele-Therapy Trauma Traumatic Brain Injury/Head Trauma Video Game Addiction Women’s Issues Perinatal -- Parent -- Add New Specialized Therapy Techniques Please check all that apply. ABA Behavioral Therapy Acceptance & Commitment Therapy (ACT) Acceptance Based Therapies (ABT) Acupuncture ADHD Testing Alpha-Stim Art Therapy Bariatric Surgery Evaluation Christian Counseling Cognitive Behavior Therapy (CBT) Cognitive Processing Therapy Comprehensive Behavioral Intervention (CBIT) for Tic Disorders Crisis Intervention and Advocacy Custody Evaluations Dialectical Behavior Therapy (DBT) Directive Therapy Emotion Focused Therapy (EFT) Energy Therapies Equine-Assisted Psychotherapy Existentialist Experiential Therapy Expressive Arts Eye Movement Desensitization and Reprocessing (EMDR) Family Based Therapy for Eating Disorders Forensic Evaluation Gottman Couples Therapy Grief Support Group Group Therapy Anger Management Harm Reduction Therapy Hypnosis IFS Informed Integrative Psychotherapy Internal Family Systems Meditation Mental Health Skill Building Mindfulness-Based Cognitive Therapy (MBCT) Motivational Interviewing Neurofeedback Parent Competency Perinatal Mental Health Counseling Play Therapy Positive Psychology Prolonged Exposure Psychodynamic Therapy Psychometric Screening Risk Assessment and Safety Planning Solution-Focused Therapy Spiritual Counseling Transcranial Magnetic Stimulation (TMS) Trauma Focused Cognitive Behavior Therapy (TF-CBT) Trauma-Informed -- Parent -- Add New Specialized Populations What population categories do you or your agency specialize in treating? Please check all that apply. Autism spectrum disorder Disability Energy Workers Gender/Sexuality/Trans.Ethical Non-Monogamy/Polyamory Immigration Intellectual Disabilities Kink Law Enforcement & Families LGBTQ+ Military/Veterans Multi-racial families Perinatal Racially/Ethnically Diverse Sex Offenders Sex Workers Sexual Assault or Abuse Survivors Spirituality -- Parent -- Add New Additional Languages Please check all that apply. Afrikaans American Sign Language (ASL) Amharic Arabic Bengali Dari Farsi Finnish French German Haitian Creole Hebrew Hindi Hungarian Igbo Japanese Korean Mandarin Nepali Punjabi Russian Serbian Spanish Thai Turkish TWI (Ghana) Ukranian Urdu Yoruba -- Parent -- Add New Additional Information Use this area to specify ages groups by number, unique issues, client focus, specialized therapy techniques or languages not listed above. Visual Text VA Licensure #: 0904005943 Adults age 25-100
