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So.  You want to be an Agent of Change?



We help people get into a rhythm in private practice with a strong, supportive environment that runs like a well-oiled machine.

Hear from Clinical Director, EMilY HORNING, LCSW



What We Promise:


We can generally get you a full caseload (25-30 clients weekly) in about 60-90 days, all paying cash/credit.  We say “generally” because we can supply clients quite quickly, but the speed to full is ultimately dependent on your ability to retain them.  But 90-120 days…even practitioners who build caseloads using insurance will tell you: this is fast.  


Most therapists coming into private practice are some mix of over- and under-confident. For example, they might come in expecting to really perform well with most all clients (over-confident).  When they struggle, they assume they must’ve been skill-deficient (under-confident), instead of understanding that it simply takes time to acclimate to a new environment, even for seasoned therapists. In fact, what works very well in certain settings (e.g., in-patient substance treatment) often doesn’t work well in private practice. On a separate but related note, many therapists come in very worried about money and whether they’ll make enough to leave the “security” of their previous jobs.  WHEN WE SAY WE’LL HELP YOU, THAT MEANS THE MONEY PART TOO.  You will make enough to live working 3 days a week!!!

To accomplish all this, we provide solid, involved, but collegial supervision (did we mention that’s free?), primarily aimed at the development of the person of the counselor (you!) and a growing awareness that who you are in therapy is as important as what you do in therapy. In short, you’ll have a lot of latitude to be yourself in therapy, but lots of support and follow-up to evaluate how well you are retaining clients and to see how what you’re doing is working.


We provide a stipend that renews every year for continuing ed benefits, in addition to one full conference admission (approx. $500/value) we all attend together out of state and use as an opportunity to connect relationally.  That stuff is great!  However, we often find that therapists have more than enough theoretical knowledge (even if they don’t think so), but are often underdeveloped as people and/or have not spent enough time in therapy themselves.  According to Dr. Jeffrey Kottler’s (2017) best-selling, seminal work, On Being a Therapist, research shows that our personal motives for becoming counselors tend to organize around common themes, typically involving lingering struggles from childhood loss and ongoing needs for recognition and approval as well as trying to clarify and bring resolution to our own problems.

So…at Change, Inc., once a quarter we have a “Group Experience,” where an outside therapist comes in to work with us and help us process our stuff, including but not limited to our own personal struggles as well as the struggles of being a therapist. There is typically a fair amount of crying and laughing and satiating food. 

A few times a year we also have a “Social Event where we get together at some restaurant and eat and drink together. If this sounds good, don’t get it wrong — it’s not utopia. We get to know one another and discover we’re all real people. But we have the sense that we’re going somewhere together. And that we need one another. All of us tend to approach the whole of life as therapists — i.e., this is sort of “therapy as a lifestyle,” as the continual search to grow and better ourselves as much as our clients.


What We Expect

We invest a lot, so we expect a lot of engagement. This is absolutely a place where you can expect a two-way street.

  • We have a contract with a minimum length of stay which enables us to make good on our investment in you.
  • We chart and track retention and have goals that are used as a barometer for areas of success and needed growth.
  • We suppress logistical requirements as much as we can — limited meetings, limited administrative minutia (we spent too much time working under the heavy yoke of Medicaid!!!) — so we expect a very quick response time to email and electronic communication.
  • More broadly, the administrative requirements we do have are typically to communicate, follow best-practices, and make sure we get paid.  We take them seriously.
  • We emphasize personal growth and development as therapists and as people, and we expect these things to be taken seriously as well.

The Bottom Line.

  • This isn’t the kind of place for you if therapy is a ‘hat’ you wear or if you like a more anonymous work environment where others don’t really get to know the real you.
  • This isn’t the kind of place for you if you’re motivated by all of the non-counseling opportunities there are within mental health like being a program director or non-clinical supervisor. 
  • This isn’t the kind of place for you if you like the idea of being a counselor but don’t actually want to put in the work to be good at it, which means that you’ll have to spend time looking at where you’re not so good at it (among other things).

This is the kind of place for you if counseling is just who you are.  At Change, Inc., we do things differently by choice, and there is a distinct culture and way of thinking that goes along with that.  It’s cool if you don’t think you’d fit!!!


Hear from Assistant Clinical Director, NICOLE NEACE, PLPC







Please note the following qualifications carefully:

  • Required : Documented Master’s degree or higher in Counseling or related field.
  • Required : Documented minimum 2-4 years experience in mental health at-large, and some actual counseling experience.
  • Preferred : Documented Licensure as an unrestricted, non-supervision-required Licensed Professional Counselor (LPC) (if in MO) or LCPC (if coming from IL), Social Worker (LCSW), or Marriage & Family Therapist (LMFT). 
    NOTE: **Supervision-required/Provisional licensure (LMSW, PLPC, PLMFT) will be considered if all other qualifications met on a case by case basis.** 
  • Preferred : Approved supervisor status
  • This is a healthcare environment — all employees are required to be vaccinated + booster, or to show proof thereof


You think you’re up to the challenge, eh?

***Please no phone calls or visits.***

If we’re interested, someone will contact you back within 3-10 business days.


Hear from Managing Director, Stacy Blassingame, LPC




Compensation is a percentage of the billed amount per client, commensurate with therapist licensure and experience. 

Provisionally Licensed Clinicians working 3 days per week:

Year 1:
$40,800/year to $45,600/year (3 days per week)

Year 2:
$43,200/year to $48,000/year (3 days per week)

Year 3: 
Eligible for %-based compensation!!!
$50-$60,000/year (3 days per week)


Fully Licensed Clinicians working 3 days per week:

Year 1:
$50,000-$60,000/year (3 days per week)

Year 2: 
Eligible for %-based compensation!!!

$60,000-$70,000/year (3 days per week)

Additional BENEFITS

  • Continuing education reimbursement
  • Free annual admission to a conference
  • Quarterly therapeutic “group experiences” where a facilitator leads a process group aimed at helping you receive the support you need to manage the difficulty associated with being a therapist
  • In-house process-experiential groups lead by a certified Gestalt therapist, aimed at helping you learn new skills opportunities to grow with your peers that are simply not offered anywhere else in STL:
  • Twice yearly social events paid for entirely by the company, with our entire team — no agenda but to hang out and build community!.
  • Employee-driven social events organized by our tongue-in-cheek “FUN! Committee”