MentalityMate
Pro
Therapist Registration
Join our platform as a professional therapist
By registering as a therapist, you'll need to complete a verification process to confirm your credentials. Once verified, you'll be able to connect with clients.
Personal Information
Full Name (as it appears on ID)
Email
Password
Confirm Password
Professional Information
Specialization
Credentials
License Information
(Required for HIPAA Compliance)
Legal Name (exactly as it appears on license)
License Number
License Type
Select license type
Licensed Clinical Social Worker (LCSW)
Licensed Marriage and Family Therapist (LMFT)
Licensed Professional Counselor (LPC)
Licensed Professional Clinical Counselor (LPCC)
Doctor of Psychology (PsyD)
Doctor of Philosophy in Psychology (PhD)
Psychiatrist (MD)
Psychiatric Nurse Practitioner (NP)
Other (please specify)
NPI Number (optional)
Used for insurance billing
Professional Bio
Hourly Rate (USD)
HIPAA Compliance & Licensing:
Due to healthcare regulations, therapists can only provide services to clients in states where they are licensed to practice.
Licensing & Compliance
States Licensed to Practice (hold Ctrl/Cmd to select multiple)
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
District of Columbia
Hold Ctrl/Cmd to select multiple states where you are licensed to practice
I accept the HIPAA Privacy Policy and all legal terms
Read our
HIPAA Privacy Policy
I agree to the Therapist Terms and Conditions and understand my obligations as a healthcare provider
Read our
Therapist Terms & Conditions
Do you accept insurance?
No
Yes
Insurance Providers Accepted (comma-separated)