Open Path Therapists | Open Path Psychotherapy Collective

Therapist Member Requirements

You must be a licensed or provisionally licensed (Pre-Licensed/License Eligible) mental health clinician with a graduate degree in psychotherapy, counseling, or a related field from an accredited institution.
You agree to Open Path’s sliding scale range of $30-$60 for individual counseling (and $30-$80 for couples or family counseling) for Open Path client members.
You will respond to Open Path prospective client inquiries within 2 business days.
You agree to work with a minimum of one Open Path client annually.

Step 1/4: Account Information
Name*
First Last
Work Email*
How did you hear about us?*
Please tell us who we should thank
If you would like the therapist who referred you to receive a gift from Open Path, type their name and email address here.
How did you hear about us other
How did you hear about us other
Primary reason for joining Open Path?*
Step 2/4: Office Location

All of the questions in this section pertain to Open Path’s search functionality. If you want your profile to appear in searches by location, please be sure to fill out this section as accurately as possible.
Name of Practice
Practice Website
Office Phone*
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Address
Enter a full address for physical locations. Enter a city, state, zip code, and country for virtual locations.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Step 3/4: Public Profile

The questions contained in this part will be used to build your public Open Path profile. After we approve your application, you will be able to edit this information at any time.
Office Locations
Address
Enter a full address for physical locations. Enter a city, state, zip code, and country for virtual locations.

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Title
Therapist Type*
Type of License (LPC, LMFT, LCSW, PhD, etc.)
Personal Pronouns*
Other Pronoun*
Your Race/Ethnicity*
Background
Years in Practice*
Licensed in
License Status*
Supervisor’s Name (If Applicable)
Education
I have completed a Master's degree in psychotherapy, counseling, or a related field.
- I have completed a Master's degree in psychotherapy, counseling, or a related field.
Undergraduate Institution Name
Postgraduate Institution Name
Skills and Expertise

For the following fields, you may select as many choices as describe you. Please select at least one per category.
Specialties*
Treatment Orientation*
Modality*
Client Focus
Focus for client's spoken language*
Focus for client's age group*
Profile Details
Personal Statement*
The personal statement is a way to warmly greet prospective clients and give them a sense of the benefits of therapy with you. We recommend that you write directly to your ideal client and avoid the use of jargon they might not understand.
Profile Photo
Max 3mb. Recommended portrait size is 300x300 pixels, otherwise automated cropping may potentially chop or skew your portrait proportions. To avoid this, please crop your image into a square format before uploading. Online tools such as http://www.picmonkey.com can be helpful for editing your photo.
Accepted file types: jpg, jpeg, png, gif.
Accepting new patients
- Accepting new patients
Available for teleconferences
- Available for teleconferences
Your availability for Open Path clients*
For example, "Fridays 1-3pm", or "message for schedule."
Accepted Payment Methods*
Please note that Open Path clients are all self-pay and will not use insurance as a form of payment. Please do not enter any insurance carriers with whom you are affiliated.
Affiliate Payout Information
Please note that the Affiliate Payout Information is solely for payout for referring new therapists to Open Path. Session payments do not go through Open Path.
Step 4/4: Agreement

By submitting this form:
You agree to honor the publicly advertised Open Path sliding scale range of $30-$60 for individual counseling (and $30-$80 for couples or family counseling) for Open Path client members.*
You agree to honor the publicly advertised Open Path sliding scale range of $30-$60 for individual counseling (and $30-$80 for couples or family counseling) for Open Path client members.*
You agree to respond to Open Path prospective client inquiries within 2 business days.*
You agree to respond to Open Path prospective client inquiries within 2 business days.*
You agree to keep your profile up-to-date, especially maintaining the accuracy of your availability.*
You agree to keep your profile up-to-date, especially maintaining the accuracy of your availability.*
You agree to work with a minimum of one Open Path client.*
You agree to work with a minimum of one Open Path client.*
You agree to our Terms of Service*
You agree to our Terms of Service*
Almost done! Please create the password you’ll use to sign into your Open Path account.
New Password*
Share Open Path with a Colleague (Optional)

We're working hard to keep up with the skyrocketing demand for affordable care. If you'd like to refer a colleague, simply provide the details below and we'll send them one email inviting them to join Open Path. If they choose not to join, they won't hear from us again.
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Colleague's First Name
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Colleague's Last Name
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Colleague's Work Email
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Affiliate WP Referral ID
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Post Title*
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Post Status
Share Open Path with a colleague
Colleague's First Name

Colleague's Last Name

Colleague's Work Email
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Post ID
Phone
This field is for validation purposes and should be left unchanged.

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CONFIDENTIAL

Therapist Application

Therapist Member Requirements

After you submit your application

Still have questions?

Step 1/4: Account Information

Step 2/4: Office Location

Step 3/4: Public Profile

Background

Education

Skills and Expertise

Client Focus

Profile Details

Step 4/4: Agreement

By submitting this form:

Share Open Path with a Colleague (Optional)

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