
Accounting for Therapists and Counseling Practices
We proudly specialize in accounting for mental health professionals and therapy provider groups. Over the years, we’ve worked with over a thousand therapists referred by happy clients—and we’ve built deep expertise in the financial challenges and opportunities of this field.
Counselors love helping people, not crunching numbers. Our goal is to help you expand your impact through sound financial ownership and confident decision-making.
We Help Mental Health Professionals
At GreenOak Accounting, we’ve built our reputation by helping therapists and mental health professionals gain clarity, confidence, and control over their finances. We know the unique challenges that come with balancing client care, compliance, and the complexities of running a practice — because we’ve been serving this community for a decade.
Our team combines specialized accounting expertise with a people-first approach, helping you make sense of your numbers and make decisions that support your mission of care.
We Serve
Solo Practitioners
When you’re managing multiple clinicians, payroll, and growing administrative demands, we help you track performance, plan for hiring and taxes, and stay profitable.
Group Practices
When you’re managing multiple clinicians, payroll, and growing administrative demands, we help you track performance, plan for hiring and taxes, and stay profitable.
Expanding Your Practice
As you scale your clinicians, services or locations, our strategic accounting and CFO-level guidance ensure your growth remains sustainable and aligned with your goals.
Wherever you are in your business journey, we’ll meet you there — with accounting that empowers you to focus on what you do best: helping your clients thrive.
Our Packages
Service Packages Tailored to Every Stage of Your Business Development
Available only to solo practices. Whether just starting out, or your practice is well established and you're ready to get bookkeeping off of your plate, we provide the support you need. You get access to our team of specialized accountants, financial reports, email support, monthly Q&As, and workshops.
starter
Our Group Starter package is ideal for someone who is just starting out in group practice. You have decided to hire, or have one or two clinicians. We provide support to help you through this new beginning! You get access to our team of specialized accountants, email support, monthly Q&As, KPIs and compensation support.
Full Service
Ideal for group practices. Our team handles all the bookkeeping in your practice, and you have access to accountants who specialize in working with the mental health industry. We provide support around compensation planning for your team and payroll, because we know that’s a big source of stress for group practice owners. You can reach out as often as needed with questions, and you will meet with our team quarterly for a Financial Review.
Our highest level of service, the CFO package, includes all services offered in the Full Service package. In addition, as your fractional Chief Financial Officer, we look at the “big picture” in your practice. We work with the practice owner on forecasting, budgeting, compensation, expansion, and much more. Our CFO package is ideal for practices that are experiencing fast growth (whether planned or unplanned) or are really dialing in their financial systems and processes to get ready for growth, expansion, or exiting the business.
Available only to solo practices. Whether just starting out, or your practice is well established and you're ready to get bookkeeping off of your plate, we provide the support you need. You get access to our team of specialized accountants, financial reports, email support, monthly Q&As, and workshops.
starter
Our Group Starter package is ideal for someone who is just starting out in group practice. You have decided to hire, or have one or two clinicians. We provide support to help you through this new beginning! You get access to our team of specialized accountants, email support, monthly Q&As, KPIs and compensation support.
Full Service
Ideal for group practices. Our team handles all the bookkeeping in your practice, and you have access to accountants who specialize in working with the mental health industry. We provide support around compensation planning for your team and payroll, because we know that’s a big source of stress for group practice owners. You can reach out as often as needed with questions, and you will meet with our team quarterly for a Financial Review.
Our highest level of service, the CFO package, includes all services offered in the Full Service package. In addition, as your fractional Chief Financial Officer, we look at the “big picture” in your practice. We work with the practice owner on forecasting, budgeting, compensation, expansion, and much more. Our CFO package is ideal for practices that are experiencing fast growth (whether planned or unplanned) or are really dialing in their financial systems and processes to get ready for growth, expansion, or exiting the business.
Service Provided | Core | Full | CFO |
|---|---|---|---|
Monthly Bookkeeping & AccountingAccurate numbers is where it all starts. We’ll keep your books organized and accurate every month so you always know where your practice stands. | |||
Email SupportHave a question or need some clarity? Send us an email anytime — we’re here to help and will respond within the next full business day. | |||
Monthy Financial ReportsYou'll have a dedicated Accounting Specialist, your go-to accounting and industry expert who knows the ins and outs of your practice. Your Accounting Specialist will keep your financials in order and whenever questions arise, they’ll be right there to help. | |||
Primary Accounting SpecialistYou'll have a dedicated Accounting Specialist, your go-to accounting and industry expert who knows the ins and outs of your practice. Your Accounting Specialist will keep your financials in order and whenever questions arise, they’ll be right there to help. | |||
Compensation SupportWe’ll help you navigate the financial side of hiring by evaluating your compensation structure, recommending profitable and sustainable pay strategies, and preparing calculators to compare multiple compensation scenarios if you’re considering a change. You’ll always make the final call for your practice, but you’ll be empowered with data and support. | |||
Payroll SupportYou run payroll, we’ll provide our support. We’ll answer payroll questions, help sync your payroll system with QuickBooks Online, assist with payroll notices, and ensure your benefits and time-off policies are set up correctly. You'll handle day-to-day tasks like tracking time off, managing benefits, and adding new team members. | |||
Financial Review & Strategy MeetingsWe’ll meet to review your financials, track progress toward your goals, and adjust your strategy as your practice evolves. You’ll get clear insights, actionable recommendations, and steady guidance to keep your business on a sustainable, profitable path. | |||
KPI TrackingWe’ve developed Success Ratios for private practices based on years of studying the habits of highly successful practice owners. We’ll measure your business against our Success Ratios so you can see which areas are doing well and which need improvement. | |||
Practice Performance TrackerWe'll track and evaluate profitability, expense trends, team capacity metrics, and team performance trends with our in-house developed Practice Performance Tracker. These clear insights will help you understand your practice and make confident, informed decisions. | |||
12 Month Forecast & Budget TrackingPlanning ahead can give you peace of mind and guidance. A little accountability also goes a long way! We'll track your income and expenses compared to the budget monthly and forecast what’s to come for the remainder of the year. | |||
Financial DashboardSee your financial health at a glance with our proprietary dashboard that tracks your most important numbers and showcases how your practice is evolving over time. | |||
Annual Tax Planning ReviewWe’ll take a look at your tax return, propose tax-saving opportunities, and make strategic recommendations from a holistic view of your tax situation and cash flow. | |||
Annual Tax Planning MeetingA member of our Tax Team will meet with you to talk through tax strategy for your specific situation, present tax-advantaged opportunities, and answer questions you may have about your Tax Plan. | |||
1099 PreparationWe’ll determine which of your vendors need 1099s, then prepare and file your 1099s so your contractors and the IRS get what they need — without the headache. 1099 preparation is a separate, optional engagement. | |||
Tax Return PreparationOur experienced Tax Team is available to accurately prepare your business and individual tax returns as a monthly client. | |||
Monthly Live Q&As | |||
Monthly Live Q&AsJoin us each month for a live Q&A session. Ask questions, get answers from our GreenOak accountants, and learn from other practice owners in this welcoming environment. It’s your monthly opportunity to access our industry experts - live! | |||
Quarterly Financial WorkshopsEach quarter we’ll host interactive workshops to help you understand the business-side of practice ownership and make smart decisions. Workshops cover topics like financial literacy, taxes, business entities, key metrics, and more. | |||
Quarterly Financial Workshops | |||
KPI Tracker |
Package add-ons
Every business is unique. Add additional services on an a la carte basis.
Quickbooks online subscription & setup
Payroll setup
Business & individual tax return
Profit FIRST
implementatioN
profit first
ONGOING support
Exciting news! We won best in business for medium size business last night! It was incredible and I'm still soaking it all in. Thank you for all you have done to allow me to make informed decisions and feel comfortable and confident. I am truly grateful for your expertise, support, and guidance.
-Alycia Burant, MA, LPC, NCC, CMHIMP
Healthy Minds Therapy


