Careers — California-licensed psychologists

Build your practice. Keep 75%.

Grounded Therapy is a fully remote, insurance-accepting group practice for California-licensed psychologists. We provide the credentialing, billing, marketing, and community — so you can do the work you trained for.

See what you could earn →
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You keep 75%

Most group practices take 40–50% of everything you bill. We keep 25% — to cover your EHR, billing, credentialing, and marketing. The rest is yours.

Higher rates from day one

We've negotiated premium insurance reimbursement rates across Aetna, Cigna, Optum, and others. You benefit from group-level contracts without building them yourself.

100% telehealth, your schedule

Work from home on the days and hours you choose. As a 1099 contractor, you set your caseload, your client profile, and your limits. We don't dictate any of it.

Who we are

Our team operates from an intersectional, anti-oppressive framework. We specialize in trauma, anxiety, OCD, neurodivergence, LGBTQIA+ communities, and identity-related concerns. We are not a referral-mill — we are a practice built around values.

The numbers

See exactly what you’d earn.

Plug in your target caseload and we’ll show you your projected gross income, its W-2 salary equivalent after 1099 tax benefits, and how it compares to other paths.

Earnings calculator

Model your income at Grounded Therapy and see how it compares — including the full 1099 tax picture.

Your practice profile

Total hours you want to work per week (at GT, all of these become billable sessions)
25 hrs → 25 sessions

Cash-pay mix (rest is insurance — GT rate $175/session)
25% cash / 75% ins.

Weeks off per year
4 weeks

Your estimated picture at Grounded Therapy

Gross annual income (1099)

—

75% of your billings

Est. take-home after taxes

—

After deductions + CA taxes

W-2 salary equivalent

—

Gross W-2 salary needed to net the same

Grounded Therapy (all hrs billable)

Traditional group (~3 hrs admin/wk)

Solo practice (~7 hrs admin/wk, ~$125 ins.)

The honest picture

Every path has a trade-off. Here’s the honest picture.

	Solo practice	Traditional group	Grounded Therapy
Your split	100%	55–60%	75% ✓
Insurance rates	Self-negotiated (low)	Group rate (mid)	Premium group rate ✓
Admin burden	6–10 hrs/week	2–4 hrs/week	0 hrs — we handle it ✓
Caseload ramp-up	18–24 months	6–12 months	3–5 months ✓
Overhead cost	~$800–1,500/mo	$0	$0 ✓
Schedule flexibility	High	Low–Medium	High ✓
Insurance accepted	Sometimes	Often	Yes — Aetna, Cigna, Optum & more ✓
Recession buffer	Volatile (cash-pay)	Moderate	Stable (insurance + cash) ✓
Community & consultation	None built-in	Varies	Weekly consults, annual retreat ✓

What we handle — completely

Grad school taught you to be a psychologist, not a medical biller.

Every hour you spend chasing a denied claim or updating a credentialing application is an hour you are not earning, resting, or caring for clients. At Grounded, our dedicated team absorbs all of it.

Credentialing

Insurance credentialing & contracting

We submit and manage your credentialing applications across all GT payer contracts — Aetna, Cigna, Optum, Carelon, Lyra, Modern Health, and others. Most providers are credentialed within 60–120 days of signing with us, before starting.

Billing

Claims submission & billing

Our in-house billing specialist, Lish, manages every claim — submissions, benefit verifications, denial research, and follow-up. You document the session; she handles the rest.

Technology

EHR, fax, phone & HIPAA-compliant tools

Your EHR account, HIPAA-complaint video, phone, fax, SMS, and encrypted email are fully configured and covered. Zero out-of-pocket cost for clinical infrastructure.

Marketing

Directory listings, SEO & referral funnels

We maintain your Psychology Today profile, your listing on our high-SEO provider directory, and an active referral network. Most providers reach a full caseload within 3–5 months.

Community

Team & peer consultation

Weekly Thursday case consultations, shared clinical protocols, and an annual in-person retreat. Private practice doesn't have to mean practicing alone.

Business analytics

Your own dedicated business nerd (MBA)

Monthly practice reports, personalized financial planning, caseload modeling, and a managing director who actually reads the numbers. You focus on clients — we track everything else.

Community

Private practice shouldn’t mean practicing alone.

The isolation of solo practice is real — and it’s one of the fastest paths to burnout. At Grounded, you join a team of nine like-minded clinicians who collaborate, consult, and actually know each other.

Weekly: Case consultation, Thursdays 2–3 PM PST. Optional, always valuable.
Annually: In-person provider retreat.
Ongoing: Shared clinical protocols and treatment resources: DBT, Unified Protocol, CBT for Panic, and others.

The ramp-up, honestly

Here’s what month one actually looks like.

The ramp-up period is real, and we don’t hide it. What we can show you is exactly what to expect — based on your target caseload, how many clients you’re bringing, and how quickly our credentialing and marketing fill the rest.

I love working with a team that focuses on a variety of individual specialties while remaining committed to offering a queer and collaborative atmosphere to a wide range of individual clientele.
— Eli Reding, Licensed Psychologist & Group Therapy Lead

Ready to build something better?

If you’ve gotten this far, you’re the kind of psychologist we want to work with. Apply today — the process takes about 10 minutes, and Stacy will be in touch within 5 business days.

Apply Now
Questions?