WP210 | Discover a Better Alternative to Third-Party Credentialing with Nicholas Mancini

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Accepting insurance can help more people access your services, but getting credentialed and managing billing can feel overwhelming. For many private practice owners, large credentialing platforms offer a convenient way to get started. Yet questions about compensation, communication, and autonomy can leave therapists wondering what other options exist.

In episode 210 of the Wise Practice Podcast, Whitney Owens talks with Nicholas Mancini, therapist and co-founder of Collective Counseling Solutions, about the company he helped build to support clinicians. Their conversation explores how insurance credentialing, transparent business practices, and meaningful community can work together.

From Community Mental Health to Private Practice

Nicholas began his career serving marginalized populations in Denver through an AmeriCorps-affiliated volunteer program. That experience sparked his interest in mental health care and advocacy, eventually leading him to graduate school and work in community mental health.

He describes adolescent day treatment as the “team sport of mental health care.” Clinicians worked closely together, supporting young people throughout their day and responding to challenges as a team.

When Nicholas moved into private practice, he gained more control over his schedule and flexibility for his growing family. But the transition also raised questions about access. Moving from a primarily Medicaid caseload to private-pay work made him think carefully about whom he could serve.

He wanted to accept insurance, but getting onto panels proved difficult. A local credentialing and billing company helped him navigate the process—and introduced him to a new possibility for supporting other therapists.

How Collective Counseling Solutions Began

Nicholas connected with Eric, another therapist renting office space from him, who was working with the same credentialing company. Both appreciated how the arrangement helped them serve more clients.

They began helping the company’s owner with benefit verification and credentialing applications. That mentorship gave them practical experience with the business side of insurance.

In 2019, Nicholas and Eric founded Collective Counseling Solutions. They wanted to expand beyond Colorado, work with additional insurers, and create opportunities for therapists to connect.

Their goal included helping clinicians understand the systems their practices depend on. When therapists understand rates, deductibles, and billing processes, they are better equipped to answer clients’ questions and make informed business decisions.

A Clinician-Led Approach to Credentialing

Whitney asks how Collective Counseling Solutions differs from larger platforms such as Alma, Grow, and Headway.

Nicholas explains that he and Eric funded the business themselves. As practicing clinicians, they draw on their own experiences when deciding what services to offer and which problems to address.

He also acknowledges the tradeoffs. Their systems may require a few additional steps, and they may not offer every technology feature available elsewhere. They focus on keeping operations lean, supporting clinicians, and offering competitive compensation.

Nicholas says that, for many major commercial insurers, the collective can match or exceed the compensation offered by some larger platforms. Rates and fit still need to be discussed directly with the company.

Why Personal Support Matters

One of the most meaningful moments in the conversation comes when Nicholas describes learning that a clinician in the collective had died.

He personally called her clients to share the news and followed up when needed. Some clients expressed appreciation for hearing from a person during a difficult and confusing experience.

The story illustrates the responsibility that comes with providing a relational service. Efficient systems matter, but so does having someone available when a situation requires care, judgment, and a conversation.

For solo practitioners, that support can be especially valuable. A professional community can provide help when insurance problems, unexpected circumstances, or difficult administrative questions arise.

Transparency Helps Therapists Make Informed Choices

Nicholas compares the collective’s onboarding process to informed consent in therapy. Before entering a working relationship, clinicians should understand the processes, expectations, and compensation involved.

Collective Counseling Solutions shares information about its rates and procedures so therapists can consider whether the arrangement fits their practice.

For practice owners exploring credentialing support, the conversation raises useful questions:

- Do I understand how I will be paid?

- Can I get help from someone when a complicated issue comes up?

- How much administrative work will remain my responsibility?

- Does this arrangement support the way I want to run my practice?

Nicholas Mancini, Co-Founder & CEO, LMFT, LPC

Therapist, Entrepreneur, and Idealist Supporter, Nicholas Mancini is on a journey to align his mission, vision, and values with opportunities to serve others.

He is a Licensed Marriage and Family Therapist and Licensed Professional Counselor in Denver, CO. In 2019 he co-founded Collective Counseling Solutions (CCS), a national collective of therapists dedicated to increasing access to mental healthcare through their insurance benefits. CCS is striving to disrupt the industry by being clinician and client-centric.

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