WP115 | How to Start a Private Practice in 2025 - Live Consulting with Derrick Boger, LCMHCA, NCC

Today’s episode is particularly exciting because we’re diving into what it takes to start a private practice in 2025. I’ve brought on a very special guest, Derrick Boger, who I had the pleasure of meeting at the Wise Practice Summit last year. Derrick is one of those rare individuals who exudes courage and faith. Despite not knowing anyone, he attended the summit as he was preparing to launch his own practice. His story is a testament to taking bold steps toward your calling, and I knew immediately that he needed to share his journey on the podcast. Together, we’ll discuss the challenges and opportunities of starting a private practice in today’s world, all through the lens of faith and service.

So grab a cup of coffee, settle in, and get ready for an inspiring conversation. Whether you’re in the early planning stages or looking for ways to refresh your existing practice, you’re going to take away valuable lessons and encouragement from Derrick’s journey. Let’s dive in!

Define Your “Why” and Mission

The cornerstone of any successful practice is a clear sense of purpose. Defining why you started and developing a mission statement will keep your decisions grounded in your values. This clarity helps you navigate challenges and align your practice with your long-term goals. Resist the urge to follow trends that don't resonate with your vision; instead, create a foundation that authentically reflects who you are and what you want to achieve.

Find the Right Support

Running a practice can feel isolating, but it doesn’t have to be. Surround yourself with a supportive community or coach who understands your values and goals. Seek guidance from those who have been where you are, and learn from their experience. Whether through podcasts, blogs, or videos, small weekly changes based on informed advice can make a big difference.

Structure Your Practice with Intention

Your practice’s structure should reflect your mission. Carefully consider your rates, the clients you want to serve, and whether insurance participation aligns with your goals. Instead of trying to accommodate everyone, focus on what works best for you and your ideal client base. An intentional structure will ensure that your practice stays sustainable and aligned with your vision.

Build a Strong Brand and Online Presence

Your brand is your first impression. Choose a name that’s memorable, easy to spell, and optimized for SEO by including relevant terms like “therapy” or “counseling.” A professional website is essential for credibility. Pair it with a custom domain and email to solidify your online presence.

Handle Administrative Essentials

Behind every great practice is a strong administrative foundation. Secure your National Provider Identifier (NPI) and register your business with the state. Set up a separate business checking account and use tools like QuickBooks to keep your finances organized. These small but critical steps will save you time and stress in the long run.

Streamline Your Operations

Simplify your workflow with an Electronic Health Record (EHR) system. From scheduling to billing, an EHR will keep everything running smoothly. Require credit cards on file and enforce a clear cancellation policy to protect your time and ensure accountability.

Foster Connection and Accountability

Private practice doesn’t have to be lonely. Build relationships with other professionals to stay accountable and bounce ideas off each other. Whether it’s clinical challenges or business strategies, having a trusted network can make all the difference.

Start with Prayer and Trust the Process

Faith can play a powerful role in growing your practice. Pray for the clients you’re meant to serve and trust that the right opportunities will come your way. Time and again, business owners have found that faith and persistence can lead to remarkable outcomes.

Respond Quickly to Inquiries

Timely communication can set you apart from other providers. Answer calls promptly, even if you’re on the go, and provide multiple ways for clients to reach you. Whether it’s online scheduling, phone calls, or email, prioritize accessibility to make the process easy for potential clients.

Enforce Clear Policies to Protect Your Time

Setting boundaries is essential for both your clients and your practice. Require credit cards on file and establish a cancellation policy to reduce no-shows and encourage commitment. These policies demonstrate professionalism and ensure your time is respected.

Deliver Excellent Clinical Care

Never underestimate the power of word-of-mouth referrals. Providing exceptional care will naturally lead clients to recommend you to others. Encourage feedback, continuously improve, and let your results speak for themselves.

Build Relationships with Referral Sources

Collaborating with schools, churches, and other organizations can significantly grow your client base. Follow up with referral sources to build trust and demonstrate your commitment to client care. When your referrals see positive outcomes, they’re more likely to send others your way.

Be Your Own Advocate

Don’t shy away from promoting your services. Whether it’s handing out business cards or casually mentioning your practice in conversations, share your expertise whenever opportunities arise. People need to know about the important work you do.

Master SEO and Optimize Your Website

A well-optimized website is one of your most powerful tools. Create dedicated service pages for each specialty to improve search engine rankings. Invest time in learning SEO or seek guidance from resources like Simplified SEO Consulting to ensure your website is working for you.

Utilize Google My Business

A Google My Business profile can greatly enhance your visibility. Keep it updated and encourage satisfied clients to leave reviews. Positive feedback builds trust and helps potential clients choose you with confidence.

Engage in Community Outreach

Free workshops can be an excellent way to build credibility and connect with your community. Partner with local organizations like churches or first responders to offer solutions tailored to their needs. These relationships can lead to referrals and solidify your reputation as a trusted resource.

Let Your Personality Shine

Your authenticity is one of your greatest assets. Engage genuinely with clients and colleagues alike, and let your likability create lasting connections. A personal touch can leave a lasting impression, encouraging others to choose your services over the competition.

Starting and growing a private practice is a journey that requires intention, strategy, and faith. By following these steps, you’ll not only attract clients but also create a practice that reflects your mission and serves your community with purpose.

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WP116 | How to Juggle Motherhood and Managing a Private Practice - Live Consulting with Jaclyn Bailes

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WP114 | How to Trust the Next Step with Laura Long