Bookkeeping for Asheville Therapists and Practice Owners
Monthly bookkeeping, catch-up work, and payroll for Asheville mental health practices. Remote, nationwide, and handled by Aretha herself.
Bookkeeping for Asheville Practices
Asheville has an unusual number of therapists, counselors, and healing professionals for a city its size. If you are one of them, you probably know the pattern already. Clients come first, notes come next, and the bank statements sit in a pile until something forces the issue. Bookkeeping for mental health professionals is the only thing I do, and I do it for private practices in every part of the country.
My name is Aretha. Before I opened QuickBooks for a living, I spent more than 15 years as a licensed nurse working in mental health. You will not have to explain what a no-show is, why your deposits arrive in odd amounts, or what supervision means. I do the work myself, so the person who knows your books is the person who answers when you write.
Monthly Bookkeeping
Monthly Bookkeeping
Full-service monthly bookkeeping with transactions categorized, bank and credit card accounts reconciled, and a report you can read between sessions. You end the month knowing what the practice earned and where it went.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
Many Asheville practices had a hard stretch after the flooding in 2024 and the books quietly slipped. I record the months that were never done and fix the entries that were done wrong, then hand you numbers you can trust again.
Payroll for Practices with a Team
Payroll for Practices with a Team
If your payroll system is already set up, I run it every pay period so your clinicians and admin staff are paid on time. Payday stops living in your head. I don’t handle the initial setup, so bring me a system that is already working.
Tax-Ready Records and 1099s
Tax-Ready Records and 1099s
Your books stay organized all year so your tax preparer gets a clean handoff instead of a shoebox in March. I also prepare year-end 1099s for the associates, supervisors, and vendors your practice pays.
Asheville Practices I Work With
The practices here look a little different from the ones in a big metro. A lot of Asheville clinicians rent a room by the day in a shared suite in West Asheville or downtown, teach a workshop now and then, run a consultation group, and see clients on a sliding scale because they know what wages look like against what housing costs. All of that shows up in the books, and it should be tracked in a way that shows which piece of the practice actually pays for itself.
I work with solo therapists, psychologists doing assessment work, clinical social workers, psychiatric nurse practitioners, and group practices with up to about ten people. If your books are behind or you have never had a real system, book a consultation with me and we’ll talk it through honestly before you commit to anything.
Therapists and Counselors
Therapists and Counselors
Bookkeeping for therapists and counselors in solo practice. Session revenue reconciled from your practice management deposits to the bank, private pay and insurance payments landing on different rhythms, and business spending separated from personal for good.
Recovery and Addiction Counselors
Recovery and Addiction Counselors
Asheville has a deep recovery community, and the counselors serving it often mix individual sessions, groups, and flexible payment arrangements. I keep those different rates and revenue streams straight so a mission-driven practice stays sustainable.
Group Practices
Group Practices
Associates on splits, W-2 staff, and 1099 contractors all recorded correctly, with reporting that shows what each clinician contributes. That is how you know whether adding the next associate is helping the practice or just adding work.
Telehealth Practices</CollectionSectionItem>
Telehealth Practices</CollectionSectionItem>
Mountain roads in January push a lot of Asheville clinicians online. Platform fees, EHR and software subscriptions, and processor deductions get reconciled instead of ignored, so your reports reflect what you actually keep.
Questions About This Area
You're in California. Can you really keep the books for my Asheville practice?
Yes. I work with practice owners all over the country and everything happens remotely. We connect your accounts, share documents securely, and talk by phone or video when you have questions. Asheville is no different from a practice two miles from my desk.
What does monthly bookkeeping cost?
Full-service monthly bookkeeping starts at $165 per month. Your price depends on how many accounts and transactions you have and how your practice is set up. I'll look at what you have first and then quote you a flat monthly rate so nothing is a surprise.
My books haven't been touched in over a year. Is that too far gone?
No, and you are not the first person to tell me that. Falling behind is common when you are seeing clients all week. I record the missing months, reconcile the accounts, and get you current, then we keep it that way going forward. No lectures from me about how it happened.
Do you run payroll?
I run payroll for practices whose payroll system is already up and running, which fits a lot of Asheville group practices with associates and admin help. I don't do the initial payroll setup. If your system is in place, I take payday off your plate.
What isn't part of your work?
I don't prepare tax returns. I keep your books clean and tax-ready and hand them to your tax preparer in good shape. I also don't do insurance billing, claims, credentialing, or coding. That work stays with your biller, and I record and reconcile the money that comes in from it.
Helping the People Who Help Others
Let's Start With
a Short Conversation
Tell me where your books stand right now, even if the honest answer is that nobody has looked at them in a year. I'll ask a few questions and give you a clear idea of how I can help.
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