Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Columbus Mental Health Practices

Monthly bookkeeping for therapists, counselors, and group practices in Columbus. Work directly with Aretha, remotely, wherever your practice sits.

Bookkeeping for Columbus Practice Owners

Columbus keeps growing. New neighborhoods out past the outerbelt, young families settling in, and clinicians whose waitlists stay full because the referrals keep coming. Most of the practice owners I talk to there aren’t short on clients. They’re short on hours, and bookkeeping tends to be the thing that slides to Sunday night and then slides again.

I’m Aretha. Before I opened QuickBooks for a living, I spent more than 15 years as a licensed nurse working in mental health, so nobody needs to explain intake, no-shows, supervision hours, or what a full caseload does to a week. Bookkeeping for therapists and other mental health professionals is the only work I do, I do it myself, and I do it for practices all over the country, Columbus included.

Monthly Bookkeeping

Each month I categorize your transactions, reconcile your bank and credit card accounts, and send reports you can absorb in the ten minutes between sessions. If a number looks odd to you, ask me and I’ll walk you through it in plain words.

Getting Caught Up

Some practices come to me with a year of transactions nobody ever recorded. Others have books that were kept badly. I sort through the history, reconcile every account, and hand back records you can believe again.

Payroll Every Pay Period

Once a practice grows past one clinician, payday starts taking up space in your head. If your payroll system is already running, I’ll run payroll every pay period so your team gets paid right and on time.

Ready for Your Tax Preparer

I don’t prepare returns. I keep your books in the shape your preparer needs, categorized properly and reconciled straight through year end, so tax time becomes a simple handoff. Contractor 1099s get prepared and filed too.

Columbus Practices I Work With

A lot of the clinicians I speak with in Columbus started somewhere else, in a hospital system, a community agency, a school district. The referrals kept arriving, they hung a shingle, and the practice grew from there. Some stay solo by choice. Others add an associate, then another, and find themselves running a group practice before they ever planned on one.

I work with solo therapists, prescribing practices run by psychiatric nurse practitioners, and small teams with a handful of employees. Clintonville and Grandview Heights, Dublin, Westerville, Bexley, New Albany, and online practices serving clients across Ohio. If the money side of your practice has been nagging at you for months, book a consultation with me and we’ll talk through where things stand.

Therapists Serving Families

Child, teen, and couples work follows the school calendar in a city this full of young families. Caseloads fill up in September and thin out in July. Books that show that rhythm make it far easier to plan ahead for the quieter months.

Growing Group Practices

Two clinicians, then four, then someone at the front desk. Associate splits, W-2 staff, and 1099 contractors all recorded correctly, with monthly reporting that shows what each clinician contributes so you know whether the next hire pencils out.

ABA and Behavioral Health

Demand for behavioral services in central Ohio keeps climbing, and these practices carry the heaviest staffing of anyone I serve. Technicians and analysts on payroll, contractor payments tracked, and revenue reconciled against what actually reaches the bank.

Telehealth Practices

Online-first practices seeing clients from Toledo to Cincinnati. Platform and EHR subscriptions, merchant processing fees, and payouts matched to the sessions behind them, so the real cost of running virtually is visible every month.

Questions About This Area

You're in California. Can you really keep the books for a practice in Columbus?

Yes, and it works more smoothly than people expect. Everything I need comes through secure access to your accounts and your practice software, so where I sit doesn't change the quality of the work. Columbus runs three hours ahead of me, which means your early afternoon questions reach me in my morning and usually get an answer the same day.

What does monthly bookkeeping cost?

Full-service bookkeeping starts at $165 a month. Your price depends on how many accounts you have, how much activity runs through them, and whether you want payroll or bill payment added. I'll give you a flat monthly number after we talk about your practice.

My books are almost a year behind. Is that a problem?

It happens all the time and it is fixable. I gather your statements, record and reconcile period by period, and get you current. Then monthly service keeps you there. You won't hear a lecture from me about how it got that way.

Do you run payroll?

I do, for practices whose payroll system is already up and running. If you pay your team through an existing provider, I'll take the pay periods off your plate. I don't handle the initial setup of a payroll system, so if you're hiring your first employee, get the system going and then hand it to me.

Do you prepare tax returns or handle insurance claims?

Neither one. I keep your books tax-ready and work with whoever prepares your return so they receive clean, reconciled numbers. Claims, coding, and credentialing stay with your biller. My part is making sure the deposits that land in your bank account match what your books say.

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.

AD Keeps The Books is Aretha Dirden, a bookkeeper who spent more than 15 years as a licensed nurse in mental health before taking over the books for the people doing that work. She handles monthly bookkeeping, catch-up and clean-up work, and payroll for therapists, psychologists, counselors, and clinical social workers in private practice, and she does the work herself for every client. Based in Lancaster, California, serving practices nationwide. QuickBooks ProAdvisor certified.

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