Bookkeeping for Memphis Mental Health Practices
Monthly bookkeeping, catch-up work, and payroll for Memphis mental health practices. You work directly with Aretha Dirden.
Bookkeeping for Memphis Practices
I keep the books for mental health practices in Memphis from my desk in Lancaster, California. Every month I categorize your transactions, reconcile your bank and credit card accounts, and send you reports you can read between sessions without needing a translator. You work with me directly, start to finish.
Before this I spent more than 15 years as a licensed nurse in mental health, which is how bookkeeping for therapists became my work. I know what a full caseload feels like, I know what a deposit from your practice management system looks like when it lands, and I know the books are usually the last thing anyone gets to on a Friday evening. That is the part I take off your plate.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, accounts reconciled, and a profit and loss and balance sheet every month. Starting at $165 a month. Your books stay current, stay tax-ready for whoever prepares your return, and finally show you what the practice actually earns.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
Months or years that were never recorded get done period by period until you are current. Books that were kept badly get reviewed, corrected, and reconciled until the numbers are worth trusting again. Either way, no lectures about how it got here.
Payroll and 1099s
Payroll and 1099s
If your payroll system is already set up and running, I process it every pay period so your clinicians and staff are paid right and on time. I do not build new payroll systems. At year end I prepare 1099s for associate clinicians, contract supervisors, and vendors.
QuickBooks Online Setup and Training
QuickBooks Online Setup and Training
I am a QuickBooks ProAdvisor, certified at Level 2 with the Gold badge. For a newer Memphis practice I set up QuickBooks Online with a chart of accounts built for mental health work, connect your accounts, and walk you through it until you feel steady using it.
Memphis Practices I Work With
Memphis has a long tradition of community mental health work, and you can see it in the private practices here. A lot of the clinicians I talk with spent years in agency, hospital, or school settings before they opened their own doors, and they brought the same populations and the same sense of duty with them. Offices along the Poplar corridor, in Midtown and Cooper-Young, out in Germantown, Collierville, Bartlett, and Cordova, plus telehealth practices reaching across the river and down into the Delta.
I work with therapists and counselors, psychologists, clinical social workers, addiction and recovery counselors, psychiatric nurse practitioners, group practices, telehealth practices, and ABA providers, usually with one to ten people on the team. Many of them reach out when they are a year or more behind, so getting the books caught up is where we begin, then monthly service keeps it from repeating. If that sounds like your situation, book a consultation with me and we will talk it through.
Therapists and Counselors
Therapists and Counselors
LPCs, LMFTs, and counselors seeing clients across the metro. I reconcile what your system says you collected against what actually reached the bank, keep private pay sorted from everything else, and separate business spending from personal so your monthly numbers tell the truth.
Clinical Social Workers
Clinical Social Workers
Plenty of Memphis LCSWs come out of agency and hospital work where someone else handled the money entirely. That first year on your own, business records are brand new territory. I get the banking separated, the expenses tracked, and the numbers clear enough to make real decisions about caseload and fees.
Group Practices
Group Practices
Practices that have added associates and support staff. I record clinician compensation the way your agreements are actually written, keep W-2 staff and 1099 contractors straight, and report margin per clinician so you know whether the next hire helps. More on group practice bookkeeping here.
Telehealth Across the Mid-South
Telehealth Across the Mid-South
Memphis sits where three states meet, and many practices here see clients in Tennessee, Mississippi, and Arkansas. I track platform and EHR subscriptions, reconcile merchant processing fees against payouts, and keep home office and equipment records organized for your tax preparer.
Questions About This Area
You are in Lancaster, California. Can you really keep the books for my Memphis practice?
Yes. Every client I have works with me remotely, and they are spread all over the country. You give me access to your bank and credit card accounts, we talk by phone or video whenever you want, and I do the work. Central time and Pacific time have never gotten in the way. Most practices settle into a rhythm of a monthly report and a quick check-in when something comes up.
What does monthly bookkeeping cost?
Full-service monthly bookkeeping starts at $165 a month. Your number depends on how many accounts you have, how much activity runs through them, and whether you add payroll or bill payment. Payroll starts at $150 a month for practices whose payroll system is already running. I quote a flat monthly rate after I look at your accounts so nothing shifts on you later.
My books have not been done since I opened. Where do we start?
We start with a look at what exists. If the months were never recorded, that is catch-up work, and I record and reconcile it period by period until you are current. If the entries are there and they are wrong, that is clean-up. Both are priced per engagement once I see the size of it. You will not hear a word of judgment from me. This happens to good clinicians all the time.
I see clients in Tennessee, Mississippi, and Arkansas. Does that make the books harder?
It adds some sorting, and it is very manageable. I keep income and expenses organized and reconciled so your tax preparer has a clear starting point for a multi-state picture. Licensure questions belong with your boards, and state filing questions belong with your tax preparer.
Do you file tax returns or handle insurance billing?
No to both, and I want to be plain about it. I keep your books tax-ready and I am happy to work with your tax preparer so they get clean numbers. Claims, credentialing, and coding stay with your biller or billing service. My part is reconciling the deposits that reach your bank against your books so you can see what you were actually paid.
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.
Other Areas
