Bookkeeping for Nashville Mental Health Practices
Remote bookkeeping for Nashville therapists, counselors, prescribers, and group practices. Books kept current, tax-ready, and easy to read.
Bookkeeping for Nashville Practices
Nashville has grown quickly, and mental health care has grown right along with it. New solo offices in Berry Hill and East Nashville, group practices adding associates in Green Hills and Brentwood, recovery providers serving people all over Middle Tennessee, and online-first practices seeing clients across the state. When a practice fills up that fast, the books are almost always the last thing to catch up.
I am Aretha. I keep the books for mental health practices from my desk in Lancaster, California, and Nashville is well inside my map. Before this work I spent more than 15 years as a licensed nurse in mental health, so you will not have to explain a no-show fee, a supervision hour, or how an EHR deposit shows up in the bank. You work with me directly, every month, not with a rotating staff.
Monthly Bookkeeping
Monthly Bookkeeping
Full-service monthly bookkeeping that keeps your records current. Transactions categorized, bank and credit card accounts reconciled, and a short set of reports each month that shows what the practice earned and what it kept.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
If the books were never started, we build them. If they exist but nobody trusts the numbers, we find the errors, fix them, and reconcile every account. Either way you end up with records you can believe.
Payroll for Practices with Staff
Payroll for Practices with Staff
For practices whose payroll system is already running, I process every pay period on time so associates, front desk staff, and technicians get paid right. Payday stops living in your head.
Year-End and 1099s
Year-End and 1099s
Your books stay tax-ready all year, so the handoff to your tax preparer is a simple one. Contractor payments are tracked as they happen and 1099s for associate clinicians, supervisors, and vendors go out on time.
Nashville Practices I Work With
Bookkeeping for mental health professionals is the only work I do, so the practices I serve in Nashville tend to look familiar to me. Solo therapists and counselors, psychologists doing testing alongside therapy, psychiatric nurse practitioners with packed medication management schedules, recovery counselors, group practices with a handful of clinicians, and ABA providers with teams in the field.
Most of them have the same thing in common. The caseload is full, the admin time is thin, and the owner is also the clinician. If you have been putting off the money side because the clinical side never lets up, book a consultation and we will talk through where your books stand and what it would take to get them current.
Therapists and Counselors
Therapists and Counselors
Session revenue reconciled from your practice management deposits to the bank, private pay and insurance payments landing on different rhythms, sliding scale and cancellation patterns showing up honestly in the numbers, and personal spending kept out of the business.
Addiction and Recovery Providers
Addiction and Recovery Providers
Middle Tennessee has a deep recovery community, and the books for this work carry their own puzzles. Bookkeeping for addiction and recovery counselors means group sessions and individual work at different rates, plus payment arrangements that vary with the people you serve.
Group Practices
Group Practices
Associates on splits or salaries recorded correctly, W-2 staff and 1099 contractors each tracked properly, and reporting that shows margin per clinician. That is usually the number you need before you decide whether to hire the next one.
Telehealth Practices
Telehealth Practices
Online-first practices have real recurring costs in platform and EHR subscriptions, and processor fees that deserve to be reconciled rather than ignored. I match payouts to the work and record the deposits that land in your account. I do not file claims, handle credentialing, or touch coding.
Questions About This Area
You are in California. Can you really keep the books for my Nashville practice?
Yes. All of my work is remote and my clients are spread across the country. We share documents securely, hop on a video call when you want one, and handle the rest by email. Nashville runs two hours ahead of me, so a question you send between sessions usually reaches me while I am still at my desk.
What does it cost?
Monthly bookkeeping starts at $165 a month. Payroll processing starts at $150 a month. Catch-up and clean-up work is quoted per engagement once I have looked at what you have. You will get a real number from me before you commit to anything.
My books are months behind. Is that a problem?
That is how most practices come to me, and I am not going to make you feel bad about it. We gather statements and access, work through the missing months, reconcile the accounts, and then move into monthly service so it does not pile up again.
Do you file my tax return?
No, I do not prepare tax returns. I keep your books accurate and organized all year so your tax preparer here in Nashville or wherever they sit gets clean financials and contractor records without chasing you for paperwork.
Can you run payroll for my group practice?
Yes, as long as your payroll system is already up and running. I process each pay period on time so your clinicians and staff are paid correctly. I do not set up new payroll systems, so if you are starting from scratch, get the system in place first and I will take it from there.
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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