Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Oklahoma City Mental Health Practices

Bookkeeping for Oklahoma City therapists, counselors, and small mental health practices. Books kept current and tax-ready by Aretha Dirden, who works with you directly.

Bookkeeping for Oklahoma City Practices

Oklahoma City keeps growing, and the mental health practices here have grown right along with it. Counselors around Midtown and the Plaza District, family therapists working out of offices along the Northwest Expressway, psychiatric nurse practitioners seeing medication visits back to back, and small recovery programs that have been steady in this city for years. Nearly all of them are one to ten people, with an owner who sees clients all day and then opens the bank app at night.

I am Aretha Dirden, and I do private practice bookkeeping for mental health professionals all over the country. Before this I spent more than 15 years as a licensed nurse in mental health, so you will not have to explain what a no-show does to a week, how your EHR deposits land, or why last month looked nothing like the one before it. You work with me, start to finish.

Monthly Bookkeeping

Full-service monthly bookkeeping with transactions categorized and your bank and credit card accounts reconciled every month. You get reports short enough to read between sessions, and I will walk through anything that looks off. Starting at $165 a month.

Getting Current Again

Books that were never started, or books that were kept for a while and then quietly drifted. I record the missing months, reconcile the accounts, and correct what landed in the wrong place. No lecture about how it happened, because I have seen it plenty of times.

Payroll for Practices with Staff

If your payroll system is already up and running, I can take the pay periods off your plate so your clinicians and front office are paid on time. I do not set up new payroll systems, and I say that plainly before we start.

Ready for Your Tax Preparer

When your preparer asks for numbers in the spring, they are already sitting there, organized and reconciled. I keep the year clean so filing season becomes a short handoff. I do not prepare returns myself.

Oklahoma City Practices I Work With

The practices I serve in Oklahoma City mostly take care of families and neighbors. Parents bringing in a teenager, couples working through a hard stretch, children receiving ABA services, adults in early recovery looking for somewhere steady to land. The clinical work is heavy, and the business side tends to wait until Sunday night.

This city also has a real recovery community, and many of the counselors and small programs in it run on modest fees and a lot of heart. Bookkeeping for addiction and recovery counselors matters more when the margins are thin, because guessing about money is how good practices wear themselves out. If any of this sounds like your practice, book a consultation with me and we will talk through where things stand.

Therapists and Counselors

Private pay and insurance deposits arrive on different rhythms, and sliding scale work shows up in the numbers whether anyone is watching or not. I reconcile what your practice system sends to the bank and give you a monthly picture of what a week of clinical hours actually earns.

Addiction and Recovery Counselors

Group work and individual sessions at different rates, plus payment arrangements that shift with the people you serve. I keep those revenue streams separated so you can see which part of the practice is carrying the rest.

Group Practices with Associates

Splits, salaries, W-2 staff, and 1099 associates all recorded correctly, with year-end 1099s handled on time. Reporting shows margin per clinician so you know whether adding the next associate helps. Classification questions belong with your attorney or tax professional, and the books record whichever answer is true.

Telehealth Practices

Plenty of OKC clinicians see clients across rural Oklahoma from a home office. Platform and EHR subscriptions, merchant processing fees, and payouts matched to sessions all get reconciled instead of glossed over. A remote practice and a remote bookkeeper fit together naturally.

Questions About This Area

You are in California. Can you keep the books for my Oklahoma City practice?

Yes. All of my work is remote and I have clients across the country. We talk by phone or video, your reports come to you every month, and you always work with me directly rather than a rotating team.

What does it cost?

Full-service monthly bookkeeping starts at $165 a month. Payroll starts at $150 a month for practices whose payroll system is already running. Catch-up and clean-up work is quoted per engagement once I see what exists.

My books are behind. Is that a problem?

That is how most practices find me. Some have books that were never started and some have books that were kept in a hurry and stopped making sense. I figure out which one you have, bring everything current, and then keep it current.

Can you run payroll for my group practice?

Yes, as long as your payroll system is already set up. I process the pay periods so your clinicians and staff are paid on time, and I track contractor payments through the year for 1099s. I do not set up new payroll systems.

What do you not handle?

I do not prepare tax returns. I keep your books tax-ready so your tax preparer has clean numbers to work from. I also do not do insurance billing, claims, credentialing, or coding. That work stays with your biller, and I record the deposits and fees so your revenue reconciles.

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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