Bookkeeping for Providence Mental Health Practices
Bookkeeping for therapists, counselors, and mental health practices in Providence. Work directly with Aretha Dirden, remotely, with books kept tax-ready.
Bookkeeping for Providence Practices
Providence fits a lot of clinical care into a small city. Between the hospital systems, Butler and Bradley, and the training programs that bring clinicians here and keep them, there is a deep bench of mental health professionals in this metro. Many of the private practices I hear from started the same way, with someone leaving a hospital or agency position and opening a small office on the East Side, off Wayland Square, or downtown. The clinical work goes fine. The books are the part nobody prepared you for.
That is where I come in. I’m Aretha Dirden, and bookkeeping for therapists and other mental health professionals is all I do. Before I ever opened QuickBooks for a client, I spent more than 15 years as a licensed nurse working in mental health, so the language of your practice is already familiar to me. I work with practice owners all over the country from my office in Lancaster, California, which means the distance between us has no effect on your books staying current.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, bank and credit card accounts reconciled, and a monthly report you can absorb between sessions. My full-service bookkeeping keeps you current, so you always know what the practice brought in and what it kept.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
If nobody has touched the books since you signed the lease, or a previous bookkeeper left a mess behind, we start there. I record the missing months, correct what went into the wrong place, reconcile every account, and hand back numbers you can believe.
Payroll for Practices With Staff
Payroll for Practices With Staff
If your payroll system is already up and running, I process it every pay period so your front desk staff and associate clinicians are paid right and on time. I do not set new payroll systems up, and I say so plainly before we begin.
Ready for Your Tax Preparer
Ready for Your Tax Preparer
Your books stay organized all year, which makes February quiet. Clean categories, reconciled accounts, and year-end 1099s for the contractors you pay. Your tax preparer gets what they need without anyone scrambling.
Providence Practices I Work With
The practices in this city come in every shape a compact metro has room for. A solo therapist renting one room in a shared suite. Two clinical social workers who went into business together. A psychologist balancing assessment work against a therapy caseload. A psychiatric nurse practitioner running medication management visits back to back. An ABA practice with technicians driving out to homes in Cranston, Pawtucket, and East Providence.
What they share is a small team, real revenue, and no appetite for spending Sunday night in QuickBooks. If that sounds familiar, book a consultation with me and tell me where things stand right now. There is no pressure and no judgment about how the books look today.
Therapists and Counselors
Therapists and Counselors
Counselors and marriage and family therapists seeing clients on the East Side, downtown, or from a home office. Session revenue reconciled from your deposits, sliding scale and cancellation patterns visible in the numbers, and personal spending kept out of the practice books.
Clinical Social Workers and Recovery Work
Clinical Social Workers and Recovery Work
Plenty of clinical social workers here came out of hospital or agency roles and are keeping business records for the first time. Addiction and recovery practices often mix group and individual sessions at different rates. I keep both straight, month after month.
Group Practices
Group Practices
Two clinicians or ten, with W-2 staff, 1099 associates, or a mix of the two. I record compensation the way your agreements are actually written and show what each clinician contributes, so you can tell whether adding the next associate is working.
Telehealth and Cross-Border Caseloads
Telehealth and Cross-Border Caseloads
Rhode Island is small enough that a caseload reaches into Massachusetts and Connecticut without much effort, and many clinicians here see clients online. Platform subscriptions, processor fees, and payouts all get reconciled with telehealth practice bookkeeping that matches how you really work. Licensing questions stay with your board, and I keep the money side clear.
Questions About This Area
You're in California and I'm in Providence. Does that actually work?
It does. Every client I have works with me remotely, and Providence practices are no different. Bank access and documents move online, and I keep Eastern time in mind when we schedule calls so we're not trying to talk during your four o'clock session. You work with me directly, every time.
What does monthly bookkeeping cost?
Full-service monthly bookkeeping starts at $165 a month. Where you land depends on how many accounts you have and how much activity runs through them. I give you a firm number after we talk about your practice.
My books are months behind. Are you going to judge me?
No. Falling behind is the most common reason a practice owner reaches out to me, and it rarely has anything to do with effort. We find out what is missing, record and reconcile the past periods, and then keep things current going forward.
Do you handle insurance billing or claims?
No. I don't do claims, coding, or credentialing. What I do is take the payments and remittances that land in your bank account and get them recorded and reconciled properly, so your revenue is right in the books.
Do you prepare tax returns?
I don't. I keep your books tax-ready so your tax preparer has clean, reconciled numbers to work from, and I'm glad to answer their questions when they come up.
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
