Bookkeeping for Scottsdale Mental Health Practices
Monthly bookkeeping, catch-up work, and payroll for Scottsdale therapy and group practices. You work directly with Aretha.
Bookkeeping for Scottsdale Practices
Scottsdale has a lot of mental health practices for a city its size. Solo offices near Old Town, group practices along the Shea corridor, prescribers and testing psychologists further north. Many of them are well established, with full caseloads and years of history behind them, and the bookkeeping is still the piece that gets pushed to Sunday night.
I’m Aretha Dirden, and I keep the books for practices like these all over the country. Before this work I spent more than 15 years as a licensed nurse in mental health, so nobody has to explain a caseload to me, or what a week of no-shows does to the numbers. You work with me directly, every month, by phone or email or video, whenever it fits between sessions.
Monthly Bookkeeping
Monthly Bookkeeping
Transactions categorized, bank and credit card accounts reconciled, and a monthly report you can absorb in a few minutes. Your books stay current and you stop guessing at what the practice actually earned. Starting at $165 a month.
Catch-Up and Clean-Up
Catch-Up and Clean-Up
If the books haven’t been touched since last spring, I go back as far as we need to and bring everything current. If they were kept and nobody trusts the numbers anymore, I find what is wrong and fix it properly.
Payroll for Practices With Staff
Payroll for Practices With Staff
Group practices with associates and admin help need payday to simply happen. I run payroll every pay period for practices whose payroll system is already up and running. Building a new system from scratch is not something I take on, and I’ll say so up front.
Ready for Your Tax Preparer
Ready for Your Tax Preparer
I don’t prepare returns. What I do is hand your preparer a clean, reconciled set of books so the filing is a short conversation instead of a scramble. I also prepare 1099s for contractors, including associate clinicians and supervisors.
Scottsdale Practices I Work With
Bookkeeping for therapists and other mental health professionals is the only work I take on, and that focus is the whole point. I already know what an EHR deposit looks like when it hits the bank, how private pay and insurance money arrive on different rhythms, and why a sliding scale shows up the way it does in a month’s totals.
Scottsdale practices tend to be a little further along than average. Established caseloads, a mix of payment sources, sometimes an associate or two, sometimes a testing arm or a telehealth side that covers the rest of Arizona. More moving parts means more reason to know which parts are paying for themselves. If that sounds like your practice, book a consultation with me and we’ll talk through where things stand.
Solo Therapists and Counselors
Solo Therapists and Counselors
LMFTs, LPCs, and clinical social workers in private practice. Session revenue reconciled, business and personal spending kept separate, and a monthly picture that shows what a week of clinical hours really brings in after expenses.
Group Practices With Associates
Group Practices With Associates
Group practices with a handful of clinicians and admin support. Associate pay under splits or salary recorded correctly, contractor payments tracked all year, and reporting that shows what each clinician contributes once their share is accounted for.
Prescribers and Psychiatric NPs
Prescribers and Psychiatric NPs
Medication management practices run at a different pace, with shorter visits and more of them. I spent 15 years in nursing, so this is familiar ground. Deposits reconciled, practice costs tracked, reports that respect a packed schedule.
Telehealth and ABA Practices
Telehealth and ABA Practices
Online practices, assessment work, and behavioral health teams. Platform subscriptions, merchant processing fees, and payouts matched to the work delivered, so the real cost of running the practice is visible every month.
Questions About This Area
You're in California. How does that work for a practice in Scottsdale?
Everything I do is remote and I have clients coast to coast. We share documents securely and talk by phone or video whenever it fits your schedule. Arizona and California are on the same clock most of the year, so getting on a call is easy.
What does this cost?
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 is there.
My books are a year behind. Where do we start?
With a look at what exists. If the months were never recorded, that is catch-up work. If they were recorded and the numbers are wrong, that is clean-up. Either way I bring you current and then keep you current, and you will not hear one word of judgment from me about how it got there.
Can you run payroll for my associates?
Yes, as long as your payroll system is already set up and running. I process each pay period so your clinicians and admin staff are paid on time. I also prepare year-end 1099s for the contractors your practice pays.
Is there anything you don't handle?
I don't prepare tax returns. I keep your books tax-ready and work with whoever files for you. I also don't do insurance billing, claims, credentialing, or coding. That stays with your biller, and I record the money once it lands in the bank.
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


