Bookkeeping and payroll for mental health professionals in private practice

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Bookkeeping for Tampa Mental Health Practices

Bookkeeping for therapists, counselors, and group practices in Tampa. Books kept current, tax-ready, and easy to read.

Bookkeeping for Tampa Practices

Tampa has been on a growth streak for years now, and mental health practices have grown right along with it. New residents, full caseloads, waitlists, a first associate hired sooner than expected. The clinical side of a Tampa practice usually fills up fast. The bookkeeping is the part that quietly falls behind while everything else demands attention.

I’m Aretha. I spent more than 15 years as a licensed nurse working in mental health before I started keeping books, and bookkeeping for therapists and other mental health professionals is the only work I do now. You work with me directly, not with a rotating team. If you’re in Tampa, book a consultation and tell me where things stand. We’ll figure out what your practice actually needs.

Monthly Bookkeeping

Transactions categorized, bank and credit card accounts reconciled, and monthly reports you can read in a few minutes between sessions. You’ll know what came in, what went out, and what the practice actually kept. Starting at $165 a month.

Getting Current Again

If months or years of records were never entered, catch-up bookkeeping is where we start. If the books exist but nobody trusts the numbers, that’s clean-up work. Either way I bring things current, then keep them that way.

Payroll and Year-End 1099s

For practices whose payroll system is already up and running, I process each pay period so your clinicians and staff are paid right and on time. I also prepare year-end 1099s for contract associates, supervisors, and vendors.

Tax-Ready Records

I don’t prepare tax returns, and I keep your books so your tax preparer has an easy job. Categories that make sense for a practice, accounts reconciled, documentation where it belongs. Filing season stops being a scramble.

Tampa Practices I Work With

No two practices in the Tampa Bay area look alike. A solo counselor renting a suite in South Tampa, a group practice near Westshore with four clinicians and an office manager, a telehealth-only practice run from a home office in Brandon or Wesley Chapel, an ABA team driving to homes and schools across Hillsborough and Pinellas, a recovery counselor holding groups a few evenings a week. Caseloads also swing here with the seasons, fuller in winter and lighter when families travel in summer, and that shows up in cash flow.

Most of the practices I work with have somewhere between one and ten people. What they want is the same. Books that are up to date, financials ready for their tax preparer, a clear view of the practice’s financial health, and an honest read on profitability. That’s the work I do.

Therapists and Counselors

Session revenue reconciled from your practice management system deposits to the bank, private pay and insurance payments that arrive on different rhythms sorted out, and sliding scale or no-show patterns visible in the numbers instead of hidden in a lump sum.

Group Practices

Tampa practices tend to add associates quickly. I record compensation splits and salaries correctly, keep contractor payments straight, run existing payroll on schedule, and report in a way that shows whether the next hire is helping the bottom line.

Telehealth Practices

A lot of Tampa clinicians see clients well beyond Hillsborough County. For online therapy practices I reconcile platform payouts, track EHR and subscription costs, and account for processor fees so your revenue reflects what really reached the bank.

Psychiatric Nurse Practitioners and Prescribers

Medication management practices run at higher visit volume with shorter appointments. I came out of nursing, so the pace and the language are familiar to me. Revenue reconciled, practice costs tracked cleanly, and monthly reports that respect a packed schedule.

Questions About This Area

You're in California and my practice is in Tampa. How does that work?

It works the way most of my client relationships work. We share documents securely, we talk by phone or video when you want to, and I keep your books month after month. The three hour time difference is usually a small bonus, because I am still working when your last session of the day wraps up.

What does this cost?

Full-service monthly bookkeeping starts at $165 a month. Payroll starts at $150 a month for practices that already have a payroll system running. Catch-up and clean-up work is quoted per engagement after I look at what you have, so you know the number before we begin.

Do you prepare my tax return?

No, I don't prepare returns. I keep your books tax-ready so your tax preparer gets clean, reconciled, organized records instead of a shoebox. If they have questions during filing season, I am happy to answer them.

My books are almost two years behind. Is that a problem?

It's common, and there's no lecture coming from me. Practices in Tampa have been growing fast and bookkeeping is usually the first thing that slips. I record and reconcile the missing periods, bring you current, and then keep things current going forward.

Can you handle my insurance claims or credentialing?

No. Claims, credentialing, and coding stay with your biller or billing service. My part starts with the money that lands in your bank account. I reconcile those deposits and the rest of your practice activity so your books reflect what actually happened.

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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