Virtual Therapy · Pennsylvania & Colorado

Support that empowers. Therapy that ends.

What you work on here does not stay in this room. The growth you experience in therapy is yours to keep — for a lifetime.

A little support can change everything.

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Accepting New Clients

Licensed Professional Counselor (LPC) — Pennsylvania & Colorado
Virtual therapy across Pennsylvania and Colorado
Individual & Couples/Relationship Counseling
Serving adults 18+

Also available on

Psychology Today Headway Alma Self-pay

Reach out below and I’ll point you to the right option for you.

You are here because

Something feels off — and you are ready to do something about it.

Life can be hard to navigate on your own. Whether you are carrying something heavy or just feeling stuck, you do not have to figure it out alone. A little support — the right kind — can change everything.

Your full story matters here. Not just the hard parts, not just the diagnosis, not just the reason you searched for a therapist. All of it.

You feel overwhelmed or anxious

Worry that won't turn off. A restlessness you can't quite name. You're functioning, but it's taking everything you've got.

You feel stuck or disconnected

Like you're going through the motions. Something is missing but you're not sure what or how to get it back.

You want to strengthen your relationships

Whether it is communication, connection, or working through a difficult season together — you are ready to invest in the relationships that matter most to you.

Areas of Focus & Approach

What I work with — and how.

Every person who walks into therapy brings something different. Here are the areas I have specific training and experience in — from early adulthood through midlife and beyond.

Mood & Mental Health

AnxietyDepressionADHDAnger Management

Trauma & Life Experience

Trauma & PTSDGrief & LossSubstance UseLife Transitions

Relationships & Identity

Marriage & CouplesRelationship DynamicsMen’s IssuesParentingGender IdentitySchool & Career

Therapeutic Approaches

Cognitive Behavioral Therapy (CBT)Trauma-Focused CBT (TF-CBT)Exposure Therapy

“The goal of therapy is to not need therapy.”

My work is empowerment-based and person-centered. What you build in our sessions is yours to keep. The goal has always been your independence — not your dependence on me.

Empowerment FirstTools and insights you keep long after therapy ends.

Person-CenteredYour goals, your pace, your terms.

Evidence-BasedCBT, TF-CBT, and Exposure Therapy tailored to you.

Warm & DirectI show up fully. I will not just nod along.

Services Offered

How we can work together

All services are offered virtually to residents of Pennsylvania and Colorado. Flexible scheduling including evenings.

Individual Counseling

One-on-one therapy built around you. We work at your pace, on your terms, toward goals that are genuinely yours. You leave with tools that stay with you long after our work together ends.

Couples & Relationship Counseling

For couples and individuals navigating relationship challenges — conflict, communication breakdowns, family dynamics, or difficult transitions. Focused on building stronger communication, deeper understanding, and lasting connection.

LPC — PA & CO

About Michael

I see you as a whole person — not just what brings you here.

I became a therapist because people matter to me. Genuinely. I love hearing someone’s story — the full version, not the edited one — and I take real satisfaction in watching someone find their footing again. I have seen first-hand how hard life can be without the right support, and I believe strongly that no one should have to go through it alone.

What you might notice working with me is that I am both warm and direct. I will not just nod along. I will listen closely, challenge you when it serves you, and meet you where you are — every single session. My approach is empowerment-based and person-centered, which means the work we do is built around you, your strengths, and your goals. I draw on evidence-based approaches including CBT, Trauma-Focused CBT (TF-CBT), and Exposure Therapy — tailored to what you actually need.

“My job is to help you access your own strength. That strength can help you feel empowered, uplifted, and self-rewarding — and what you build here, you keep forever.”

I work with survivors of trauma, people navigating life transitions, couples and individuals working through relationship challenges, men looking for a space to actually be heard, and many others. Your full story matters here — not just the hard parts.

Outside the office — you’ll find me on a bike trail or the golf course, spending time outdoors with my dog, or working through a puzzle or board game. I believe a well-rounded life makes for a better therapist.

Philadelphia College of Osteopathic Medicine (PCOM)

M.S. Mental Health Counseling

2020 – 2022

Getting Started

How it works

Starting therapy can feel daunting. Here is what to expect from the moment you reach out.

Reach Out

Fill out the contact form below to set up a free 15-minute phone consultation, or book directly through Headway. I respond within 1–2 business days.

Complete Intake

Once we confirm a good fit, you will receive a secure link to the client portal to complete intake forms and consent documents — all HIPAA-compliant.

Access client portal →

Begin Therapy

Your first session is a conversation. We get to know each other, talk about what brings you in, and start building a plan that actually fits your life.

Rates & Insurance

Insurance & payment

I believe access to good mental health care matters. Most clients use insurance and pay only their plan’s copay or coinsurance. Self-pay is always an option too.

Using Insurance

I accept insurance through Headway (and Alma for Aetna & Cigna in Pennsylvania). If you have one of the plans listed below, your cost per session is determined by your insurance plan — typically a copay or coinsurance amount. Contact your insurance provider or visit Headway/Alma directly to verify your benefits before scheduling.

Check your insurance

Commercial plans — Pennsylvania

AetnaCapital Blue CrossCarelon Behavioral HealthCignaCurativeGeisingerHorizon Blue Cross Blue Shield of New JerseyHighmark Blue Cross Blue ShieldIndependence Blue CrossThe Health Plan

Commercial plans — Colorado

AetnaAnthem Blue Cross and Blue Shield ColoradoCarelon Behavioral HealthCignaCurative

Medicare Advantage plans — Pennsylvania

Aetna Medicare AdvantageDevoted HealthGeisinger Medicare AdvantageHumana Medicare Advantage

Coming soon — credentialing in progress

Oscar · soonOxford · soonUnitedHealthcare (Optum) · soonUnitedHealthcare Medicare Advantage · soon

Don’t see your plan, or paying out of pocket? See self-pay & out-of-network options ↓

Via Headway

For most plans, including all Colorado plans. Schedule and manage your sessions directly through Headway. Your insurance is billed automatically.

Visit Headway ↗

Via Alma

For Aetna & Cigna (Pennsylvania). Schedule and manage your sessions directly through Alma. Your insurance is billed automatically.

Visit Alma ↗

Self-Pay & Out-of-Network

Not using insurance, or have a plan that isn’t listed above? Self-pay is available, and a superbill can be provided for out-of-network reimbursement (couples sessions are often not covered). We’ll go over rates during your free 15-minute consultation, and you’ll receive a written Good Faith Estimate before your first session.

Reduced-fee spots — A limited number of reduced-fee spots are available based on financial need. Just ask.

Sessions canceled with less than 24 hours’ notice are charged the full session fee.

Good Faith Estimate: Under the No Surprises Act, you have the right to a Good Faith Estimate of expected costs before beginning services. Ask at any time.

Privacy & Policies

Your privacy is protected — always.

Everything shared in therapy stays in therapy. Here is how your information is handled and what your rights are as a client.

Confidentiality

All information shared in sessions is strictly confidential. Exceptions exist only as required by law — imminent risk of harm, mandatory reporting, or court order.

Informed Consent

Before beginning services you will receive and sign an informed consent form outlining the nature of therapy, fees, and your rights — sent securely through the client portal.

HIPAA Compliance

All clinical records and communications are managed through a fully HIPAA-compliant platform. Your protected health information is always secure.

Telehealth Security

All sessions are conducted via a HIPAA-compliant telehealth platform. Intake documents and session links are sent through your secure client portal only.

Good Faith Estimate

Under the No Surprises Act, you have the right to a Good Faith Estimate of expected costs before beginning services if you are uninsured or paying out of pocket.

Crisis Resources

This practice does not provide emergency services. If you are in crisis: call or text 988, text HOME to 741741, or call 911.

Notice of Privacy Practices
How your health information is used and protected, and your rights under HIPAA (PDF)↗

Get in Touch

Ready to take the first step?

Reaching out is the hardest part. Fill out the form and I will be in touch within 1–2 business days to talk about next steps.

Virtual therapy available statewide in Pennsylvania and Colorado

Serving adults 18 and older

Accepting new clients

Insurance & self-pay accepted

(215) 436-9060

michael@wachsmillertherapy.com

Phone and email are checked during business hours and are not monitored for emergencies. If you are in crisis, call or text 988, text HOME to 741741, or call 911.

This form is powered by SimplePractice and is HIPAA-compliant. Please do not include sensitive clinical information until you are in the secure client portal.