Are Superbills Worth It in Private Practice? | Mark Florian | TPOT 428
The Practice of Therapy Podcast with Gordon Brewer
Release Date: 04/13/2026
The Systems Your Private Practice Needs to Run Smoothly | Lisa Permar | TPOT 445
The Practice of Therapy Podcast with Gordon Brewer
A private practice can look successful on the outside and still feel exhausting behind the scenes. Clients are showing up, revenue is coming in, and everything appears to be working, but the owner may still be answering every question, fixing every exception, following up on loose ends, and carrying far too much of the practice in their own head. In this episode, Gordon talks with Lisa Permar about the small, repeated friction points that quietly drain a practice owner’s time, attention, and energy. They explore how everyday tasks around intake, scheduling, billing, documentation, and team...
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Private Practice Money Mistakes That Could Be Costing You | Margo Masri | TPOT 444
The Practice of Therapy Podcast with Gordon Brewer
Your private practice may look profitable on paper, but does the money actually feel available? In this episode, Gordon talks with Margo Masri, founder of Heartfelt CFO and Tax Services, about the financial decisions that can quietly create cash flow problems for private practice owners. They explore the risks of over-hiring, ignoring taxes, taking on office space too soon, and trying to grow without fully understanding the costs involved. Margo also shares why practice owners need to know what they personally need to live on, build financial systems that can grow with the business, and...
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The Neurodivergent Therapist’s Guide to Private Practice | Martin Altman | TPOT 443
The Practice of Therapy Podcast with Gordon Brewer
Have you ever wondered how much easier private practice could feel if you stopped fighting the way your brain works? In this episode, I’m talking with Martin Altman, LPC, about his experience as a therapist with ADHD and how understanding his own neurodivergence helped him find a niche that genuinely fit. We get into the strengths and challenges that can come with ADHD, how Martin stays present with clients, and why building the right systems can make private practice feel a whole lot more sustainable. Martin also shares a really helpful perspective on emotional hijacking and why distraction...
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The Emotional Weight of Private Practice | Lindsay Benson | TPOT 442
The Practice of Therapy Podcast with Gordon Brewer
Therapists are great at taking care of everyone else, but we are not always so good at noticing what the work is doing to us. In this episode, I’m talking with Lindsay Benson about the hidden toll private practice can take on our nervous systems. We get into therapist burnout, the stress that builds up from sitting with difficult stories all day, and the small practices that can help us reset between sessions. Lindsay also shares her experience moving from insurance to private pay, offering therapy intensives, and building a practice that feels more sustainable. This is a great conversation...
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The Mindset Shifts That Make Private Practice Feel More Sustainable | Tyana Tavakol | TPOT 441
The Practice of Therapy Podcast with Gordon Brewer
What if the biggest thing holding your private practice back isn't your marketing strategy but your mindset? In this episode, I'm joined by Tyana Tavakol to talk about the beliefs that shape the way we build our practices. We explore scarcity versus abundance, the value of finding your niche, and why trying to appeal to everyone often keeps you from connecting with the clients who need you most. We also dive into building an online practice, creating meaningful professional relationships, and learning to trust your own expertise instead of comparing yourself to everyone else. If you've ever...
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Private Practice Stress: What’s Filling Your Bucket? | Kristin Oja | TPOT 440
The Practice of Therapy Podcast with Gordon Brewer
Are you burning out in private practice without realizing it? In this episode of The Practice of Therapy Podcast, Gordon talks with Kristin Oja, DNP, founder of STAT Wellness, about optimizing stress resilience and preventing burnout. Kristin shares a functional medicine perspective on why burnout is not always caused by work alone. Often, it is the buildup of stressors outside of work, including sleep, caffeine, exercise, relationships, technology, self-talk, and lack of recovery. Kristin explains the idea of the “stress bucket” and how even good things, like exercise, intermittent...
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How AI Search Is Changing Private Practice Marketing | Natalie Moore | TPOT 439
The Practice of Therapy Podcast with Gordon Brewer
Is SEO dead, or is it just changing? In this episode, I’m joined again by Natalie Moore, a licensed marriage and family therapist and SEO coach for therapists in private practice. Natalie breaks down the difference between SEO and AIO, or artificial intelligence optimization, and explains why therapists don’t need to panic about AI search replacing traditional SEO. We talk about how private practice owners can make their websites easier to find on Google, ChatGPT, Perplexity, and other AI search tools. Natalie shares why specialty pages, Google Business Profiles, clear niche messaging, and...
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How to Protect Your Private Practice From the Unexpected | Jeanine Rousso | TPOT 438
The Practice of Therapy Podcast with Gordon Brewer
What happens when the therapist is the one who needs support? In this episode, I’m talking about the very real challenges therapists face when life disrupts their ability to work. Private practice can offer freedom and flexibility, but it can also leave clinicians vulnerable when illness, grief, natural disasters, burnout, or unexpected emergencies come up. We’ll look at why therapists need a safety net, how financial stress impacts clinicians, and what it means to prepare your practice for the unexpected. From emergency grants and burnout prevention to referral networks and professional...
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Building a Private Practice Right Out of Grad School | Jarrod Hoffman | TPOT 437
The Practice of Therapy Podcast with Gordon Brewer
Can you really build a successful private practice right out of grad school? In this episode of The Practice of Therapy Podcast, I talk with Jarrod Hoffman about building a private practice right out of grad school and the lessons he has learned in those early years of practice ownership. Jarrod shares his experience of stepping into private practice, navigating pricing, working through imposter syndrome, and learning how to communicate the value of the work he does. We also talk about why niching matters, how our own stories often shape the clients we feel called to serve, and why private...
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What I’d Do Differently If I Started Private Practice Today | TPOT 436
The Practice of Therapy Podcast with Gordon Brewer
When I started my private practice nearly 20 years ago, there were not nearly as many resources available for therapists as there are today. I learned a lot by trial and error, and looking back, there are definitely some things I would do differently. In this episode, I’m sharing what I wish I had known when I first started private practice. One of the biggest lessons I learned is that I made things more complicated than they needed to be. From keeping paper records to waiting too long to outsource, I can see now how simpler systems would have made a big difference early on. I talk about the...
info_outlineThinking about taking insurance in your private practice or trying to figure out a better way to handle out-of-network clients?
This is one of those decisions that almost every therapist wrestles with at some point. On one hand, insurance can help fill your caseload and make therapy more accessible. On the other hand, the admin work, lower reimbursement rates, and constant back and forth can leave you feeling stretched thin and frustrated.
In this episode, I’m joined by Mark Florian, founder of Deputy Care, and we get into what is really happening behind the scenes with insurance, superbills, and out of network billing. We talk about why so many therapists start on insurance panels and then eventually want to move away from them, and what makes that transition so difficult.
We also unpack the hidden friction in the system, from denied claims to clients struggling to get reimbursed, and how all of that can impact both your income and your clients’ ability to stay in therapy.
If you’ve ever felt stuck between wanting to help more people and wanting to build a sustainable private practice, this conversation will give you a lot to think about.
Resources Mentioned In This Episode
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Meet Mark Florian
Mark Florian is the Founder of Deputy Care, a platform dedicated to helping private-pay clinicians increase patient retention by eliminating the “administrative dread” of insurance.
With over 15 years of experience building the technological “plumbing” of healthcare, Mark has served as the CTO of Advekit and was an early engineering leader at Zocdoc.
Today, he is on a mission to “kill the superbill,” replacing outdated PDF receipts with automated “payment floating” technology that allows patients to access their out-of-network benefits instantly.
Mark’s unique perspective sits at the intersection of high-scale health tech and the deeply personal relationship between therapist and client.