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Create Provider Profile – WebShrink

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Create Provider Profile

Create Provider Profile

Step 1 of 4

25%

Are you signing up as a individual or a facility / organization?*
- Individual
- Facility / Organization
Name*

Please enter your name or your facility / organization name.
Facility / Organization Name*
Email*
Password*
Enter Password Confirm Password
Phone*
Website
Address*

Please enter your full address.
State*

Qualifications
Personal Statement*
Education*
Year Graduated*
Years in Practice*
Please enter a number from 1 to 100.
Degree / Credentials*

Please enter your degree/credentials (i.e. MD, PsyD, LCSW, etc.)
License No. and State*
Provider Photo:*
Accepted file types: jpg, png, jpeg, gif, Max. file size: 50 MB.

Payment
Avg. Min. Cost Per Session*
Please enter a number from 1 to 10000000.
Avg. Max. Cost Per Session*
Please enter a number from 1 to 10000000.
Sliding Scale*
Accept Insurance*
Accepted Payment Methods*
Accepted Insurance*
- Select All
- Anthem Inc.
- Blue Cross Blue Shield of Massachusetts
- Blue Cross Blue Shield of Michigan
- Blue Cross Blue Shield of New Jersey
- Blue Cross Blue Shield of North Carolina
- Blue Cross Blue Shield of Tennessee
- Blue Cross of California
- California Physicians Service
- Carefirst Inc.
- Caresource
- Centene Corp
- Cigna Health
- CVS
- Guidewell Mut Holding
- Health Care Service Corporation (HCSC)
- Health Net of California, Inc.
- Highmark Group
- Humana
- Independence Health Group Inc.
- Kaiser Foundation
- Metropolitan
- Molina Healthcare Inc.
- UnitedHealth
- UPMC Health System
- Wellcare
- Other

Primary Field*

ex. Psychiatry
Certifications

List of Certifications you have
Specialties*
- ADHD
- Addiction
- Adoption
- Alcohol Abuse
- Alzheimer's
- Anger Management
- Antisocial Personality
- Anxiety
- Asperger's Syndrome
- Autism
- Behavioral Issues
- Bipolar Disorder
- Borderline Personality
- Career Counseling
- Child or Adolescent
- Chronic Illness
- Chronic Impulsivity
- Chronic Pain
- Chronic Relapse
- Codependancy
- Coping Skills
- Depression
- Developmental Disorders
- Divorce
- Domestic Abuse
- Domestic Violence
- Drug Abuse
- Dual Diagnosis
- Eating Disorders
- Emotional Disturbance
- Family Conflict
- Gambling
- Grief
- Hoarding
- Infertility
- Infidelity
- Intellectual Disability
- Internet Addiction
- Learning Disabilities
- Life Coaching
- Life Transitions
- Marital and Premarital
- Medical Detox
- Medication Management
- Men's Issues
- Narcissistic Personality
- Obesity
- Obsessive-Compulsive (OCD)
- Oppositional Defiance
- Parenting
- Peer Relationships
- Pregnancy, Prenatal, Postpartum
- Racial Identity
- Relationship Issues
- School Issues
- Self Esteem
- Self-Harming
- Sex Therapy
- Sexuality
- Sexual Abuse
- Sexual Addiction
- Sleep or Insomina
- Spirituality
- Sports Performance
- Stress
- Substance Abuse
- Suicidal Ideation
- Teen Violence
- Testing and Evaluation
- Transgender
- Trauma and PTSD
- Traumatic Brain Injury
- Video Game Addiction
- Weight Loss
- Women's Issues
Treatment Approach*
- Acceptance and Commitment Therapy (ACT)
- Adlerian
- Applied Behavioral Analysis
- Art Therapy
- Attachment-based
- Biofeedback
- Christian Counseling
- Coaching
- Cognitive Behavioral (CBT)
- Compassion Focused
- Culturally Sensitive
- Dialectical (DBT)
- EMDR
- Eclectic
- Emotionally Focused
- Existential
- Experiential Therapy
- Expressive Arts
- Family / Marital
- Family Systems
- Feminist
- Forensic Psychology
- Gestalt
- Gottman Method
- Humanistic
- Hypnotherapy
- Imago
- Integrative
- Internal Family Systems (IFS)
- Interpersonal
- Intervention
- Jungian
- Mindfulness-based (MBCT)
- Motivational Interviewing
- Multicultural
- Narrative
- Neuro-Linguistic
- Neurofeedback
- Parent-Child Interaction Therapy (PCIT)
- Person-Centered
- Play Therapy
- Positive Psychology
- Prolonged Exposure Therapy
- Psychoanalytic
- Psychodynamic
- Psychological Testing and Evaluation
- Rational Emotive Behavior Therapy (REBT)
- Reality Therapy
- Relational
- Sand Play
- Solution Focused Brief (SFBT)
- Somatic
- Strength Based
- Structural Family Therapy
- Supervision Services
- Transpersonal
- Trauma Focused
Client Focus - Age*
- Adolescents / Teens
- Adults
- Children
- Elders
- Preteens / Tweens
- Toddlers / Preschoolers
Client Focus - Categories
- Any
- Aviation Professionals
- Bisexual Clients
- Cancer
- Gay Clients
- HIV / AIDS Clients
- Heterosexual Clients
- Lesbian Clients
- Transgender Clients
- Veterans
Client Focus - Religion
- Any
- Buddhist
- Christian
- Hindu
- Islam
- Jewish
- Mormon
- Other
Client Focus - Ethnicity
- Any
- African-American
- Asian
- Hispanic and Latino
- Native American
- Pacific Islander
- Other Racial or Ethnic Background
Client Focus - Language
- Any
- ASL
- Arabic
- Armenian
- Bosnian
- Cantonese
- Croation
- Dutch
- Farsi
- Filipino
- French
- German
- Greek
- Gujarati
- Hebrew
- Hindi
- Hungarian
- Italian
- Japanese
- Korean
- Mandarin
- Polish
- Portuguese
- Punjabi
- Romanian
- Russian
- Serbian
- Singalese
- Spanish
- Swedish
- Turkish
- Ukranian
- Urdu
- Vietnamese
- Yiddish
WebShrink Provider Monthly Subscription*
Price:
Credit Card
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

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