Ask Joe: When to hire my first clinician? | POP 816

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A photo of Joe Sanok is displayed. Joe, private practice consultant, offers helpful advice for group practice owners to grow their private practice. His therapist podcast, Practice of the Practice, offers this advice.

Why should you consider hiring your first clinician when you’re 60% full? Should you hire a clinician inside or outside your niche? How should you set up your websites and technology to accommodate your new clinician?

In this podcast episode, Joe Sanok answers the question about when to hire your first clinician.

Podcast Sponsor: Noble

A an image of Noble Health is captured. Noble Health is the podcast sponsor to Practice of the Practice, a therapist podcast.

Our friends at Noble have run their own clinics, worked with thousands of clients, and have seen firsthand the burnout and stress that can come with heavy caseloads, difficult topics, and a lack of time.

With these issues in mind, Noble built their app to support therapists by making between-session support easy and offering an opportunity to earn a passive income. Now, with new CPT codes coming in 2023 that will allow therapists to offer reimbursable remote monitoring support, Noble is revolutionizing remote patient monitoring.

The team at Noble has built a program that you can quickly implement to allow you to reimburse code 989X6 for Cognitive Behavioral Therapy (CBT) remote monitoring.

This is so exciting for therapists and clinics!

This new CPT code, which is coming into play in January 2023, will allow you to make more money per hour and earn passive revenue. Noble’s system provides everything needed to reimburse:

  • Objective data gathering device integration
  • Assessment and data stream, display, measurement, and integrations
  • HIPAA-compliant integrations into other EHRs
  • Real-time and immediate interventions for elevated symptoms

If you would like to discuss adding their “plug-and-play” remote patient monitoring for 2023 so you can reimburse the new CPT codes, schedule a time to talk with Eric, their CEO at

In This Podcast

  • When to start your practice
  • Hiring your first clinician
  • Look for a new network
  • W2 or 1099?
  • Set up your tech

When to start your practice

I would say typically when you’re 60% full in your solo practice, however you define that.

Joe Sanok

60% full can look different, for example, if your goal is to see 20 clients, then you would be 60% full when you’re seeing 12 clients.

When you hit that mark, consider hiring your first clinician!

Find a community to work with because launching a practice while still seeing clients is tricky, but doable when you have a great team of support.

Check out Next Level Practice for a great new way to join a community of like-minded new practice owners, or get a bunch of free resources and e-courses from Pillars of Practice to help you get started.

Hiring your first clinician

There are many ways in which you can structure your hiring process.

Do you want your first clinician to work within your niche as well? Or to work closely outside your niche to see the clients that you might be referring out?

If you help married couples, maybe this person helps post-divorce, or helps kids, or does something else, or maybe they also help married couples! That’s going to determine whom you’re looking for.

Joe Sanok

Look for a new network

Spread the net of your private practice wide so that you are capable and willing to serve a broader range of people.

If you hire someone from the same background and education as you, then you may unintentionally be narrowing your chances of growth.

Make therapy more accessible and diversify your ability to help by hiring clinicians that work in different niches and have different backgrounds to you.

W2 or 1099?

This is where it’s really important to have an attorney that understands business law in your state.

Joe Sanok

The preference and ease with which you can hire employees vary from state to state between hiring a 1099 contractor or a W2 employee.

Invest in speaking with a qualified attorney to see what the situation is like in your state so that you can make an informed decision.

Set up your tech

  • Layout your clinician’s payment systems
  • Set up your payroll. Try Gusto for some free months to get started!
  • Go through your website and change the personal first person to the plural first person – from I’s to We’s
  • What is the goal of your practice? The direction of your work?

A lot of times people think that having a group practice is hard, but honestly, it’s really not.

Joe Sanok
  • Figure out your office space. Decide on having some part-time or full-time office-sharing space

Useful Links mentioned in this episode:

Check out these additional resources:

Meet Joe Sanok

A photo of Joe Sanok is displayed. Joe, private practice consultant, offers helpful advice for group practice owners to grow their private practice. His therapist podcast, Practice of the Practice, offers this advice.

Joe Sanok helps counselors to create thriving practices that are the envy of other counselors. He has helped counselors to grow their businesses by 50-500% and is proud of all the private practice owners that are growing their income, influence, and impact on the world. Click here to explore consulting with Joe.

Thanks For Listening!

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