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At what point in your private practice journey should you open new locations? What are the three essential things you need for sustainable private practice success and growth? Why is grit the number one thing you need to succeed in the first six months of opening your practice?
This podcast episode is a snippet from the Group Practice Boss Conference that concluded in May 2025. Enjoy a selection of the consultant Q&A panel!
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In This Podcast
- When to consider opening a second location
- Three tips for early-stage practice growth
- What to do well in the first 6 months to succeed
When to consider opening a second location
For me, not only do I bring new clinicians on when my others get 60% full or when my practice gets 60% full, but when I am at max capacity. So, if I have a seven-office location and all of my offices are full, and all of my clinicians are over that 60% mark, or as a practice we’re over that 60% mark, I’m looking at opening a new location. (Nicole)
For Nicole – and other Practice of the Practice consultants – that 60% mark is the key to knowing when you need to start looking at expanding your business, either in hiring more staff, opening up a new location, or both!
Additionally, Nicole explains that you can also consider opening up an additional location when you have noticed a strong new need or niche within your community that needs to be filled and is in alignment with your practice’s brand and clinicians’ sets of expertise.
Three tips for early-stage practice growth
While you may not yet be at the stage to open additional locations, your focus may be more on growing what you already have into a stronger, more successful business. Brandon’s three tips for this are:
1 – Mindset: Get your perspective and mindset to approach your goals with the right frame of mind.
2 – Discipline
“Determine if success can inspire prolonged lingering inside nasty environments”, and those environments can be internal or external. If you are comfortable with being uncomfortable, then it’s time to make those decisions. (Brandon)
This is Brandon’s acronym for “discipline”: “Determine if success can inspire prolonged lingering inside nasty environments.”
If and when you can train yourself to be comfortable with discomfort, you will make it much easier for yourself to grow your business and do what needs to be done for success to occur.
3 – Humility: For Brandon, humility is a blend of strength, compassion, and openness, and the percentage comes from whatever you need most in that moment.
What to do well in the first 6 months to succeed
Grit. Andrew’s top advice on how to make it through the first tough six months is to dig your heels in and use your grit.
You’re the build-the-plane-as-you-go person, and that’s really it … Humility and grit are so [crucial], and just knowing … “What do I need to keep?” (Andrew)
There’s a balance between maintaining the needs of the business – and yourself – right now, while building a path towards the needs that you see will become apparent in the future.
Andrew’s advice is this: think ahead about what is going to bring stability to your present moment, and allow for room to grow.
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Useful links mentioned in this episode:
- Check out our Practice Academy!
- Sign Up to the Group Practice Boss Conference!
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Meet Joe Sanok
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 who are growing their income, influence, and impact on the world. Click here to explore consulting with Joe.
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