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Are you underestimating how much work happens behind the scenes of a growing practice? What important tasks are slowing you down today but setting you up for success tomorrow? Are you frustrated by your pace, or are you making more progress than you realize?
In this podcast episode, Joe Sanok gives an update on Building Great Lakes Online Counseling | Week 20
Podcast Sponsor: Therapy Notes

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In This Podcast
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Navigating the pace
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The necessary paperwork that takes time
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Putting the puzzle pieces together
Navigating the pace
Joe has officially reached week 20 of building Great Lakes Online Counseling while limiting himself to just two hours of work per week.
I’ve got to tell you, being on week 20, there’s this frustration at the pace. It’s not anything that my team is doing; it’s this restriction I gave myself of two hours a week. I’m just finding it frustrating to not have more time than that! (Joe Sanok)
While the time limit was intentionally designed to fit around Joe’s existing commitments, it has highlighted just how long it can take to build momentum in a new practice.
Even so, meaningful progress has been made. The practice has launched its website, hired its first clinician, and brought on a virtual assistant through Ubuntu Freelancers.
The necessary paperwork that takes time
As the practice owner, Joe is still responsible for approving major decisions and managing important credentialing and compliance tasks.
While these responsibilities can feel tedious, they are often necessary parts of building a strong foundation.
The lived experience of going back into being an owner is that it’s really hard to outsource these things … Now I have to go through all of this paperwork, and it’s an extra $199 a year just to have an employee that’s in California, and to manage all of that. (Joe Sanok)
The reality of starting a practice is that many essential tasks happen behind the scenes and often take longer than expected.
Putting the puzzle pieces together
At this stage, Joe’s focus is on connecting the remaining pieces needed to move the practice forward.
Credentialing, insurance decisions, clinician onboarding, and directory listings all depend on one another. As each piece falls into place, the next step becomes possible.
So there’s just a lot of puzzle pieces that are part of this phase, and I think that’s why it’s important to walk through this phase with you and to talk through how there are so many steps within. (Joe Sanok)
Building a private practice rarely happens through one major breakthrough. More often, success comes from patiently connecting dozens of smaller pieces over time until the larger picture begins to emerge.
Sponsors Mentioned in this Episode:
Having the right EHR is an absolute lifeline. Joe recommends using TherapyNotes.
Resources mentioned in this episode:
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Check out these additional resources:
- What You Get Wrong About Productivity and Intention with bestselling author Chris Bailey | POP 1387
- Practice of the Practice Network
- Group Practice Launch
- Group Practice Boss: www.practiceofthepractice.com/grouppracticeboss $149 a month
- PoP Group Practice Owners Facebook Group
- Free resources to help you start, grow, and scale
- Work with us
- Practice of the Practice Network
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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