WEBVTT 00:00:00.000 --> 00:00:02.240 I think I had about four years of experience 00:00:02.240 --> 00:00:05.200 in psychiatric nursing before I applied for my 00:00:05.200 --> 00:00:07.400 doctorate, and I ended up going to Rush University. 00:00:08.019 --> 00:00:09.619 When was the first time you had the thought, 00:00:09.699 --> 00:00:11.880 like, oh, maybe I would want to start my own 00:00:11.880 --> 00:00:13.779 private practice? Do you remember that moment? 00:00:14.160 --> 00:00:16.739 I knew I wanted to get good experience. Working 00:00:16.739 --> 00:00:19.579 in community mental health, I got to see everything. 00:00:19.920 --> 00:00:22.079 I was in the medication -assisted treatment program, 00:00:22.219 --> 00:00:24.859 so I worked a lot with dual diagnosis and serious 00:00:24.859 --> 00:00:27.929 mental illness. So I really got a good, strong 00:00:27.929 --> 00:00:30.789 foundation. I think if you are like a solo provider 00:00:30.789 --> 00:00:33.009 and if that's kind of easy for you, that might 00:00:33.009 --> 00:00:35.689 be a good fit. I wanted to learn everything about 00:00:35.689 --> 00:00:37.770 the business before I like delegated it out to 00:00:37.770 --> 00:00:40.429 somebody else. So I learned how to do the credentialing 00:00:40.429 --> 00:00:42.350 and then I kind of just chose that I was going 00:00:42.350 --> 00:00:44.670 to do billing on my own for one insurance payer. 00:00:44.810 --> 00:00:46.689 There's probably a lot of local networking events 00:00:46.689 --> 00:00:49.810 that people are missing out on. So being consistent 00:00:49.810 --> 00:00:52.369 with that, seeing how you can help other people's 00:00:52.369 --> 00:00:57.079 practices too. Welcome to No Prior Auth. I'm 00:00:57.079 --> 00:00:59.820 super excited about our guest today, Dr. Kaylee 00:00:59.820 --> 00:01:02.840 Lenzicki. She is a psychiatric nurse practitioner 00:01:02.840 --> 00:01:07.120 who has built and scaled a group practice that 00:01:07.120 --> 00:01:11.439 is in Colorado and Illinois, and she's done it 00:01:11.439 --> 00:01:14.159 while having four children. So that's pretty 00:01:14.159 --> 00:01:16.680 incredible. She had two of the children as she 00:01:16.680 --> 00:01:20.319 was building this. amazing practice that she's 00:01:20.319 --> 00:01:22.260 built. So we're going to get to know her a little 00:01:22.260 --> 00:01:25.079 bit more today and find out how she did it. One 00:01:25.079 --> 00:01:28.719 fun fact for you guys is that Kaylee and I used 00:01:28.719 --> 00:01:31.439 to work together back in the day in college. 00:01:31.480 --> 00:01:33.939 Not in nursing, not in nursing. Something else. 00:01:34.079 --> 00:01:37.640 Yeah. Yep. And so that's pretty, pretty funny 00:01:37.640 --> 00:01:40.239 that we kind of like reconnected and it was in 00:01:40.239 --> 00:01:43.180 Beaver Creek, Ohio. So it's a small world. Yes. 00:01:43.400 --> 00:01:46.480 Where, where did we work? Worked at the buckle. 00:01:47.310 --> 00:01:49.170 We did. I think we spent all of our paycheck 00:01:49.170 --> 00:01:52.950 back at the buckle on jeans, essentially. Yeah. 00:01:53.150 --> 00:01:55.849 Yeah. Yeah. Well, we did with the Miss Me's and 00:01:55.849 --> 00:01:58.829 the gem jeans and the affliction tees. There 00:01:58.829 --> 00:02:02.510 was a lot going on that season of our life. Absolutely. 00:02:03.010 --> 00:02:05.750 So it's pretty cool to see how far we have both 00:02:05.750 --> 00:02:08.650 come. And yeah, I just really can't wait to. 00:02:09.419 --> 00:02:12.659 dive in and let you guys get to know Kaylee a 00:02:12.659 --> 00:02:14.900 little bit more because she is pretty incredible. 00:02:15.080 --> 00:02:17.819 So thank you for being here, Kaylee. Absolutely. 00:02:18.099 --> 00:02:20.460 Thanks for having me. Happy to talk about my 00:02:20.460 --> 00:02:24.419 journey. Awesome. So tell me a little bit about 00:02:24.419 --> 00:02:27.219 when you knew you wanted to be a psychiatric 00:02:27.219 --> 00:02:29.819 nurse practitioner, if you don't mind. Yeah, 00:02:29.840 --> 00:02:33.599 I think it took me a while to get there. So you 00:02:33.599 --> 00:02:35.900 and I went to college. We had a brief overlap 00:02:35.900 --> 00:02:39.020 for a little bit. I was initially in the nursing 00:02:39.020 --> 00:02:42.300 program. I planned to graduate a little bit early. 00:02:42.659 --> 00:02:45.560 There was a mix up with how they had scheduled 00:02:45.560 --> 00:02:47.240 my classes. So I was going to end up needing 00:02:47.240 --> 00:02:49.520 to stay longer than I initially anticipated. 00:02:50.099 --> 00:02:53.219 I fell in love with my Gen Psych class, just 00:02:53.219 --> 00:02:55.819 found it completely fascinating, that side of 00:02:55.819 --> 00:03:00.159 people. So I switched and I actually got a psychology 00:03:00.159 --> 00:03:04.319 degree from Cedarville initially. And then, yeah, 00:03:04.439 --> 00:03:07.349 I did. So I figured out I could do. I could get 00:03:07.349 --> 00:03:09.389 a psychology degree and then I could go do an 00:03:09.389 --> 00:03:12.169 accelerated nursing program and get both degrees 00:03:12.169 --> 00:03:13.870 in the same amount of time it was going to take 00:03:13.870 --> 00:03:16.449 me to get my nursing degree at Cedarville. So 00:03:16.449 --> 00:03:19.509 that's what I did. Got my psychology degree and 00:03:19.509 --> 00:03:22.469 then I moved to Chicago and I did an accelerated 00:03:22.469 --> 00:03:26.169 nursing program at Loyola University. After that, 00:03:26.250 --> 00:03:28.250 I guess with my background, kind of with my psych 00:03:28.250 --> 00:03:30.909 degree and nursing degree, my first job that 00:03:30.909 --> 00:03:34.090 was offered was at an inpatient psychiatric unit 00:03:34.090 --> 00:03:38.409 in Chicago. And that was a great introduction 00:03:38.409 --> 00:03:41.830 into psychiatric nursing. I have vivid memories 00:03:41.830 --> 00:03:44.169 that first year of working on a psychiatric unit. 00:03:44.430 --> 00:03:47.729 Loved doing it. Really enjoyed working with my 00:03:47.729 --> 00:03:51.069 patients. Got to see a lot. Got incredible experience. 00:03:51.650 --> 00:03:54.090 Worked at a couple of different hospitals doing 00:03:54.090 --> 00:03:56.810 inpatient psychiatric nursing. Also would float 00:03:56.810 --> 00:04:00.949 to the detox units as well. Then I kind of started 00:04:00.949 --> 00:04:03.870 branching out and I got connected with... an 00:04:03.870 --> 00:04:06.669 outpatient specialty mood disorder clinic where 00:04:06.669 --> 00:04:09.629 they did transcranial magnetic stimulation. We 00:04:09.629 --> 00:04:12.689 also did some clinical research on site as well. 00:04:12.830 --> 00:04:15.849 So I did a little bit of outpatient, inpatient 00:04:15.849 --> 00:04:19.230 at the same time, and just working really closely 00:04:19.230 --> 00:04:21.589 with the psychiatrist who owned the practice. 00:04:21.829 --> 00:04:24.569 I really wanted to become a psychiatric mental 00:04:24.569 --> 00:04:28.300 health nurse practitioner. I think I had about 00:04:28.300 --> 00:04:31.319 four years of experience in psychiatric nursing 00:04:31.319 --> 00:04:34.819 before I applied for my doctorate, and I ended 00:04:34.819 --> 00:04:38.300 up going to Rush University. So incredible school, 00:04:38.519 --> 00:04:41.519 really fantastic. I felt like I got an amazing 00:04:41.519 --> 00:04:44.939 education. The professors there were amazing. 00:04:45.839 --> 00:04:48.699 I know I hear a lot about a lot of students these 00:04:48.699 --> 00:04:50.819 days having a hard time finding preceptors. Rush 00:04:50.819 --> 00:04:52.779 was amazing, just setting it all up with that. 00:04:53.199 --> 00:04:56.439 And my preceptor was great. I got to stay with 00:04:56.439 --> 00:05:00.339 him for an entire year, experience at all levels 00:05:00.339 --> 00:05:02.379 of care. And I just felt like that really ready 00:05:02.379 --> 00:05:05.339 to kind of enter in the nursing world as a prescriber 00:05:05.339 --> 00:05:10.980 after that. So that was in 2017 that I graduated. 00:05:11.579 --> 00:05:14.000 And my husband and I at the time, we have been 00:05:14.000 --> 00:05:16.540 traveling a lot to Colorado. We really loved 00:05:16.540 --> 00:05:20.180 the mountains, the nature out here. Really felt 00:05:20.180 --> 00:05:21.720 like that was the state that we kind of wanted 00:05:21.720 --> 00:05:25.040 to start a family. raise a family. And so that's 00:05:25.040 --> 00:05:28.060 when we made the move, you know, not really knowing 00:05:28.060 --> 00:05:31.360 anyone out here much at all. And we settled down 00:05:31.360 --> 00:05:35.240 in Fort Collins, Colorado. I interviewed with 00:05:35.240 --> 00:05:37.779 a couple of different places, but ended up at 00:05:37.779 --> 00:05:39.860 a community mental health center, North Range 00:05:39.860 --> 00:05:43.339 Behavioral Health in Greeley. It's about 45 minutes 00:05:43.339 --> 00:05:47.800 away from here. And it was the best decision 00:05:47.800 --> 00:05:50.920 as a new grad. Yes, it was probably lower paying 00:05:50.920 --> 00:05:53.730 than a lot of the other jobs, but The experience 00:05:53.730 --> 00:05:56.970 that I got and the mentorship that I got was 00:05:56.970 --> 00:06:01.629 amazing. Dan France, who was my mentor, was amazing. 00:06:01.829 --> 00:06:03.709 He actually, we actually just celebrated his 00:06:03.709 --> 00:06:06.769 retirement this past weekend after 52 years in 00:06:06.769 --> 00:06:11.310 nursing. So he's incredible. He's gotten a Florence 00:06:11.310 --> 00:06:14.629 Nightingale award for his work. He was just absolutely 00:06:14.629 --> 00:06:17.310 amazing. So I kind of told him like, he's kind 00:06:17.310 --> 00:06:19.310 of partially to blame for all of this that's 00:06:19.310 --> 00:06:22.459 happened right now with the practice. Yeah. Really, 00:06:22.680 --> 00:06:26.879 really wonderful mentor. So. Yeah, very, very 00:06:26.879 --> 00:06:30.300 grateful for that, that experience. And, you 00:06:30.300 --> 00:06:32.500 know, I guess we'll get there. I can jump ahead 00:06:32.500 --> 00:06:35.079 a little bit. So I just remember that huge panel 00:06:35.079 --> 00:06:36.899 of people that were interviewing me for that 00:06:36.899 --> 00:06:40.600 job as a nurse practitioner. Really? One of them. 00:06:40.600 --> 00:06:44.399 Yeah. One of them is my now office manager. So 00:06:44.399 --> 00:06:46.439 Sarah has come over and she's now my full time 00:06:46.439 --> 00:06:49.040 office manager. So that's just beautiful. She 00:06:49.040 --> 00:06:50.759 had an office right next to me. And I just love 00:06:50.759 --> 00:06:52.959 that we've stayed in touch all these years. And 00:06:52.959 --> 00:06:55.620 she's now over here full time. And then Heather, 00:06:55.759 --> 00:06:58.040 who was another amazing mentor to me at North 00:06:58.040 --> 00:07:00.500 Range, she is also in the process of switching 00:07:00.500 --> 00:07:03.300 over to my practice now. So I just love like 00:07:03.300 --> 00:07:06.180 we were connected almost 10 years ago. And now 00:07:06.180 --> 00:07:09.259 two of them are over here in my practice. So 00:07:09.259 --> 00:07:14.699 I was there for about four years. I had my son 00:07:14.699 --> 00:07:18.699 in March of 2020. What a time to become a parent. 00:07:19.759 --> 00:07:23.060 I was on maternity leave right as the world was 00:07:23.060 --> 00:07:26.939 shutting down. But it was also kind of perfect 00:07:26.939 --> 00:07:29.019 timing because that was the introduction into 00:07:29.019 --> 00:07:32.139 telehealth for me. We kind of moved to telehealth 00:07:32.139 --> 00:07:35.379 for a while. So that was a really perfect fit. 00:07:35.459 --> 00:07:37.879 I could be working from home, didn't have to 00:07:37.879 --> 00:07:41.040 go back into the office. I ended up, my second 00:07:41.040 --> 00:07:44.259 son was born about a year and a half later. And 00:07:44.259 --> 00:07:47.220 so again, went on maternity leave. And at that 00:07:47.220 --> 00:07:49.540 point, people were, everyone was kind of starting 00:07:49.540 --> 00:07:52.060 to transition back into the office. And it just 00:07:52.060 --> 00:07:53.920 didn't make sense for me at that stage of life 00:07:53.920 --> 00:07:56.360 that I was in to continue doing that commute 00:07:56.360 --> 00:07:59.699 to Greeley as much as I love my patients, love 00:07:59.699 --> 00:08:01.819 the people there, you know, wonderful practitioners. 00:08:02.639 --> 00:08:05.860 So I moved to another company that was purely 00:08:05.860 --> 00:08:08.379 telehealth where I could just stay home with 00:08:08.379 --> 00:08:11.139 my kids. And that was great. For a while, things 00:08:11.139 --> 00:08:14.199 went. really, really well there. I think you 00:08:14.199 --> 00:08:16.160 and I are both in the integrative psychiatry 00:08:16.160 --> 00:08:18.300 fellowship right now, but I actually got to... 00:08:18.300 --> 00:08:22.079 Psych redefined? Yes. Yes. But I didn't realize 00:08:22.079 --> 00:08:23.800 how lucky I was at the time. I got to work with 00:08:23.800 --> 00:08:26.279 Dr. Peter Bongiorno on a lot of cases. So he 00:08:26.279 --> 00:08:28.019 would actually come in and help me work with 00:08:28.019 --> 00:08:29.800 cases on my patients. So that was kind of my 00:08:29.800 --> 00:08:32.580 introduction into integrative psychiatry. So 00:08:32.580 --> 00:08:37.039 Dr. B is great. yeah, admire him so much. So 00:08:37.039 --> 00:08:39.820 I loved that piece of, you know, my previous 00:08:39.820 --> 00:08:42.379 job where I got that introduction into integrative 00:08:42.379 --> 00:08:45.200 psychiatry, diving into that a little bit more 00:08:45.200 --> 00:08:48.759 with my patients. Again, all of my marks are 00:08:48.759 --> 00:08:51.220 like all the children that I've had. So then 00:08:51.220 --> 00:08:54.000 I had my daughter and this was, you know, late 00:08:54.000 --> 00:08:57.159 fall of 2023 when I kind of went on maternity 00:08:57.159 --> 00:08:59.759 leave. At that point, there started to be some 00:08:59.759 --> 00:09:01.700 red flags that things with my company were not 00:09:01.700 --> 00:09:04.379 going well. Like all of the... our virtual assistants 00:09:04.379 --> 00:09:07.500 were like, let go overnight. And I just kind 00:09:07.500 --> 00:09:09.440 of realized, okay, I'm going to need to pivot 00:09:09.440 --> 00:09:11.720 and figure out like, what's the next best step 00:09:11.720 --> 00:09:14.940 here. So was on maternity leave, kind of tried 00:09:14.940 --> 00:09:17.960 to, I went way past why I wanted to be a psych 00:09:17.960 --> 00:09:22.179 MP here, but all into the practice here. I have 00:09:22.179 --> 00:09:24.539 so many questions. I'm like, this is so interesting. 00:09:24.799 --> 00:09:27.320 I didn't know a lot of this stuff. Yeah. So I 00:09:27.320 --> 00:09:30.259 was on maternity leave. Then that's when I. looked 00:09:30.259 --> 00:09:31.940 around at other jobs and I just didn't really 00:09:31.940 --> 00:09:34.159 find anything that was going to be a good fit 00:09:34.159 --> 00:09:36.100 for me that I would felt super passionate about. 00:09:36.240 --> 00:09:38.379 So I said, okay, well, this is kind of the push 00:09:38.379 --> 00:09:40.700 that I need. Yep. I've had a lot of experience 00:09:40.700 --> 00:09:43.360 as a psych MP. I feel ready to kind of jump into 00:09:43.360 --> 00:09:45.960 the private practice thing. So that, that is 00:09:45.960 --> 00:09:48.179 what kind of pushed me, pushed me into it at 00:09:48.179 --> 00:09:51.419 that point. That's really interesting. Wow. Okay. 00:09:51.600 --> 00:09:54.399 A couple things. Yes. Yes. So many, so many things. 00:09:54.460 --> 00:09:58.519 I'm like, I just, well, yeah. You fell in love 00:09:58.519 --> 00:10:01.379 with your psych class at Cedarville. And that's 00:10:01.379 --> 00:10:03.779 kind of when you went and researched different 00:10:03.779 --> 00:10:05.940 paths. And that's like, how did you even learn 00:10:05.940 --> 00:10:07.940 what a psych NP was? I didn't even know about 00:10:07.940 --> 00:10:10.779 psych NPs until I moved to Arizona. I don't think 00:10:10.779 --> 00:10:12.799 at that point I knew I was going to be a psych 00:10:12.799 --> 00:10:15.879 NP. I just knew I wanted to combine something 00:10:15.879 --> 00:10:19.259 psychology and nursing. And I found this way 00:10:19.259 --> 00:10:21.519 I could do this 13 month accelerated nursing 00:10:21.519 --> 00:10:24.460 program at Loyola. after I already had a bachelor's 00:10:24.460 --> 00:10:26.279 degree. So I just decided I was going to do the 00:10:26.279 --> 00:10:28.860 combination of those two. And then again, I think 00:10:28.860 --> 00:10:31.440 that just looked really appealing to an employer 00:10:31.440 --> 00:10:34.500 that I had both of those. And I was offered day 00:10:34.500 --> 00:10:37.080 shift as a new grad. So I said, yes, please. 00:10:37.820 --> 00:10:40.639 I'll take that. Yeah. Yeah. That's amazing. That's 00:10:40.639 --> 00:10:42.720 really cool. So you've had a passion for psych 00:10:42.720 --> 00:10:45.279 for a very long time, it sounds like. Long time. 00:10:45.519 --> 00:10:49.759 Yeah. People ask about the psych redefined. integrative 00:10:49.759 --> 00:10:52.460 fellowship a lot. When did you join it and how 00:10:52.460 --> 00:10:55.000 is it going for you? I joined it in July, so 00:10:55.000 --> 00:10:57.340 like summer of last year. It's when I had my 00:10:57.340 --> 00:11:00.799 fourth child, I think. I thought, you know, I'm 00:11:00.799 --> 00:11:02.779 just going to, it's going to be paternity leave. 00:11:02.820 --> 00:11:04.240 I'm going to try and take it easy a little bit. 00:11:04.279 --> 00:11:06.000 This will be a great time to kind of take in 00:11:06.000 --> 00:11:09.000 some additional information. So it has been great. 00:11:09.039 --> 00:11:10.950 But yeah, I think looking back, I would have 00:11:10.950 --> 00:11:12.570 probably waited until I was a little bit further 00:11:12.570 --> 00:11:14.730 along postpartum before I joined it, but it's 00:11:14.730 --> 00:11:16.570 been really amazing. I've been learning so much. 00:11:16.649 --> 00:11:18.990 The genome mind stuff has been really fascinating 00:11:18.990 --> 00:11:22.129 to me. Have you been getting into that? No, I 00:11:22.129 --> 00:11:26.590 have not. Okay. I need to. I'm a little bit behind. 00:11:27.429 --> 00:11:29.730 Yes, I am playing catch up a little bit too, 00:11:29.850 --> 00:11:32.730 but it's been fun. My NPs are super passionate 00:11:32.730 --> 00:11:34.690 about it as well. Three of us, we actually did 00:11:34.690 --> 00:11:37.450 our own genome mind tests as well. That was really 00:11:37.450 --> 00:11:39.450 fun just to kind of gain those insights into. 00:11:40.000 --> 00:11:42.379 how we work in genetics, but we've been incorporating 00:11:42.379 --> 00:11:44.879 that a lot into the practice. That's awesome. 00:11:45.159 --> 00:11:47.879 Has it changed anything else in kind of the way 00:11:47.879 --> 00:11:49.899 that you deliver care or interventions that you're 00:11:49.899 --> 00:11:52.159 providing your patients? It's definitely helped 00:11:52.159 --> 00:11:55.360 us be more precise in our care. Yeah, absolutely. 00:11:55.759 --> 00:11:59.960 I love, we started accepting Medicaid and Medicaid 00:11:59.960 --> 00:12:02.279 actually covers genome mind at a hundred percent. 00:12:02.559 --> 00:12:05.600 So I love being able to offer that. Yeah. We've 00:12:05.600 --> 00:12:08.250 had so many patients. who have Medicaid and it's 00:12:08.250 --> 00:12:09.909 usually months for them to be able to get in. 00:12:09.990 --> 00:12:12.049 We love that they're able to get in really quickly 00:12:12.049 --> 00:12:14.509 with us and we're able to use that with them. 00:12:15.110 --> 00:12:17.850 Wow. Very cool. So it's something you're ordering 00:12:17.850 --> 00:12:20.070 quite a bit. It sounds like that you find helpful. 00:12:20.649 --> 00:12:23.389 Absolutely. Yeah. We're going to start implementing 00:12:23.389 --> 00:12:25.649 like a notes and neuro hour where we just talk 00:12:25.649 --> 00:12:28.230 about genome mind stuff. Yeah. That's really 00:12:28.230 --> 00:12:32.539 interesting. Love it. Okay, so when was the first 00:12:32.539 --> 00:12:35.399 time you had the thought like, oh, maybe I would 00:12:35.399 --> 00:12:38.980 want to start my own private practice? Do you 00:12:38.980 --> 00:12:41.860 remember that moment? I think it was always in 00:12:41.860 --> 00:12:45.519 the back of my mind. Okay. But I knew I wanted 00:12:45.519 --> 00:12:47.860 to get good experience. Working in community 00:12:47.860 --> 00:12:50.740 mental health, I got to see everything. I was 00:12:50.740 --> 00:12:52.559 in the medication -assisted treatment program, 00:12:52.659 --> 00:12:55.240 so I worked a lot with dual diagnosis, serious 00:12:55.240 --> 00:12:58.399 mental illness. So I really got a good strong 00:12:58.399 --> 00:13:00.759 foundation with everything. And I feel like that 00:13:00.759 --> 00:13:02.620 is so important. I know there's a lot of different 00:13:02.620 --> 00:13:05.320 takes on when to go into private practice. I 00:13:05.320 --> 00:13:07.299 have, there's no way that I could have done it 00:13:07.299 --> 00:13:10.379 with, without that foundation. Yeah. And being 00:13:10.379 --> 00:13:12.539 able to go to my mentors and figure out how to 00:13:12.539 --> 00:13:15.100 do things clinically before going off on my own. 00:13:15.580 --> 00:13:19.559 Yeah. Same, same. I really needed that. So yeah, 00:13:19.620 --> 00:13:22.019 I would have been crippled with anxiety if I 00:13:22.019 --> 00:13:25.039 hadn't had that kind of like just in person. 00:13:25.779 --> 00:13:27.980 support. You know what I mean? Because it was 00:13:27.980 --> 00:13:31.240 just such a hard transition for me, you know? 00:13:31.519 --> 00:13:35.919 Yeah. Yeah. So that's cool. Okay. So you launched 00:13:35.919 --> 00:13:39.799 your practice in what year? It would have been 00:13:39.799 --> 00:13:45.179 2024. So I had the PLLC established March of 00:13:45.179 --> 00:13:48.580 2024. And then I think I was finally up and running 00:13:48.580 --> 00:13:52.539 and started to see patients late that same summer 00:13:52.539 --> 00:13:55.620 is when I was finally like ready to go. Okay. 00:13:56.500 --> 00:13:59.919 How much did you spend roughly on starting your 00:13:59.919 --> 00:14:01.360 private practice? I know that's something that 00:14:01.360 --> 00:14:04.500 people are curious about and it's different for 00:14:04.500 --> 00:14:09.080 everyone I ask. Yeah. I tried to keep it to the 00:14:09.080 --> 00:14:11.259 basics and just spend money on the important 00:14:11.259 --> 00:14:13.019 things and kind of spread it out a little bit 00:14:13.019 --> 00:14:15.220 over time. I didn't want to go into debt for 00:14:15.220 --> 00:14:17.179 the business at all. My in -laws, I come from 00:14:17.179 --> 00:14:19.120 like a family of lawyers. So they were like, 00:14:19.179 --> 00:14:21.720 you better do this right. Make sure. You connect 00:14:21.720 --> 00:14:24.399 with a lawyer, make sure you have your PLLC set 00:14:24.399 --> 00:14:27.039 up appropriately. I know each state is different, 00:14:27.200 --> 00:14:30.139 whether it's LLC, PLLC for Colorado was recommended 00:14:30.139 --> 00:14:33.399 PLLC for me. So I did get connected with a lawyer 00:14:33.399 --> 00:14:36.799 to get all of that set up, consents, everything 00:14:36.799 --> 00:14:41.799 that way. I want to say that was probably, it's 00:14:41.799 --> 00:14:44.360 been a while, maybe three to 5 ,000 I spent with 00:14:44.360 --> 00:14:46.659 a lawyer getting everything set up that way. 00:14:46.919 --> 00:14:50.350 Okay. Next thing that I knew I wanted to do was 00:14:50.350 --> 00:14:53.070 make sure my EHR was set up really good. I wanted 00:14:53.070 --> 00:14:54.830 everything to be automated. I didn't want to 00:14:54.830 --> 00:14:56.529 patch it together at the beginning. And then 00:14:56.529 --> 00:14:59.490 when things got more busy, be scrambling to try 00:14:59.490 --> 00:15:01.250 to figure out how this was going to work better. 00:15:01.509 --> 00:15:03.970 So I did work with Silverleaf and they set up 00:15:03.970 --> 00:15:06.490 IntakeQ for me and I've been really happy with 00:15:06.490 --> 00:15:09.929 that. I think that was like two grand for them 00:15:09.929 --> 00:15:12.549 to set it up and I would absolutely do it again. 00:15:13.049 --> 00:15:15.289 It's been really great with it being so automated. 00:15:15.830 --> 00:15:18.909 And those were the... main two costs that i had 00:15:18.909 --> 00:15:23.470 was starting up the practice um yeah my website 00:15:23.470 --> 00:15:26.409 i you know kind of got a template i did it on 00:15:26.409 --> 00:15:30.309 my own i still do my own website um obviously 00:15:30.309 --> 00:15:32.269 i had to get some business cards some marketing 00:15:32.269 --> 00:15:34.769 material i remember like before my first networking 00:15:34.769 --> 00:15:36.549 meeting i was like i don't have any business 00:15:36.549 --> 00:15:39.149 cards like what do i do here so quickly i don't 00:15:39.149 --> 00:15:41.409 threw it together just to make sure that i could 00:15:41.409 --> 00:15:43.450 bring some business cards to to the first meeting 00:15:43.450 --> 00:15:46.159 yeah yeah Yeah, I remember texting one of my 00:15:46.159 --> 00:15:48.259 old bosses who like scaled a group practice and 00:15:48.259 --> 00:15:51.279 sold it. And I was like, I'm supposed to meet 00:15:51.279 --> 00:15:52.720 up with, you know, and talk about my practice 00:15:52.720 --> 00:15:54.220 and I don't have anything. I'm freaking out. 00:15:54.399 --> 00:15:57.019 And he's like, I built like a multi -million 00:15:57.019 --> 00:15:59.799 dollar business with like stuff I had printed, 00:15:59.879 --> 00:16:04.159 like, you know, whatever, just like donuts, like 00:16:04.159 --> 00:16:08.519 nothing fancy or pretty. So it's doable. They 00:16:08.519 --> 00:16:11.129 want to know who you are. Absolutely. I think 00:16:11.129 --> 00:16:13.389 that's a lot of me pressing down my perfectionistic 00:16:13.389 --> 00:16:17.049 tendencies. It does not have to be perfect. This 00:16:17.049 --> 00:16:19.289 is good enough and it's going to work and go 00:16:19.289 --> 00:16:21.850 with it and there'll be time later on to perfect 00:16:21.850 --> 00:16:24.669 things. I think while all of that was going on, 00:16:24.710 --> 00:16:29.029 that's when I reconnected with you. I'm not huge 00:16:29.029 --> 00:16:32.440 on social media, but I've definitely... tried 00:16:32.440 --> 00:16:34.240 to get on there for the business. Cause it is 00:16:34.240 --> 00:16:36.679 so helpful. Like, yeah, I just started joining, 00:16:36.779 --> 00:16:39.620 you know, all of these groups and your name came 00:16:39.620 --> 00:16:41.820 up and I was like, wait a second. I know her. 00:16:41.960 --> 00:16:44.899 Like, yeah, that's the girl I worked with at 00:16:44.899 --> 00:16:46.860 buckle. So that's when I reached out to you. 00:16:48.080 --> 00:16:50.240 And I remember we had a couple of Zoom meetings. 00:16:50.320 --> 00:16:52.679 And yeah, you were talking me through kind of 00:16:52.679 --> 00:16:55.039 starting the private practice. That was really 00:16:55.039 --> 00:16:57.019 cool. Because yeah, we really didn't know each 00:16:57.019 --> 00:16:59.600 other that well in undergrad. From my memory, 00:16:59.679 --> 00:17:01.700 and this could be wrong, I feel like I was a 00:17:01.700 --> 00:17:05.000 freshman when you were a senior. And I was just 00:17:05.000 --> 00:17:07.460 like, oh, I like that girl. I look up to her. 00:17:07.539 --> 00:17:10.900 She's so pretty. And for some reason, again, 00:17:11.000 --> 00:17:12.500 correct me if I'm wrong, but I feel like you 00:17:12.500 --> 00:17:15.640 wore Burberry perfume. That's what you said, 00:17:15.720 --> 00:17:16.960 I think. I don't think I remember that. And you 00:17:16.960 --> 00:17:19.759 said that wasn't true? I made this up? Oh my 00:17:19.759 --> 00:17:22.539 gosh, I'm cracked up. I'm cracked up. Okay. Well, 00:17:22.619 --> 00:17:24.940 I just remember like looking up to you. Yeah. 00:17:25.000 --> 00:17:27.059 That's what I remember. It was super fun. I loved 00:17:27.059 --> 00:17:29.799 our buckle days. Yeah. Yeah. Yeah, definitely. 00:17:30.160 --> 00:17:32.579 Okay. Back to the private practice. Yes. Yeah. 00:17:32.640 --> 00:17:34.240 Especially with all the nuance, with all the 00:17:34.240 --> 00:17:36.940 changing laws, state specific. I do think that 00:17:36.940 --> 00:17:39.259 that's a very wise investment. Get connected 00:17:39.259 --> 00:17:41.480 with a lawyer. Yeah. Yeah. I think it's the best 00:17:41.480 --> 00:17:44.089 money you'll ever spend on that. And so you found 00:17:44.089 --> 00:17:46.970 your lawyer like within Colorado. How did you 00:17:46.970 --> 00:17:48.789 find somebody you felt really good about? Especially, 00:17:48.869 --> 00:17:50.410 I don't know if you knew at the time you were 00:17:50.410 --> 00:17:52.730 going to be in Colorado and Illinois, but how 00:17:52.730 --> 00:17:56.029 did you kind of vet finding that lawyer? I just 00:17:56.029 --> 00:17:57.930 researched around like who kind of specialized 00:17:57.930 --> 00:18:00.470 in mental health, looked at a few different places. 00:18:00.529 --> 00:18:02.690 I've worked with a few different lawyers now 00:18:02.690 --> 00:18:05.150 in Colorado for various things. Like when I expanded 00:18:05.150 --> 00:18:06.849 to the group practice, I did end up working with 00:18:06.849 --> 00:18:08.549 someone else who specialized a little bit more 00:18:08.549 --> 00:18:13.259 in that. I know people. open up in multiple states, 00:18:13.500 --> 00:18:17.160 I have really just focused on Colorado. Illinois, 00:18:17.460 --> 00:18:21.460 I opened up because I had a huge Illinois caseload 00:18:21.460 --> 00:18:24.500 for my previous job. I didn't solicit or anything, 00:18:24.640 --> 00:18:27.700 but patients have the right to seek care with 00:18:27.700 --> 00:18:29.839 the provider that they want. So I wanted a place 00:18:29.839 --> 00:18:32.319 where they could at least land. So I did connect 00:18:32.319 --> 00:18:34.279 with a lawyer also in Illinois and just make 00:18:34.279 --> 00:18:36.359 sure that I was registered appropriately as a 00:18:36.359 --> 00:18:38.359 foreign business entity, set up with everything 00:18:38.359 --> 00:18:41.920 there. But I don't focus too much on growing 00:18:41.920 --> 00:18:43.819 that side of the business. We definitely still 00:18:43.819 --> 00:18:47.259 get inquiries. And I have a part -time NP who 00:18:47.259 --> 00:18:51.180 sees patients for Illinois. But I really, I'm 00:18:51.180 --> 00:18:54.160 like at capacity. I focus all on one state. Yeah. 00:18:54.440 --> 00:18:57.440 Yeah. That's cool. That's really cool. Physical 00:18:57.440 --> 00:19:00.900 office locations. Do you have those? Are you 00:19:00.900 --> 00:19:03.619 all telehealth? Remind me. We are all telehealth 00:19:03.619 --> 00:19:08.089 right now. Yes. So I have like an actual. you 00:19:08.089 --> 00:19:10.609 know virtual address where all of the mail gets 00:19:10.609 --> 00:19:14.789 forwarded i work with a you know we have technically 00:19:14.789 --> 00:19:17.089 a physical location where we could see patients 00:19:17.089 --> 00:19:20.349 so we have that as an option and that's definitely 00:19:20.349 --> 00:19:22.230 something that i have in the back of my mind 00:19:22.230 --> 00:19:24.710 i know Right now for the DEA, you don't have 00:19:24.710 --> 00:19:26.769 to have that in -person visit for stimulants. 00:19:26.769 --> 00:19:28.349 But what we've really come across in Colorado 00:19:28.349 --> 00:19:30.369 is just a lot of pharmacies implementing their 00:19:30.369 --> 00:19:32.609 own policies where they want that in -person 00:19:32.609 --> 00:19:34.890 visit. So getting in the back of my mind, like 00:19:34.890 --> 00:19:37.329 what's the backup plan going to be? And I would 00:19:37.329 --> 00:19:40.250 probably just be, you know, subletting some offices 00:19:40.250 --> 00:19:42.630 from therapists that we know throughout the state. 00:19:42.690 --> 00:19:44.869 It's kind of nice. All of our providers are all 00:19:44.869 --> 00:19:46.410 spread out throughout the state. So we cover 00:19:46.410 --> 00:19:48.630 it pretty well, actually. That's really cool. 00:19:48.869 --> 00:19:51.309 Yeah. So you've hired how many providers now? 00:19:51.690 --> 00:19:54.789 I have four for Colorado and then I have one 00:19:54.789 --> 00:20:00.269 for Illinois. Okay. Okay. And tell us about like, 00:20:00.410 --> 00:20:02.569 well, actually I'm curious about two things. 00:20:02.750 --> 00:20:04.910 Okay. You said you really weren't on social media 00:20:04.910 --> 00:20:07.690 much and you kind of pushed yourself outside 00:20:07.690 --> 00:20:10.430 of your comfort zone in that way. Has that been 00:20:10.430 --> 00:20:13.890 like on Instagram, TikTok? Has it been for your 00:20:13.890 --> 00:20:16.849 practice mainly or like your personal brand? 00:20:17.130 --> 00:20:19.609 And what are the benefits? Because I think a 00:20:19.609 --> 00:20:21.910 lot of people look at it and they're like, I 00:20:21.910 --> 00:20:23.710 don't know if this is really worth it. Yeah. 00:20:23.829 --> 00:20:25.549 I mean, if you go look at any of my profiles, 00:20:25.730 --> 00:20:27.470 you're going to see there's not a whole lot on 00:20:27.470 --> 00:20:30.069 there. It's really more of a way to make sure 00:20:30.069 --> 00:20:33.130 people are able to get connected with the practice. 00:20:33.430 --> 00:20:36.410 Yeah. Just being on a lot of the local mental 00:20:36.410 --> 00:20:38.869 health Facebook groups, that's been really good. 00:20:38.930 --> 00:20:41.069 Just staying connected and really getting connected 00:20:41.069 --> 00:20:43.569 in with the local community. So I would say that's 00:20:43.569 --> 00:20:46.049 been the main benefit with social media. So it's 00:20:46.049 --> 00:20:49.480 all business stuff that I do with that. Yeah. 00:20:49.539 --> 00:20:53.019 For your practice. Yes. And like awareness for 00:20:53.019 --> 00:20:55.680 other people who refer to you and whatnot. Okay. 00:20:56.119 --> 00:20:59.319 That's cool. Okay. One of the things that people 00:20:59.319 --> 00:21:03.339 are talking about right now are working with 00:21:03.339 --> 00:21:07.480 these platforms like Headway, Alma, Grow, Rula, 00:21:07.599 --> 00:21:09.259 I think. Rula. I think it's another one. Yeah. 00:21:10.160 --> 00:21:12.299 That's like the lab place. But anyway. Yeah. 00:21:12.579 --> 00:21:17.119 So, you know, talk to me about like. Because 00:21:17.119 --> 00:21:20.339 you didn't choose to use one of those for credentialing 00:21:20.339 --> 00:21:23.619 or billing or getting patients. Talk to me about 00:21:23.619 --> 00:21:25.700 your thoughts on that. We did work with them 00:21:25.700 --> 00:21:28.839 for a little bit. Oh, I didn't know that. Yes. 00:21:28.900 --> 00:21:33.480 So I went back and forth so much on what I was 00:21:33.480 --> 00:21:35.859 going to do. And then initially when I was starting 00:21:35.859 --> 00:21:39.579 up, I caved and I decided to go with some of 00:21:39.579 --> 00:21:42.920 these billing platforms. Yeah. My experience 00:21:42.920 --> 00:21:45.390 was... I just didn't like that I didn't have 00:21:45.390 --> 00:21:48.650 control of the customer service. So a lot of 00:21:48.650 --> 00:21:50.569 times the patients would be charged an incorrect 00:21:50.569 --> 00:21:52.450 amount and it would be a really long time before 00:21:52.450 --> 00:21:56.930 all of that would be resolved. I think if you 00:21:56.930 --> 00:21:59.470 are like a solo provider and if that's kind of 00:21:59.470 --> 00:22:02.910 easy for you, that might be a good fit. I wanted 00:22:02.910 --> 00:22:04.950 to learn everything about the business before 00:22:04.950 --> 00:22:07.150 I like delegated it out to somebody else. So 00:22:07.150 --> 00:22:09.730 I learned how to do the credentialing and then 00:22:09.730 --> 00:22:11.690 I kind of just chose that I was going to do billing 00:22:11.690 --> 00:22:14.420 on my own for one insurance payer. just to see 00:22:14.420 --> 00:22:18.240 like how it went, learn it all. We have pretty 00:22:18.240 --> 00:22:21.000 much moved all in -house now with in -house billing. 00:22:21.700 --> 00:22:25.400 And we actually are managing it all right now. 00:22:25.480 --> 00:22:28.680 So dropping claims, following up on claim denials, 00:22:28.740 --> 00:22:31.839 we kind of do it all. I was going to, you know, 00:22:31.839 --> 00:22:34.740 contract with someone to kind of help with that. 00:22:34.819 --> 00:22:37.900 It just didn't end up working out. And, you know, 00:22:37.920 --> 00:22:39.400 I just kind of talked with my office manager 00:22:39.400 --> 00:22:40.720 and we were like, you know, this is kind of going. 00:22:41.359 --> 00:22:43.559 well now for like four or five months that we've 00:22:43.559 --> 00:22:47.259 been doing it, you know, 99 plus percent of our 00:22:47.259 --> 00:22:49.819 claims are getting paid. Like we were kind of 00:22:49.819 --> 00:22:52.140 figuring this out. Yeah. So we're just continuing 00:22:52.140 --> 00:22:54.700 to do in -house billing for now, but I really 00:22:54.700 --> 00:22:57.039 like having control over it. I feel like it's 00:22:57.039 --> 00:23:00.500 better customer service. These platforms don't 00:23:00.500 --> 00:23:03.420 support Medicaid. We have some smaller local 00:23:03.420 --> 00:23:06.240 plans that we contract with. So it's been just 00:23:06.240 --> 00:23:08.420 a lot easier for us to move everything in house. 00:23:09.160 --> 00:23:10.619 And it just seems like when I'm hearing with 00:23:10.619 --> 00:23:12.819 these platforms, they're just asking for more 00:23:12.819 --> 00:23:15.619 and more information. They're kind of starting 00:23:15.619 --> 00:23:18.420 to act more like employers versus, you know, 00:23:18.440 --> 00:23:21.500 the 1099 contractors. So I'm really proud of 00:23:21.500 --> 00:23:23.440 us that we've kind of moved to all in -house 00:23:23.440 --> 00:23:26.339 billing. Yeah. How are your rates compared to 00:23:26.339 --> 00:23:28.359 like some of the platforms? I know that's one 00:23:28.359 --> 00:23:30.700 of the reasons why people say that they sometimes 00:23:30.700 --> 00:23:34.000 use them. Yeah. I mean, I'll be honest. It's 00:23:34.000 --> 00:23:36.410 definitely not all of them are as good. as platforms. 00:23:36.829 --> 00:23:39.089 Yeah, it is what it is. But you kind of what 00:23:39.089 --> 00:23:42.190 I've gathered is you kind of have to get in at 00:23:42.190 --> 00:23:43.769 the lower rate. And then the longer you stay 00:23:43.769 --> 00:23:45.670 in, the more of a bargaining power you have with 00:23:45.670 --> 00:23:47.690 the insurance companies to help improve your 00:23:47.690 --> 00:23:49.509 rates. And I don't think that's going to happen 00:23:49.509 --> 00:23:53.369 with these other billing platforms. I know some 00:23:53.369 --> 00:23:55.490 of the rates have even been lowered since I've 00:23:55.490 --> 00:23:57.490 been in for some of these insurance companies. 00:23:57.650 --> 00:23:59.269 So I have no doubt that's just going to kind 00:23:59.269 --> 00:24:02.529 of continue to trend that way. Yeah, that makes 00:24:02.529 --> 00:24:07.259 sense. You and I both. worked with silver leaf 00:24:07.259 --> 00:24:09.440 because it sounds like we both wanted that kind 00:24:09.440 --> 00:24:13.819 of like automated experience but i'm pretty sure 00:24:13.819 --> 00:24:15.700 correct me if i'm wrong that you and i both felt 00:24:15.700 --> 00:24:20.099 like their forms well i'm sure they're audit 00:24:20.099 --> 00:24:23.359 proof or quite like clunky with the clicks and 00:24:23.359 --> 00:24:27.039 the right i trimmed them down quite a bit yeah 00:24:27.039 --> 00:24:29.480 yeah i had figure out how to do that yourself 00:24:29.480 --> 00:24:31.900 or you paid somebody i figured out how to do 00:24:31.900 --> 00:24:35.680 that myself yeah you're scrapping Yeah. That's 00:24:35.680 --> 00:24:37.599 why I said I'm a scrappy business owner. But 00:24:37.599 --> 00:24:41.380 yeah, I had somebody who was also great with 00:24:41.380 --> 00:24:43.279 audits and helping people with their templates. 00:24:43.339 --> 00:24:45.579 And she kind of helped me figure out like what 00:24:45.579 --> 00:24:48.940 is actually necessary, but was able to trim it 00:24:48.940 --> 00:24:50.519 down quite a bit. I still feel like it was a 00:24:50.519 --> 00:24:53.259 really good base, but yes, we did trim it down 00:24:53.259 --> 00:24:56.680 a lot. Okay. So a patient coming to your practice, 00:24:56.920 --> 00:24:58.480 like how do they get set up with you? What's 00:24:58.480 --> 00:25:01.819 the process like? Yeah, we have the online scheduling 00:25:01.819 --> 00:25:04.470 so they can really go in, they can search. Whatever 00:25:04.470 --> 00:25:06.529 provider has the earliest availability or if 00:25:06.529 --> 00:25:07.809 they feel like there's a particular provider 00:25:07.809 --> 00:25:09.670 they connect the best with, then they can go 00:25:09.670 --> 00:25:12.089 ahead and schedule with that provider. Okay. 00:25:12.150 --> 00:25:14.250 If they have questions, they can reach out to 00:25:14.250 --> 00:25:17.930 our office manager, call or text us. But usually 00:25:17.930 --> 00:25:19.930 it's the online scheduling. They find us that 00:25:19.930 --> 00:25:23.210 way. Okay. How did you find the providers that 00:25:23.210 --> 00:25:25.910 you hired? I know you used to work with maybe 00:25:25.910 --> 00:25:29.130 one or two. Yeah. So Sarah, my office manager, 00:25:29.210 --> 00:25:31.900 when it was just me. And all of a sudden I was 00:25:31.900 --> 00:25:33.960 getting completely just overwhelmed. I said, 00:25:34.059 --> 00:25:35.920 you know, I cannot, I cannot do all of these 00:25:35.920 --> 00:25:39.359 admin tasks on my own. I contacted her. So she 00:25:39.359 --> 00:25:41.839 just started out like, you know, five to 10 hours 00:25:41.839 --> 00:25:45.019 helping me. And then as the practice grew, she 00:25:45.019 --> 00:25:47.640 started expanding her hours until it was a full 00:25:47.640 --> 00:25:51.140 -time position. Yeah. So after I decided I did 00:25:51.140 --> 00:25:53.460 the private practice thing and I was also doing 00:25:53.460 --> 00:25:56.910 my W2 job at the same time. And it just got to 00:25:56.910 --> 00:25:59.210 a place where I couldn't grow anymore in the 00:25:59.210 --> 00:26:01.329 private practice unless I just made the leap. 00:26:01.930 --> 00:26:04.349 So I made the leap. And then two weeks later, 00:26:04.450 --> 00:26:06.470 I found out that that was when baby number four 00:26:06.470 --> 00:26:08.589 was going to be coming. So I was like, OK, well, 00:26:08.789 --> 00:26:10.970 I'm not really sure what this looks like. Am 00:26:10.970 --> 00:26:13.470 I going to continue to do the solo practice thing 00:26:13.470 --> 00:26:15.250 or does it make sense to do a group practice? 00:26:15.329 --> 00:26:16.930 And I don't think it's always like the natural 00:26:16.930 --> 00:26:19.349 progression to move from a solo practice to a 00:26:19.349 --> 00:26:22.470 group practice. I mean, I would say I'm just 00:26:22.470 --> 00:26:24.609 as busy, if not busier. It's just a different 00:26:24.609 --> 00:26:28.730 type of work. that, that you're doing. So yeah, 00:26:28.829 --> 00:26:32.009 kind of, it would have been a little over a year 00:26:32.009 --> 00:26:34.869 ago, like March, I think I started, I posted 00:26:34.869 --> 00:26:37.890 something on LinkedIn and then I posted on some 00:26:37.890 --> 00:26:41.250 of the Facebook groups as well. I found, yeah, 00:26:41.289 --> 00:26:45.049 my first two NPs that way. They are both amazing, 00:26:45.289 --> 00:26:48.750 incredible, total rock stars, like love them. 00:26:48.809 --> 00:26:51.329 They've been so great. LinkedIn or Facebook or 00:26:51.329 --> 00:26:54.269 one of each? One found me through the LinkedIn 00:26:54.269 --> 00:26:57.289 post. And then another one found me through Facebook. 00:26:57.589 --> 00:26:59.970 So yeah, we had Amanda. She was the guinea pig. 00:27:00.049 --> 00:27:02.130 She was the first one that came on as an MP and 00:27:02.130 --> 00:27:05.069 she's been with us for almost a year now. Yeah, 00:27:05.130 --> 00:27:08.529 she's incredible. And then Kat started a little 00:27:08.529 --> 00:27:10.970 bit later, like in August, right as I was going 00:27:10.970 --> 00:27:12.789 on maternity leave. And I feel like that was 00:27:12.789 --> 00:27:16.009 really helpful to have too. I feel like it would 00:27:16.009 --> 00:27:18.809 have been way too much for one person to be seeing 00:27:18.809 --> 00:27:20.690 all of my patients as I tried to take a semi 00:27:20.690 --> 00:27:22.930 -maternity leave while they were kind of growing 00:27:22.930 --> 00:27:26.160 their own caseload. So I had the two of them. 00:27:26.279 --> 00:27:29.359 Yeah, those were the first two. And then Rashawn 00:27:29.359 --> 00:27:32.400 was the other one that I had connected with through 00:27:32.400 --> 00:27:34.779 Facebook. She just hadn't graduated yet, but 00:27:34.779 --> 00:27:36.299 really connected with her. Felt like she was 00:27:36.299 --> 00:27:39.660 a really good fit. Hired her kind of last year. 00:27:39.759 --> 00:27:41.759 And then by the time licensing, credentialing, 00:27:41.779 --> 00:27:43.720 all that kind of came through, we're finally 00:27:43.720 --> 00:27:46.960 getting her on board now. That's exciting. Yeah. 00:27:47.000 --> 00:27:50.779 So you were working your corporate gig still 00:27:50.779 --> 00:27:55.369 40 hours a week. For how long? I could drop down 00:27:55.369 --> 00:27:57.930 to 30. You could technically drop down to 30. 00:27:57.990 --> 00:28:00.529 And then I had a lot of paid time off saved up. 00:28:00.849 --> 00:28:04.329 So I did a combination of that where I want to 00:28:04.329 --> 00:28:07.130 say like for six weeks or so, I was able to do 00:28:07.130 --> 00:28:10.069 20 hours, still keep benefits, still keep the 00:28:10.069 --> 00:28:12.630 job and then really open it up in the private 00:28:12.630 --> 00:28:16.250 practice. And then, yeah, felt like I never felt 00:28:16.250 --> 00:28:18.609 fully ready to do it, but it was absolutely the 00:28:18.609 --> 00:28:21.240 right time to make the leap full time. Because 00:28:21.240 --> 00:28:23.599 were you doing your private practice like on 00:28:23.599 --> 00:28:26.400 Saturday, Sunday type thing? Or how did you work 00:28:26.400 --> 00:28:29.200 that? No, I kept it all during the week. Yeah, 00:28:29.240 --> 00:28:31.400 it was really important for me to be there with 00:28:31.400 --> 00:28:34.839 my family. So I don't think I had more than 40 00:28:34.839 --> 00:28:37.359 hours open to patients. So maybe I had like 20. 00:28:37.400 --> 00:28:39.680 So with my corporate gig and then 20 open to 00:28:39.680 --> 00:28:42.920 private practice. Yeah. Okay. And when that was 00:28:42.920 --> 00:28:45.440 full, I was filling up my lunch break, you know, 00:28:45.440 --> 00:28:47.779 tagging patients on at the end of the day. I 00:28:47.779 --> 00:28:51.380 knew it was ready to move. Okay. How long did 00:28:51.380 --> 00:28:52.819 it take to get your first patient? Because I 00:28:52.819 --> 00:28:55.019 know that's something where people will launch 00:28:55.019 --> 00:28:57.400 and then they're like, where are the phone calls? 00:28:57.539 --> 00:28:59.259 Why aren't people booking? What's happening? 00:28:59.880 --> 00:29:03.400 Yeah. It was pretty immediate, really. Yeah. 00:29:03.480 --> 00:29:07.640 I really dedicated myself to as much as I was 00:29:07.640 --> 00:29:11.799 seeing patients, networking as much, if not more, 00:29:11.900 --> 00:29:14.799 in the beginning. So you have to do a lot of 00:29:14.799 --> 00:29:17.349 that groundwork too. And like just being genuine 00:29:17.349 --> 00:29:19.349 about it too. Like if you're just going out being 00:29:19.349 --> 00:29:21.369 like, give me patience, give me patience. People 00:29:21.369 --> 00:29:23.569 are, they're not going to pick up on that. Our 00:29:23.569 --> 00:29:26.309 goal is that we really have a lot of resources 00:29:26.309 --> 00:29:29.829 for our patients. So it takes them a while to 00:29:29.829 --> 00:29:31.609 be able to find a psychiatry provider that they 00:29:31.609 --> 00:29:33.549 really connect with. They don't want to have 00:29:33.549 --> 00:29:35.509 to go back out into psychology today world and 00:29:35.509 --> 00:29:38.190 try and find a therapist that works as well. 00:29:38.750 --> 00:29:41.329 So we know all of these wonderful, amazing therapists 00:29:41.329 --> 00:29:43.349 that we're able to connect them with, you know, 00:29:43.390 --> 00:29:46.029 neuropsych testing, sleep specialists. We just 00:29:46.029 --> 00:29:48.549 have a whole bunch of resources. And I definitely 00:29:48.549 --> 00:29:51.890 am so grateful for the Colorado mental health 00:29:51.890 --> 00:29:54.150 community and how they've really embraced me 00:29:54.150 --> 00:29:57.349 and the practice. There's no way I would be successful 00:29:57.349 --> 00:30:01.210 without them. So love, love collaborating with 00:30:01.210 --> 00:30:03.190 our therapists and mental health community. I 00:30:03.190 --> 00:30:04.670 love that. I do think that there is something 00:30:04.670 --> 00:30:07.730 to be said about like focusing on one state, 00:30:07.829 --> 00:30:10.130 focusing on maybe your kind of like home state. 00:30:10.210 --> 00:30:13.880 Like, yeah, I absolutely. see like significant 00:30:13.880 --> 00:30:16.319 value in that and just doing that really, really 00:30:16.319 --> 00:30:19.380 well. So that's cool. So you did your own credentialing 00:30:19.380 --> 00:30:21.779 and your own billing. Would you recommend that 00:30:21.779 --> 00:30:26.859 to somebody starting out? I would. I'm a firm 00:30:26.859 --> 00:30:28.940 believer in figure out how everything in your 00:30:28.940 --> 00:30:32.480 company works. And then when you have more money 00:30:32.480 --> 00:30:34.559 than time at that point, then you can start to 00:30:34.559 --> 00:30:37.250 delegate things out. When I bring a new provider 00:30:37.250 --> 00:30:39.289 on, I don't do the credentialing anymore. That's 00:30:39.289 --> 00:30:41.910 something that I hire somebody for. But I know 00:30:41.910 --> 00:30:43.670 generally what the process looks like, what the 00:30:43.670 --> 00:30:45.269 timeline looks like. So if something's going 00:30:45.269 --> 00:30:48.430 wrong, I get a sense. But yeah, I've kind of 00:30:48.430 --> 00:30:51.730 handed that over at this point. To a credentialing 00:30:51.730 --> 00:30:54.569 company or to one of your virtual assistants 00:30:54.569 --> 00:30:57.509 who you trained? It's a credentialing person 00:30:57.509 --> 00:30:59.390 that I work with. She's been great. And then 00:30:59.390 --> 00:31:00.990 I have another one that I kind of work with for 00:31:00.990 --> 00:31:04.259 Colorado Medicaid. So I have one more for commercial 00:31:04.259 --> 00:31:05.799 and then I have another one that I work with 00:31:05.799 --> 00:31:08.660 for Medicaid. Okay. And did you just find those 00:31:08.660 --> 00:31:11.380 word of mouth or how did you kind of vet those? 00:31:12.279 --> 00:31:15.319 Facebook. Yeah. Word of mouth, Facebook. Yeah. 00:31:16.440 --> 00:31:19.180 Facebook's kind of underutilized for some of 00:31:19.180 --> 00:31:21.880 those like connecting. Yeah. There's just so 00:31:21.880 --> 00:31:24.019 many resources on there. It's great. Is that 00:31:24.019 --> 00:31:26.960 kind of where you, like when you were learning 00:31:26.960 --> 00:31:28.779 how to credential yourself, like where were you 00:31:28.779 --> 00:31:33.079 looking to or learning from to do it? Going straight 00:31:33.079 --> 00:31:35.880 to the insurance websites. Yeah. Figuring out 00:31:35.880 --> 00:31:39.480 how to do it there. Yeah. So if we were looking 00:31:39.480 --> 00:31:42.519 at a pie chart of like where your referral sources 00:31:42.519 --> 00:31:46.460 come from, what would you say that breakdown 00:31:46.460 --> 00:31:49.660 looks like? Referrals from other mental health 00:31:49.660 --> 00:31:51.480 practices, therapists, that's going to be the 00:31:51.480 --> 00:31:55.700 vast majority. I would say, yeah, maybe 85 % 00:31:55.700 --> 00:31:58.940 or so. Yeah. We all have Psychology Today profiles, 00:31:59.460 --> 00:32:03.250 maybe 10%. I don't know where. And then I think 00:32:03.250 --> 00:32:06.470 maybe just like word of mouth, like people are 00:32:06.470 --> 00:32:08.589 talking about us again on social media. They 00:32:08.589 --> 00:32:11.190 heard about us from a friend and have been recommended 00:32:11.190 --> 00:32:14.829 to the practice. Okay. Gotcha. And you have your 00:32:14.829 --> 00:32:17.910 own like Facebook, Colorado Psych NP group, right? 00:32:18.509 --> 00:32:21.470 I do. I, a couple of years ago, again, I was 00:32:21.470 --> 00:32:23.230 trying to look for it and there were no Colorado 00:32:23.230 --> 00:32:26.670 PMHNPs Facebook group. So I started one. I think 00:32:26.670 --> 00:32:28.849 there's a couple of hundred of us that are there. 00:32:29.789 --> 00:32:32.130 And I just started like a virtual networking 00:32:32.130 --> 00:32:36.130 group too. So it's the, it's the second Wednesday. 00:32:36.170 --> 00:32:37.890 Yeah. Second Wednesday of the month that we meet 00:32:37.890 --> 00:32:42.109 over lunchtime from 12 to one. So yeah, any Colorado 00:32:42.109 --> 00:32:45.690 PMHNPs are welcome to join, but yeah, we just 00:32:45.690 --> 00:32:48.329 kind of talk about how things are going. Everyone 00:32:48.329 --> 00:32:51.329 is in different stages. Some are new grads. Some 00:32:51.329 --> 00:32:53.470 have been there for a while. Some are working 00:32:53.470 --> 00:32:55.690 for companies, private practices, group practices, 00:32:55.750 --> 00:32:58.420 but it's just a good chance for us all to. connect 00:32:58.420 --> 00:33:02.019 and see how we're doing. That's awesome. Talk 00:33:02.019 --> 00:33:04.900 to me about when you knew it was time to hire 00:33:04.900 --> 00:33:07.819 like for administrative support and kind of what 00:33:07.819 --> 00:33:10.680 that process looked like. I remember just looking 00:33:10.680 --> 00:33:13.200 at my schedule of all the intakes that I had 00:33:13.200 --> 00:33:14.779 that following week. And I'm like, I have no 00:33:14.779 --> 00:33:16.839 idea if these people have filled out their paperwork, 00:33:16.960 --> 00:33:19.500 if they're ready to go, nor do I have time to 00:33:19.500 --> 00:33:22.549 figure this out. That's when I had contacted 00:33:22.549 --> 00:33:25.089 Sarah. She was the first person that came to 00:33:25.089 --> 00:33:27.190 my mind, and I had worked with her for years 00:33:27.190 --> 00:33:29.549 in community mental health. She's wonderful. 00:33:29.710 --> 00:33:31.769 She has 20 years of experience in community mental 00:33:31.769 --> 00:33:34.490 health, and she's so organized, just as organized 00:33:34.490 --> 00:33:36.950 on top of things as I am, very detail -oriented. 00:33:37.130 --> 00:33:40.829 So I didn't even consider anyone else at that 00:33:40.829 --> 00:33:43.289 point. I knew Sarah was the right person to bring 00:33:43.289 --> 00:33:46.650 on. So she's been... been absolutely amazing. 00:33:47.130 --> 00:33:50.250 Once we kind of grew, so when we, when Rashawn 00:33:50.250 --> 00:33:53.470 and Heather then added another five of us, one 00:33:53.470 --> 00:33:56.890 that works part -time, we needed more admin support. 00:33:57.210 --> 00:34:01.190 So I had worked with Ella at my previous job. 00:34:01.329 --> 00:34:03.190 We had worked together for about four years, 00:34:03.329 --> 00:34:05.529 you know, on a daily basis. She was kind of my 00:34:05.529 --> 00:34:08.590 go -to person. So she was the second person that 00:34:08.590 --> 00:34:10.449 I brought on. So right now we have two full -time 00:34:10.449 --> 00:34:15.119 admin staff for our group. That's awesome. So 00:34:15.119 --> 00:34:17.440 your providers that you brought on, are they 00:34:17.440 --> 00:34:20.460 1099, W -2? And if you don't mind telling us 00:34:20.460 --> 00:34:22.800 about kind of like how you made that choice, 00:34:22.900 --> 00:34:24.239 because I think that's another thing people kind 00:34:24.239 --> 00:34:28.159 of wrestle with. Yeah, this is a hotly debated 00:34:28.159 --> 00:34:31.480 topic. I'm firmly in the W -2 camp for nurse 00:34:31.480 --> 00:34:34.239 practitioners. Yes. I know there's kind of this, 00:34:34.380 --> 00:34:36.719 oh, well, I'm not dictating their schedule or 00:34:36.719 --> 00:34:38.619 they can work as much or as little as they want. 00:34:38.900 --> 00:34:42.630 And, you know, again, after. Speaking with lawyers, 00:34:43.050 --> 00:34:47.610 that's not the essence of a 1099. The IRS has 00:34:47.610 --> 00:34:50.329 definitely put out new rules for what constitutes 00:34:50.329 --> 00:34:53.789 1099 versus W -2. You essentially start with 00:34:53.789 --> 00:34:56.369 the assumption that they are an employee, and 00:34:56.369 --> 00:34:58.809 then only if you meet these certain criteria 00:34:58.809 --> 00:35:02.320 could they technically be a 1099. But for most 00:35:02.320 --> 00:35:05.039 states, if you're bringing someone on and they 00:35:05.039 --> 00:35:07.960 are doing the core purpose of your business, 00:35:08.219 --> 00:35:10.539 which for us is psychiatry and medication management, 00:35:10.900 --> 00:35:14.599 they're an employee. So it's going to become 00:35:14.599 --> 00:35:16.519 harder and harder, I think. I know there's a 00:35:16.519 --> 00:35:19.280 lot of practices that do it. They practice that 00:35:19.280 --> 00:35:23.460 way. Not here to speak on that, but for me, I 00:35:23.460 --> 00:35:27.000 knew that to be right by my NPs, we definitely 00:35:27.000 --> 00:35:30.460 needed to do W -2. So yeah, it's a W -2 position. 00:35:31.469 --> 00:35:33.789 You know, we offer benefits to like the paid 00:35:33.789 --> 00:35:35.889 time off, the sick time, you know, that they're 00:35:35.889 --> 00:35:39.550 legally entitled to. We've got a 401k with match. 00:35:39.690 --> 00:35:42.010 We've got, you know, CEU reimbursement, office 00:35:42.010 --> 00:35:45.449 stipends. Yeah. Try to try to do as much as we 00:35:45.449 --> 00:35:51.530 can for them. Yeah. Yeah. Very cool. Okay. Also, 00:35:51.670 --> 00:35:53.789 you know, with all the networking that you did 00:35:53.789 --> 00:35:56.909 with these like therapy offices or maybe. like 00:35:56.909 --> 00:36:00.230 PCPs, like what did that look like? Was that 00:36:00.230 --> 00:36:02.590 like going on the Facebook groups and then like 00:36:02.590 --> 00:36:08.389 just cold DMing them? Like I guess I'm just trying 00:36:08.389 --> 00:36:11.110 to help other people see that process a little 00:36:11.110 --> 00:36:12.889 bit more because I think people underestimate 00:36:12.889 --> 00:36:18.030 the amount of like networking and marketing that's 00:36:18.030 --> 00:36:21.210 necessary, you know? Yeah. It's like it's showing 00:36:21.210 --> 00:36:23.329 up in your community. There's probably a lot 00:36:23.329 --> 00:36:25.699 of local networking events that people are. missing 00:36:25.699 --> 00:36:28.900 out on. So being consistent with that. And again, 00:36:29.019 --> 00:36:31.059 seeing how you can help other people's practices 00:36:31.059 --> 00:36:33.539 too. Like not just being like, you know, send 00:36:33.539 --> 00:36:36.039 me patients, but like, hey, this is a gap that 00:36:36.039 --> 00:36:38.440 I'm seeing. You know, we definitely need more 00:36:38.440 --> 00:36:40.460 neuropsych testing for our patients, specialized 00:36:40.460 --> 00:36:42.139 therapists in this, specialized therapists in 00:36:42.139 --> 00:36:44.800 that, but like being intentional about those 00:36:44.800 --> 00:36:48.059 connections that you're making. So yeah. And 00:36:48.059 --> 00:36:50.179 helping them out too. Like see somebody asking 00:36:50.179 --> 00:36:51.940 for a therapist and you're like, oh, I know so 00:36:51.940 --> 00:36:53.840 -and -so, they're going to be great for that. 00:36:53.960 --> 00:36:57.369 Yeah. Kind of providing some value and nurturing 00:36:57.369 --> 00:36:59.690 those relationships. Yeah, being intentional 00:36:59.690 --> 00:37:02.070 and genuine. We all want the same thing. We want 00:37:02.070 --> 00:37:04.030 great care for our patients. In five years from 00:37:04.030 --> 00:37:06.170 now, what do you hope that present life psychiatry 00:37:06.170 --> 00:37:08.769 looks like as well as kind of your day to day? 00:37:09.070 --> 00:37:12.050 I never want to get away fully from patient care. 00:37:12.210 --> 00:37:15.210 So I think I'm always going to have my own clinical 00:37:15.210 --> 00:37:18.550 caseload of clients that I'll be seeing. Yeah, 00:37:18.570 --> 00:37:20.510 no, we didn't really touch on this, but perinatal 00:37:20.510 --> 00:37:23.250 psychiatry is kind of what I'm focused on. moving 00:37:23.250 --> 00:37:26.269 forward. So that's my niche and the few new patients 00:37:26.269 --> 00:37:29.150 that I'm accepting. That's what I'm doing. I 00:37:29.150 --> 00:37:30.829 never would have anticipated that I would have 00:37:30.829 --> 00:37:33.309 grown to a group practice, especially this quickly 00:37:33.309 --> 00:37:35.889 when I first started it. So I'm not sure what 00:37:35.889 --> 00:37:37.170 things are going to look like in five years. 00:37:37.250 --> 00:37:40.489 I know for sure I don't want to grow to be something 00:37:40.489 --> 00:37:43.789 super big where patients kind of get lost in 00:37:43.789 --> 00:37:46.650 the mix. They don't have that direct access to 00:37:46.650 --> 00:37:48.969 their providers. I know a lot of us do. We use 00:37:48.969 --> 00:37:52.460 Spruce for messaging. So if they have any, you 00:37:52.460 --> 00:37:54.559 know, quick concerns in between visits, I want 00:37:54.559 --> 00:37:57.440 them to feel like they can easily access their 00:37:57.440 --> 00:37:59.280 provider. And I want to be sure that patients 00:37:59.280 --> 00:38:02.039 can get in quickly too. You know, in community 00:38:02.039 --> 00:38:04.920 mental health, you're booked three months out. 00:38:05.019 --> 00:38:07.579 So like, it's really hard for patients to get 00:38:07.579 --> 00:38:10.079 back in. And then my other job, I was seeing 00:38:10.079 --> 00:38:13.739 80 to 90 clients a week, and I'm just so burned 00:38:13.739 --> 00:38:17.079 out by the end of it. So I definitely, you know, 00:38:17.099 --> 00:38:20.480 want to keep it. keep it low, not having a huge 00:38:20.480 --> 00:38:22.360 amount of patients that my providers are seeing 00:38:22.360 --> 00:38:24.440 and making sure that the patients feel like they're 00:38:24.440 --> 00:38:27.179 getting that holistic care. Everyone does a really 00:38:27.179 --> 00:38:30.420 great job getting to know our patients, doing 00:38:30.420 --> 00:38:32.219 a lot of supportive psychotherapy during their 00:38:32.219 --> 00:38:35.099 visits, doing the lab work, more of the integrative 00:38:35.099 --> 00:38:37.460 psychiatry supplements, genome mind testing. 00:38:37.900 --> 00:38:41.480 So just really more, more holistic care. I think 00:38:41.480 --> 00:38:43.860 potentially we could grow a little bit more and, 00:38:43.860 --> 00:38:46.380 you know, add a couple more providers. But again, 00:38:46.460 --> 00:38:48.670 I don't. anticipate it being anything big. I 00:38:48.670 --> 00:38:52.630 want to keep it small, make sure patients feel 00:38:52.630 --> 00:38:57.250 connected. Yeah, absolutely. What do you do to 00:38:57.250 --> 00:39:01.010 kind of keep your mental health intact, having 00:39:01.010 --> 00:39:02.809 four kids and then running this group practice? 00:39:03.030 --> 00:39:06.130 I have great help outside of work too. So yes, 00:39:06.269 --> 00:39:10.090 absolutely. Yes. Yeah. We have a wonderful nanny 00:39:10.090 --> 00:39:12.250 so that, you know, it doesn't feel like where 00:39:12.250 --> 00:39:15.329 I'm. half doing my work, half watching my kids, 00:39:15.489 --> 00:39:17.349 you know, I can definitely have some time to 00:39:17.349 --> 00:39:20.389 do that. My mom is incredible too. She absolutely 00:39:20.389 --> 00:39:24.449 helps. So it just definitely, we have support 00:39:24.449 --> 00:39:26.809 like outside of this that allows me to do this 00:39:26.809 --> 00:39:30.989 work. But yeah, I love transitioning into this. 00:39:31.010 --> 00:39:32.789 I feel like it's, this kind of honors the season 00:39:32.789 --> 00:39:34.550 of life that I'm in right now, where it's not 00:39:34.550 --> 00:39:38.480 so solely tied to only seeing clients. A lot 00:39:38.480 --> 00:39:40.440 of the things that I do as a group practice owner, 00:39:40.599 --> 00:39:43.539 it's a little bit more flexible. So it gives 00:39:43.539 --> 00:39:46.199 me time where I can step out and I can put my 00:39:46.199 --> 00:39:48.400 baby to bed. You know, I can nurse him. I can 00:39:48.400 --> 00:39:50.800 feed him. I can do those things. So I love that 00:39:50.800 --> 00:39:52.940 there's that flexibility built in. But there's 00:39:52.940 --> 00:39:55.320 definitely, you know, a lot of late nights after 00:39:55.320 --> 00:39:57.900 the kids are asleep where then I'm back to working 00:39:57.900 --> 00:40:00.360 on things for the business. Yeah. Because is 00:40:00.360 --> 00:40:02.719 your husband, like, does he have a full time? 00:40:03.159 --> 00:40:06.699 Corporate gig? Yeah, we're both full -time, but 00:40:06.699 --> 00:40:08.880 we actually both get to work from home as well. 00:40:08.920 --> 00:40:11.480 We both have our dedicated office spaces, but 00:40:11.480 --> 00:40:14.340 it is nice that we don't have these long commutes 00:40:14.340 --> 00:40:16.619 that we have to worry about. So that's been great. 00:40:17.159 --> 00:40:19.280 Yeah, because didn't you just go to Florida for 00:40:19.280 --> 00:40:23.280 like a month or something? We did, yeah. We have 00:40:23.280 --> 00:40:25.340 some family down there, but we were like, why 00:40:25.340 --> 00:40:29.019 not? It's been a huge year just with expanding 00:40:29.019 --> 00:40:32.179 to the group practice. and having a baby. So 00:40:32.179 --> 00:40:34.619 we just needed some time, time to kind of get 00:40:34.619 --> 00:40:37.039 away. So, so worked, you know, throughout, but 00:40:37.039 --> 00:40:38.960 it was just nice to kind of have a change of 00:40:38.960 --> 00:40:41.920 pace. Yeah. Yeah. That's really cool. That's 00:40:41.920 --> 00:40:44.800 pretty huge to be able to like travel and then 00:40:44.800 --> 00:40:47.780 also work a little bit and get to hang out with 00:40:47.780 --> 00:40:50.699 your kids at the beach. I know. I love your traveling 00:40:50.699 --> 00:40:52.880 like a lot too. I know we texted the other week 00:40:52.880 --> 00:40:54.159 and you're like, I'll get back to you. I'm on 00:40:54.159 --> 00:40:58.579 the beach now. So. Home exchange. Yeah. I can't 00:40:58.579 --> 00:41:00.300 believe I'm not an affiliate for them. I'd be 00:41:00.300 --> 00:41:02.619 doing great if I was because I'm like, everybody 00:41:02.619 --> 00:41:05.780 needs to do home exchange. Yeah. Yeah. Any goals 00:41:05.780 --> 00:41:10.519 for yourself for this next year as far as anything 00:41:10.519 --> 00:41:13.559 really? Any like diversification of revenue streams? 00:41:14.420 --> 00:41:18.380 Speaking? consulting, anything like that on your 00:41:18.380 --> 00:41:20.579 radar? Are you pretty like? I want to do all 00:41:20.579 --> 00:41:22.079 those things and jump into all those things, 00:41:22.119 --> 00:41:24.139 but I have to be like realistic with myself. 00:41:24.300 --> 00:41:26.699 Like that's probably not the time. I would love 00:41:26.699 --> 00:41:30.780 to do some other things. I definitely, I've loved 00:41:30.780 --> 00:41:33.239 kind of like transitioning into a group practice 00:41:33.239 --> 00:41:35.360 and figuring all the ins and outs with that. 00:41:35.539 --> 00:41:37.760 And I think definitely in the future, that's 00:41:37.760 --> 00:41:40.239 something that, that I would offer. Like, this 00:41:40.239 --> 00:41:43.119 is how you do it. This is kind of what I've learned. 00:41:43.219 --> 00:41:45.679 Would love to do that sometime. But again. I've 00:41:45.679 --> 00:41:48.420 got to focus on one thing at a time. So I think 00:41:48.420 --> 00:41:50.639 we're just going to make sure, kind of focus 00:41:50.639 --> 00:41:54.000 on filling the caseloads of our NPs that we have 00:41:54.000 --> 00:41:56.420 right now. Definitely want to be learning more 00:41:56.420 --> 00:41:58.800 about integrative psychiatry and incorporating 00:41:58.800 --> 00:42:02.280 that more into our practice. But yeah, I have 00:42:02.280 --> 00:42:05.000 big dreams and goals when things kind of settle 00:42:05.000 --> 00:42:08.159 down a little bit for diversifying things. Totally 00:42:08.159 --> 00:42:09.980 get that. Yeah. I also think there's something 00:42:09.980 --> 00:42:12.639 to be said about being like very focused on kind 00:42:12.639 --> 00:42:16.110 of making one thing. really excellent you know 00:42:16.110 --> 00:42:17.809 because sometimes it's hard when you're like 00:42:17.809 --> 00:42:21.050 working on all these things and you're distracted 00:42:21.050 --> 00:42:23.769 and it's like you're kind of frustrated because 00:42:23.769 --> 00:42:27.090 none of them seem to be thriving you know what 00:42:27.090 --> 00:42:29.869 I mean right yeah I want to yeah exactly want 00:42:29.869 --> 00:42:31.710 to do one thing well make sure that we're doing 00:42:31.710 --> 00:42:34.789 well here absolutely yeah yeah it makes me think 00:42:34.789 --> 00:42:36.610 about even like service lines I think sometimes 00:42:36.610 --> 00:42:38.949 when you add on different service lines and you 00:42:38.949 --> 00:42:40.750 don't have like your core service line really 00:42:40.750 --> 00:42:44.119 like hashed out. That can be difficult too. Anything 00:42:44.119 --> 00:42:49.320 else that you would tell a newer psych NP, any 00:42:49.320 --> 00:42:54.820 advice in 2026 that you can think of? Yeah. I 00:42:54.820 --> 00:42:57.300 feel like the job market is so different than 00:42:57.300 --> 00:43:00.679 how it was when I started before, but if you 00:43:00.679 --> 00:43:03.239 can. I would really strongly recommend like finding 00:43:03.239 --> 00:43:05.280 a place, even if it is lower paying, if you can 00:43:05.280 --> 00:43:07.480 somehow swing that to where it just has a good 00:43:07.480 --> 00:43:10.960 mentor. That was just foundational for me and 00:43:10.960 --> 00:43:13.780 I think is a core part of why this has been so 00:43:13.780 --> 00:43:17.199 successful. But that was really, really amazing. 00:43:17.440 --> 00:43:20.179 So yeah, jumping into community mental health, 00:43:20.239 --> 00:43:22.099 that was great. So yeah, if you're able to find 00:43:22.099 --> 00:43:24.539 it, I realize it's kind of hard, but I just had 00:43:24.539 --> 00:43:27.119 such a great experience and that's also a huge 00:43:27.119 --> 00:43:29.139 core part of my company that I wanted to pass 00:43:29.139 --> 00:43:32.739 along to my NPs. pretty much always available. 00:43:32.960 --> 00:43:35.739 Anyone has a question, we do weekly meetings 00:43:35.739 --> 00:43:38.820 to review cases, talk through all of those things, 00:43:39.000 --> 00:43:40.739 making sure that they have a good foundation 00:43:40.739 --> 00:43:44.820 as well. Yeah. That's awesome. I ask all of my 00:43:44.820 --> 00:43:49.800 guests this question, what does the term no prior 00:43:49.800 --> 00:43:52.519 auth mean to you? Because that's obviously the 00:43:52.519 --> 00:43:55.019 name of this podcast. Oh, it's like a daily frustration 00:43:55.019 --> 00:43:59.500 that we go through. I would say, yeah. elimination 00:43:59.500 --> 00:44:03.599 of inefficiency and, you know, unnecessary barriers 00:44:03.599 --> 00:44:07.480 to care. Yeah. It is so frustrating to have to 00:44:07.480 --> 00:44:09.719 go through, you know, jump through all of these 00:44:09.719 --> 00:44:11.559 hoops just to get things approved, but yeah, 00:44:11.599 --> 00:44:14.460 allowing us to practice at the full scope of 00:44:14.460 --> 00:44:16.940 our license and really allow us to make those 00:44:16.940 --> 00:44:19.440 decisions that are good for our patients. Now 00:44:19.440 --> 00:44:21.780 we start time with those things. Yeah, exactly. 00:44:22.019 --> 00:44:24.159 Love that. Where can people find you if they 00:44:24.159 --> 00:44:26.909 want to kind of follow along? your journey or 00:44:26.909 --> 00:44:29.650 what you're doing and your practice. Our website 00:44:29.650 --> 00:44:33.070 is presentlifepsychiatry .com. You can find me 00:44:33.070 --> 00:44:36.869 on Facebook, Bailey Lenzicki. We've got our practice 00:44:36.869 --> 00:44:39.550 on there under present life psychiatry. Yeah. 00:44:39.570 --> 00:44:42.429 I would love for any Colorado PMHNPs come on 00:44:42.429 --> 00:44:45.170 over to our group, join our group, join our little 00:44:45.170 --> 00:44:47.530 networking meeting. And then, yeah, you can find 00:44:47.530 --> 00:44:51.099 us on, on Instagram too. Awesome. Well, thank 00:44:51.099 --> 00:44:54.300 you so much for your time and would love to have 00:44:54.300 --> 00:44:57.480 you on again in a couple months. And I know people 00:44:57.480 --> 00:44:59.960 are going to be very invested in hearing how 00:44:59.960 --> 00:45:02.679 you did it because it's very relatable to like, 00:45:02.719 --> 00:45:06.059 especially us moms wanting to build businesses, 00:45:06.139 --> 00:45:09.059 be entrepreneurial. We do it from the living 00:45:09.059 --> 00:45:13.199 room, holding a baby. Yeah. My son was just knocking 00:45:13.199 --> 00:45:15.079 here in the middle of this podcast episode. I 00:45:15.079 --> 00:45:17.440 mean, it's just life, you know, but we just make 00:45:17.440 --> 00:45:20.199 it work. So yeah. Thank you so much, Kaylee. 00:45:20.570 --> 00:45:21.289 Yeah. Thanks, Lindsay.