EmailMeForm
Contact Us
Thank you for considering Peaceful Solutions Counseling Inc. Please complete this form and we will get back to you, usually within the same business day. We look forward to helping you with the challenges of life and helping you on your journey to healing. IMPORTANT NOTE: If you are in crisis and need immediate help, please go to an ER or call 911. This form is to connect with non-emergency therapy services.
Name
*
First
Last
Reason for Contact
General Information
Want to start therapy
Targeted Case Management
I am interested in
Individual therapy for myself
Therapy for my child (age 5-12)
Therapy for my adolescent (age 13-17)
Couples Therapy
Family Therapy
Telehealth ONLY
Targeted Case Management
Child's Name (if client)
Primary health plan of client
Please select
Aetna Better Health Medicaid
Aetna Commercial Insurance
Ambetter Marketplace
Anthem BCBS Commercial Insurance
Caresource of Kentucky Marketplace
Humana Commercial Insurance
Humana Medicaid
MEDICARE KY Traditional Plan ONLY (no replacement or advantage plans)
Passport Health Plan Marketplace
Passport Health Plan Medicaid
UHC Commercial Insurance
UHC Community Plan Medicaid
UMR Commercial Insurance
Wellcare of Kentucky Medicaid
Phone
*
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Email
*
LOCATION AND PROVIDER PREFERENCE
We have two locations. You can choose by therapist or by location if location doesn't matter. If you choose a location, you're therapist options will be in the drop down menu.
Location doesn't matter
Angelina Wedding LPCC (telehealth only)
Ashley Joiner CSW
Emily Dean LMFT
Grace Guidi LPATA
Hanna Faley LCSW
Help me choose my provider
Jessica Pipalski LPCC (telehealth only)
Jill Ridgell LCSW
Jordan Goings MFTA
Judy Jepsen LPCA
June Dial, LPCA
Kristen Fajack LMFT
Latoya Hall LPCC
Maddy Rhyne MFTA
Meredith Cundiff LPCC
Ricky B TCM
Sarah Bauscher LPCC
Shanice Brown, LPCA
5454 New Cut Rd - Suite 3
Choose provider
Help me choose my provider
Maddy Rhyne MFTA
Hanna Faley LCSW
Latoya Hall LPCC
Judy Jepsen LPCA
Kristen Fajack LMFT
Emily Dean LMFT
Meredith Cundiff LPCC
Jordan Goings MFTA
Jill Ridgell LCSW
Sarah Bauscher LPCC
Grace Guidi LPATA
Ricky B TCM
1450 Gardiner Ln- Suite H
Choose provider
Help me choose my provider
Shanice Brown LPCA
Ashley Joiner CSW
June Dial LPCA
Ricky B TCM
Question/Comment:
* Therapists sometimes have a wait list.
* We do not treat Autism. (high functioning maybe)
* We do not prescribe medications, however we can refer established clients for those services.