Washington · Telehealth
Online therapy for adults, across Washington.
I'm Megan D'Angelo, MA, LMHC, a Washington-licensed therapist (LH60439788) offering secure video sessions for adults anywhere in the state. Seattle, the Eastside, Tacoma, Olympia, Spokane, the islands. If you have Wi-Fi and a door that closes, we can work together.
Who I work with in Washington
Most of my Washington clients are late-diagnosed or quietly overwhelmed, tech leads on the Eastside, Seattle creatives, Bellevue and Mercer Island parents, healthcare workers, founders. High-functioning on paper, exhausted underneath. If traditional therapy underwhelmed you, or "just make a list" advice never touched the actual wiring, you're in the right place.
What I specialize in
ADHD Therapy
Adult ADHD, late diagnosis, and the burnout that comes with masking.
Anxiety Therapy
High-functioning anxiety, overthinking, and nervous system regulation.
Brainspotting Therapy
Body-based processing for trauma, grief, and stuck patterns.
Burnout Therapy
For high-achievers who are quietly running on fumes.
Trauma Therapy
Complex trauma, childhood wounds, and repair - at your pace.
Grief Counseling
Loss that doesn't fit a timeline, including ambiguous grief.
Estrangement Therapy
Family estrangement, no-contact decisions, and the grief nobody sends a card for.
Bipolar Therapy
Support alongside psychiatric care for Bipolar I and II.
Cities and regions I serve in Washington
Telehealth means location is flexible - you just need to be physically in Washington during our session. Clients most often come from:
- Seattle
- Bellevue
- Mercer Island
- Kirkland
- Redmond
- Sammamish
- Issaquah
- Bainbridge Island
- Medina
- Clyde Hill
- Newcastle
- Woodinville
- Tacoma
- Olympia
- Spokane
- Vancouver
- Bellingham
- Everett
- Renton
- Kent
- Federal Way
- Gig Harbor
Insurance and cost in Washington
I'm in-network with Cigna, Premera, Lifewise, and First Choice Health (Kaiser PPO). If I'm out-of-network with your plan, I provide monthly superbills you can submit for reimbursement - full details are on the insurance and cost page.
Keep reading
My Seattle online therapy guide covers how to compare therapists, confirm Washington licensure, ask about insurance, and use a consultation to get a clearer sense of fit.
Therapy on the Eastside: finding support in Bellevue, Kirkland, and Redmond - what to look for in a therapist when life looks polished but doesn't feel manageable.
Burnout therapy in Tacoma and Olympia: when rest is not fixing it - the signs it's more than ordinary stress, and what therapy can actually change.
Frequently asked questions
Do you take insurance in Washington?
I'm in-network with Cigna, Premera, Lifewise, and First Choice Health (Kaiser PPO). If I'm out-of-network with your plan, many Washington PPOs reimburse a portion of out-of-network therapy. I provide monthly superbills you can submit for reimbursement.
Are you licensed in Washington?
Yes. I hold Washington LMHC license LH60439788 and can see anyone physically located in Washington during our session.
Where in Washington do you see clients?
Because I'm 100% telehealth, I work with adults anywhere in Washington - Seattle, the Eastside, Tacoma, Olympia, Spokane, the Peninsula, and everywhere in between.
What time zone are sessions in?
I'm on Pacific time and usually see clients between 9am and 3pm.
Can you see me if I live outside Seattle?
Yes. Because sessions are online, I can work with adults anywhere in Washington as long as you are physically in Washington at the time of the appointment. That includes Seattle, Bellevue, Tacoma, Olympia, Spokane, Vancouver, Bellingham, the islands, and smaller communities across the state.
Do I need an ADHD diagnosis before starting therapy?
No. Some clients have a formal diagnosis, some are exploring the possibility, and some simply recognize that standard productivity advice has never fit. Therapy can focus on the patterns affecting your life without requiring you to arrive with every answer.
Can I do online therapy while traveling?
It depends on where you are physically located during the session. I am licensed in Washington, Wisconsin, and Florida. If you will be somewhere else, tell me ahead of time so we can discuss what is possible.
What insurance do you accept?
Balanced Living Counseling Services is in network with Cigna, Premera, Lifewise, and First Choice Health (Kaiser PPO). Coverage varies by plan. If I am out of network for your plan, I can provide documentation you may use to request reimbursement.
What should I ask my insurance company about out-of-network therapy?
Ask whether your plan includes out-of-network outpatient mental health benefits, whether you have a separate deductible, what percentage is reimbursed after that deductible, whether preauthorization is required, and how to submit a claim.
What happens during the free consultation?
The consultation is a brief phone call to talk about what brings you in, ask practical questions, hear how I work, and decide whether scheduling a first session feels right. It is not a commitment to continue.
Is online therapy appropriate for a crisis?
Balanced Living Counseling Services is not a crisis service. If you may hurt yourself or someone else, call 911 or 988, or go to the nearest emergency department.
Also licensed in
I hold licenses in Washington, Wisconsin, and Florida, so I can see clients located in any of the three. If you split time between states, that flexibility can matter: Therapy in Wisconsin and Therapy in Florida.