People

Kenneth J. Smith, MS, MA, LPCC-S, Founder

Casey Stockett, CT, Intern Associate from HMT ltd.

Destiny Segovia, CT, Intern Associate from HMT ltd

Aaron Engel, CT, Intern Associate from HMT ltd

We would love to hear from you!

Name: *

First

Last

Email *

Phone number

Best Way to Contact You *

What do you need? *

PLEASE don't send sensitive personal or clinical information via this form.

Where do you reside? *

What offices can you be seen in? Please mark all possible offices/ways you can get services, some locations may not be able to take new clients. *

Teletherapy/Etherapy (secure video conferencing)
Columbus/Clintonville Office (4041 N. High St)
Northfield Ohio Office
Homeworth/Alliance Ohio Office

How will you pay for services/what health insurance company do you have? CAASS may not be in-network with all insurances below, but can often courtesy bill out-of-network. CAASS may be able to offer you a discounted self-pay rate. *

What is the main way you found out about CAASS? *

Word of Mouth/Personal Referral
CAASS website
Web Search
Psychology Today
Another Mental/Medical Health Practioner
Read an article/YouTube Video
Other
Not Sure/Prefer Not to Answer

Website

Phone & Fax

Secure Phone: 614-352-2946

Secure FAX Number: 614-437-1554

Mailing & Clintonville Address

4041 N. High St.
Suite 300N
Columbus, Ohio 43214