Meet our Therapist:
Alexis James, LMHC-D, LPC, QS, C-DBT
I’m Alexis James, a licensed mental health counselor with over a decade of experience. I’m licensed in New York, Florida, and Virginia, and registered for telehealth in South Carolina. I specialize in dialectical behavior therapy (DBT) and bring deep commitment and expertise to helping clients improve their mental well‑being.
I’m especially passionate about working with individuals from marginalized communities, and I center culturally responsive care for Black women and other underserved populations. I create a safe, supportive, and nonjudgmental space where you can explore your thoughts and emotions, empowering you to overcome challenges and build a more fulfilling life.
I focus on truly understanding and caring for each client as they face their unique challenges. By creating personalized tools, techniques, and actionable plans, I aim to help you make meaningful, lasting progress in your personal growth through a variety of therapy methods within a safe environment for exploration and healing. I’m deeply committed to culturally attuned care so that every client feels seen, respected, and supported.
Schedule a session with me today to begin your journey toward a healthier, more balanced, and happier you.
Ready to get started?
To get started, it's important to first identify your goals and what you hope to achieve through counseling. This self-reflection can help guide your counseling journey and give you a sense of direction as you begin. If you're unsure about your goals, that's okay too - our sessions together can help clarify these as we work together.
To get started with with Alexis James Virtual Counseling, follow these steps:
Visit my practice website and explore the services offered.
If you are new to my practice, complete a new client interest form, or email directly at alexis@ajvirtualcounseling.com. You will receive detailed instructions about next steps including, scheduling options and how to create a client portal account. If you are a previous/returning client, click here.
Fill out the intake forms with your personal information (this is provided all within your confidential client portal account).
Choose a convenient date and time for your virtual session.
Log in to the virtual session at the scheduled time using the link provided in your client portal and Meet your counselor and begin your virtual counseling session.
If you have any questions or need assistance at any point during the process, feel free to reach out to Alexis directly.
A message to returning clients :
Once a client, always a client — I warmly welcome you back whenever it feels right.
If we’ve worked together before and you’re ready to reconnect, simply complete this brief form so I can collect current details and update your information. Re-engaging is easy and tailored to where you are now — whether you need a few sessions to get back on track, ongoing support, or help navigating a new challenge. I’ll review your updated information promptly and reach out with next steps and available appointment times.
If our schedules don’t align, I’ll personally help you find a qualified care provider who fits your needs and availability, ensuring continuity and thoughtful care. Returning clients receive priority consideration and the benefit of our existing therapeutic foundation, so we can use time efficiently and focus on what matters most to you.
You’re always welcome here. Whenever you’re ready to return, fill out the form and let’s pick up where we left off — or start a new chapter together.
Most Commonly Asked Questions
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I am a licensed Mental Health Counselor in New York, Florida, and Virginia.
I also hold a Telehealth Registered Professional Counselor credential in the state of South Carolina.
Please keep in mind: As a licensed Mental Health Counselor (LMHC) and Licensed Professional Counselor (LPC), I am bound by state regulations that limit my practice to the state in which I am licensed. Unfortunately, this means I am unable to provide services to clients who are not located within these jurisdictions. Ensuring compliance with these regulations is essential for maintaining the integrity and legality of my practice.
To verify my state licenses or to contact the licensing board directly, please visit the following board websites:
New York:
https://eservices.nysed.gov/professions/verification-search
Florida:
https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders
South Carolina:
https://llr.sc.gov/TeleHealth/Counselor.html
Virginia:
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I offer individual therapy for adults and teens struggling with various mental health and emotional issues. My approach is tailored to your specific needs, providing a safe and confidential space for you to explore your thoughts and feelings. I utilize evidence-based techniques to help you gain insight, develop coping skills, and make positive changes in your life. If you're ready to begin your journey towards healing and growth, I am here to support you every step of the way.
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I am passionate about working with women who present with various challenges.
According to a 2022 study, only 11% of Professional Counselors are Black. I understand the special needs of individuals who identify as Black, brown, or a ethnic minority. It is my goal to welcome you to the mental health space - there is space for you and there is someone who cares!
To support his special populaton, I utilize a relational approach and include evidenced based practices to my work.
Continue reading for a understanding of the approaches that I pull from- but keep in mind, your treatment will be based on your individual needs!
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Yes! I work with many clients who choose to pay for their care out of pocket. .
My self pay rate is $150 for the intake (first appointment) and $120 for follow up visits.
If I'm not in your insurance network, check the link below to see if your plan covers out-of-network providers and how to get reimbursed for your expenses.
If you can not afford these rates, don't let this be a barrier! After you've received a response for next steps after your new client form is completed, we can discuss discounted appointment options.
If I am not able to meet your pricing needs, I am happy to provide recommendation/referrals.
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Yes! I work with clients who have Aetna, Cigna/Evernorth, Oscar Health, Oxford, Optum and some United Health Care plans in New York, Virginia, and Florida.
In Virginia, I am also contracted with Carelon Behavioral Health and Kaiser Permanente of the Mid Atlantic in Virginia.
I also see many clients who choose to pay out of pocket or have out of network benefits. To understand you payment responsibilites please consider checking your benefits and options by visiting: https://mentaya.com/checkbenefits/AJVIRTUALINSURANCE
Please do not let cost be a burden, we can discuss other options, I prioritize accessibility to care - Contact me to learn more about payment options.
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This is based on many factors. Generally, I meet with most clients on weekly or biweekly basis.
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Once you've completed your new client form, you will be sent (via email) instructions for creating a client portal account. In this account, you will be able to complete intake forms, store a form of payment, message your provider securely, and schedule appointments. Additionally, the client portal allows us to meet virtually using secure video conferencing software.
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You can cancel or reschedule your appointment easily. You can cancel and/or reschedule in your client portal account.
You may also email (alexis@ajvirtualcounseling.com) or call/text 904-404-5400.
Keep in mind, we ask that you provide at least 24 hours notice. Appointments cancelled or not attended (no show) are subject to a $95 no show fee.
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I describe myself as a relationally focused clinican. My motto: People First! This helps me to create space based on your individual needs… and evidenced based practices.
I hold a specialized certification in Dialectical Behavior Therapy.
Dialectical behavior therapy (DBT) is a type of talk therapy that can be useful for people who experience emotions intensely. It's based on cognitive behavioral therapy (CBT) and can help people: Understand and accept difficult feelings, Learn skills to manage emotions, and Make positive changes in their lives.
DBT techniques can help people develop skills like:
Distress tolerance: Learning to tolerate intense emotions without reacting impulsively
Emotion regulation: Learning to recognize and manage emotions
Mindfulness: Staying anchored in the present moment
Interpersonal effectiveness: Learning to manage relationships, set boundaries, and deal with conflict.
I have expertise with treating the following concerns:
Anxiety
Disordered Eating (Specifically Binge Eating)
Sadness/Depression
Life Stress
Life’s Changes
Emotional Regulation Challenges
Relationship Challenges
Racial Identity
Self Esteem
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Yes! I am an EAP provider with Mind-Berry, Cigna EAP, and Modern Health. If you're eligible and have credits available, please complete the New Client Interest Form, and I’ll reach out to you shortly. Take the first step towards better mental health support today!
