Areas We Serve: Online Therapy Throughout Washington State
Affordable Telehealth Therapy for Every Corner of Washington, from Major Cities to Rural Communities
Washington is a state of striking contrasts when it comes to mental health access. In Seattle and Bellevue, residents can choose from many therapists. In rural counties east of the Cascades, there may be only a handful of providers serving populations spread across thousands of square miles. Nearly half of Washington's 39 counties do not have a single psychiatrist or psychologist.
This disparity is a core reason Sentio Counseling Washington exists.
We provide online therapy to clients in all 39 counties, every major metropolitan area, and the small towns and rural communities that traditional mental health services often overlook. Our telehealth model means that whether you live in downtown Seattle or a remote community in Okanogan County, you can access the same quality care at the same affordable rates.
Bringing Therapy to Underserved Washington The Mental Health Access Gap
Washington faces a severe shortage of mental health providers, but that shortage is not distributed evenly. The Puget Sound region has relatively more therapists per capita, though even there demand often exceeds supply. Rural and semi-rural regions face acute shortages that leave residents with few or no local options.
Approximately 37% of Washingtonians live in an area with a shortage of mental health providers, and only about 12% live in an area where they could expect their mental health needs to be fully met. Many counties have been designated as Mental Health Professional Shortage Areas. Counties like Douglas, Lincoln, and Garfield have provider-to-population ratios more than two times worse than the national average. Residents of these communities often must travel an hour or more to see a therapist, wait months for an available appointment, or simply go without care.
This is unacceptable. Mental health struggles do not respect geographic boundaries. Depression, anxiety, relationship problems, trauma, and grief occur everywhere. People in Walla Walla deserve the same access to support as people in Seattle.
Our Commitment to Underserved Communities
Sentio Counseling Washington was built to address this gap. Online therapy eliminates distance as a barrier. A client in Republic can meet with their therapist as easily as a client in Redmond. A family in Omak has the same access as a family in Olympia.
We specifically commit to serving:
Rural communities with few or no local mental health providers
Small towns and mid-size cities outside the Puget Sound metro area
Agricultural regions where work schedules and transportation challenges make traditional therapy difficult
Communities where cost barriers compound geographic barriers
By combining telehealth delivery with sliding scale fees starting at $30, we remove the two biggest obstacles, geography and cost, simultaneously.
Our Services Available Statewide
Every community listed below has full access to our complete range of services:
Individual Therapy Support for depression, anxiety, stress, trauma, grief, life transitions, relationship concerns, self-esteem, identity exploration, and personal growth.
Couples Therapy Help for partners working on communication, conflict, emotional connection, trust, and relationship strengthening. We offer Emotionally Focused Couples Therapy and other evidence-based approaches.
Sliding Scale Fees Individual counseling starts at $30 per session and relationship counseling starts at $45 per session, based on your financial situation. No income verification required.
Counties and Communities We Serve Sentio Counseling Washington provides online therapy to clients in all 39 Washington counties. Below you will find a comprehensive listing of the regions, counties, and communities where our services are available.
Puget Sound Region The Puget Sound region is the most densely populated part of Washington, home to millions of residents across urban, suburban, and rural landscapes. Even in this region, demand for mental health services regularly exceeds supply, with long wait times common across many communities.
King County
The most populous county in Washington, King County encompasses enormous diversity in geography, demographics, and mental health needs. We serve clients in:
Seattle, Bellevue, Kent, Renton, Federal Way, Auburn, Kirkland, Redmond, Sammamish, Issaquah, Burien, SeaTac, Tukwila, Mercer Island, Woodinville, Kenmore, Bothell, Covington, Maple Valley, Shoreline, Lake Forest Park, Newcastle, Snoqualmie, North Bend, Enumclaw, Black Diamond, Carnation, Duvall, Skykomish, Vashon, and all other cities and unincorporated communities throughout King County.
Pierce County
Washington's second most populous county, Pierce County stretches from urban Tacoma to rural communities near Mount Rainier. We serve clients in Tacoma, Lakewood, University Place, Puyallup, Bonney Lake, Graham, Spanaway, Gig Harbor, Eatonville, Steilacoom, Orting, Sumner, Buckley, Milton, Fircrest, Ruston, South Prairie, DuPont, and all communities throughout Pierce County.
Snohomish County
We serve clients in Everett, Marysville, Edmonds, Lynnwood, Lake Stevens, Mountlake Terrace, Monroe, Snohomish, Arlington, Stanwood, Mukilteo, Mill Creek, Granite Falls, Sultan, Gold Bar, Index, Darrington, and all communities throughout Snohomish County.
Kitsap County
Separated from the Seattle metro by Puget Sound, Kitsap County communities face unique access challenges. We serve clients in Bremerton, Silverdale, Bainbridge Island, Poulsbo, Port Orchard, Kingston, and all communities throughout Kitsap County.
Thurston County
Home to the state capital, Thurston County includes both urban and rural areas. We serve clients in Olympia, Lacey, Tumwater, Yelm, Rainier, Tenino, Bucoda, and all communities throughout Thurston County.
Northwest Washington Northwest Washington includes vibrant college towns, island communities, and agricultural areas. Access to mental health services varies widely across this region.
Whatcom County
We serve clients in Bellingham, Lynden, Ferndale, Blaine, Sumas, Everson, Nooksack, and all communities throughout Whatcom County.
Skagit County
We serve clients in Mount Vernon, Burlington, Anacortes, Sedro-Woolley, La Conner, Concrete, Lyman, Hamilton, and all communities throughout Skagit County.
Island County
Island communities face particular challenges accessing mental health services due to ferry schedules and geographic isolation. We serve clients in Oak Harbor, Coupeville, Langley, and all communities throughout Island County, including Whidbey Island and Camano Island.
San Juan County
Among the most geographically isolated communities in the state, San Juan County residents often struggle to access any specialty care. We serve clients in Friday Harbor, and all communities throughout the San Juan Islands.
Olympic Peninsula and Pacific Coast The Olympic Peninsula and Pacific Coast include vast stretches of rural territory with extremely limited mental health resources. Many residents in these counties have no local access to therapy. Serving these communities is central to our mission.
Clallam County
We serve clients in Port Angeles, Sequim, Forks, and all communities throughout Clallam County.
Jefferson County
We serve clients in Port Townsend, Quilcene, Brinnon, and all communities throughout Jefferson County.
Grays Harbor County
We serve clients in Aberdeen, Hoquiam, Westport, Ocean Shores, Montesano, Elma, McCleary, and all communities throughout Grays Harbor County.
Mason County
We serve clients in Shelton, Hoodsport, and all communities throughout Mason County.
Pacific County
A remote coastal county with significant mental health access challenges. We serve clients in Long Beach, Raymond, South Bend, and all communities throughout Pacific County.
Southwest Washington Southwest Washington stretches from the growing Vancouver metro area along the Columbia River to small rural communities in the Cascade foothills.
Clark County
The fastest-growing region of the state, Clark County's population growth has outpaced the availability of mental health providers. We serve clients in Vancouver, Camas, Washougal, Battle Ground, Ridgefield, La Center, Yacolt, and all communities throughout Clark County.
Cowlitz County
We serve clients in Longview, Kelso, Castle Rock, Woodland, Kalama, and all communities throughout Cowlitz County.
Lewis County
We serve clients in Centralia, Chehalis, Morton, Winlock, Pe Ell, and all communities throughout Lewis County.
Wahkiakum County
One of Washington's smallest and most rural counties. We serve clients in Cathlamet, and all communities throughout Wahkiakum County.
Skamania County
A sparsely populated county in the Columbia River Gorge with very limited local mental health services. We serve clients in Stevenson, North Bonneville, Carson, and all communities throughout Skamania County.
Klickitat County
We serve clients in Goldendale, White Salmon, Bingen, and all communities throughout Klickitat County.
Central Washington Central Washington spans the agricultural heartland of the state, stretching from the Cascade Range to the Columbia Basin. This region faces some of the most severe mental health provider shortages in Washington, with many communities having no local therapists at all. Serving Central Washington residents is a key priority for Sentio.
Yakima County
One of the state's most underserved regions for mental health care, Yakima County faces significant provider shortages despite its large population. We serve clients in Yakima, Sunnyside, Toppenish, Selah, Grandview, Zillah, Wapato, Union Gap, Moxee, Tieton, Naches, Granger, Mabton, and all communities throughout Yakima County.
Kittitas County
We serve clients in Ellensburg, Cle Elum, Roslyn, South Cle Elum, and all communities throughout Kittitas County.
Chelan County
We serve clients in Wenatchee, Leavenworth, Chelan, Cashmere, Entiat, and all communities throughout Chelan County.
Douglas County
One of Washington's most underserved counties for mental health, with provider ratios far exceeding the national average. We serve clients in East Wenatchee, Bridgeport, Waterville, Mansfield, and all communities throughout Douglas County.
Grant County
We serve clients in Moses Lake, Ephrata, Quincy, Mattawa, Soap Lake, Warden, Royal City, George, and all communities throughout Grant County.
Okanogan County
Washington's largest county by area and one of its most sparsely populated, Okanogan County has fewer than 10 people per square mile and extremely limited mental health resources. We serve clients in Omak, Okanogan, Twisp, Winthrop, Brewster, Pateros, Tonasket, Oroville, and all communities throughout Okanogan County.
Eastern Washington Eastern Washington includes both the Spokane metro area and vast rural stretches where mental health providers are scarce. Several counties in this region have provider-to-population ratios among the worst in the state. Some of the highest rates of overdose deaths in Washington occur in its least-populated eastern counties, underscoring the urgent need for accessible mental health services.
Spokane County
The largest city in Eastern Washington, Spokane anchors a county that includes both urban and rural communities. We serve clients in Spokane, Spokane Valley, Cheney, Airway Heights, Medical Lake, Liberty Lake, Deer Park, and all communities throughout Spokane County.
Whitman County
We serve clients in Pullman, Colfax, Palouse, and all communities throughout Whitman County.
Walla Walla County
A community where the shortage of mental health providers is well documented, with roughly one provider for every 340 residents. We serve clients in Walla Walla, College Place, Waitsburg, Prescott, and all communities throughout Walla Walla County.
Benton County
We serve clients in Kennewick, Richland, Prosser, West Richland, Benton City, and all communities throughout Benton County.
Franklin County
We serve clients in Pasco, Connell, Mesa, Kahlotus, and all communities throughout Franklin County.
Columbia County
One of Washington's most remote counties with extremely limited mental health resources and elevated overdose rates. We serve clients in Dayton, Starbuck, and all communities throughout Columbia County.
Garfield County
Among the most underserved counties in the state for mental health care, with a provider-to-population ratio more than double the national average. We serve clients in Pomeroy, and all communities throughout Garfield County.
Asotin County
We serve clients in Clarkston, Asotin, and all communities throughout Asotin County.
Adams County
A rural county with significant mental health access challenges. We serve clients in Othello, Ritzville, and all communities throughout Adams County.
Lincoln County
One of Washington's most underserved counties for mental health, with provider ratios far exceeding the national average. We serve clients in Davenport, and all communities throughout Lincoln County.
Stevens County
We serve clients in Colville, Chewelah, Kettle Falls, and all communities throughout Stevens County.
Pend Oreille County
A remote northeastern county with minimal local mental health services. We serve clients in Newport, Metaline Falls, Ione, and all communities throughout Pend Oreille County.
Ferry County
One of the most sparsely populated counties in Washington, with extremely limited access to any health services and elevated overdose rates. We serve clients in Republic, and all communities throughout Ferry County.
Reaching Washingtonians Where They Are
No matter where you live in Washington, mental health support should be within reach. Urban or rural, west side or east side, Puget Sound or Palouse, your geography should not determine whether you can access therapy.
Sentio Counseling Washington exists to ensure that every Washingtonian, in every county and community listed above, can receive affordable, quality mental health care. Our online format brings therapy to you. Our sliding scale makes it affordable.
If you live in a community where finding a local therapist has been difficult or impossible, we are here for you.
If cost has prevented you from getting help, we are here for you.
Start Therapy Today, Wherever You Are in Washington
You do not have to travel. You do not have to wait months for an appointment. You do not have to pay rates you cannot afford.
Sentio Counseling Washington provides online therapy to every county and community in Washington State, with sliding scale fees starting at $30 per session for individual counseling and $45 per session for relationship counseling.