LCMHC Professional Disclosure Statement

Ken Pataky, MS, LCMHC, EMDR-C, CIMHP

PhoenixWay to Holistic Natural Health

Office: 336-454-0426

E-mail: ken@phoenixway.net

My Qualifications

I received my Master’s degree in Rehabilitative Counseling from Winston Salem State University, in Winston Salem, North Carolina in May, 2013. My program focused on individual, group, and family counseling skills and theory, but also included a significant focus on vocational assessment-planning-placement and the medical and psychosocial aspects of disability. Subsequently, I received my Licensed Professional Counselor Associate credential (#A10249) from the North Carolina Board of Licensed Professional Counselors in June, 2013 and immediately began pursuing my unrestricted LPC credential from the same Board at that time, which I obtained in September, 2015 (#10249).  In January, 2020, the state counseling board changed my credential to Licensed Clinical Mental Health Counselor (LCMHC).  In addition, I was certified by the EMDR International Association (of which I am a Professional Member) in April, 2017 as an EMDR Trauma Therapist after completing my basic EMDR training in January, 2015.  I became a Certified Integrative Mental Health Professional (CIMHP) in 2021. I am also currently certified as a Clinical Hypnotherapist (2018), TFT (Thought Field Therapy) Tapping Energy Practitioner (2017), and HeartMath Facilitator (2017). I am also certified as a Holistic Health Coach by the Institute of Integrative Nutrition (2013) and am a Professional Member of the International Association for Health Coaches. I am also currently certified as an Integrative Therapy Yoga Teacher (2004) and Tai Chi Instructor (2011) and am registered with the Yoga Alliance as a eRYT 200 (Experienced Registered Yoga Teacher). I also have a Master’s degree in Education from Northwestern University in Evanston, Illinois (1990) and was previously licensed as a public high school teacher in both Illinois (1990) and North Carolina (2003), where I served at-risk students, many of whom had mental and physical disabilities. I have also completed professional training in Focusing, hypnotherapy, mindfulness, cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, person-centered thinking & plan development, HIPAA/privacy rights, crisis management, system of care (child and family teams), and multicultural competency.

Since obtaining my degree and licensure, I have worked since 2013 serving adults and children/adolescents/families as a professional counselor in private practice, as an intensive in-home counselor and an outpatient counselor for community agencies, as well as a licensed care coordinator for a North Carolina managed care organization for Medicaid clients. I was also employed for more than 8 years as a community case manager for people with mental and physical disabilities.

Counseling Background 

I currently am able to serve--by virtue of training, preference, and experience—adults and adolescents (and their families) experiencing mental illness such as anxiety disorders, mood disorders/depression, behavioral disorders, and personality disorders. The main counseling therapies or techniques I use are person-centered therapy, cognitive behavioral therapy, existential therapy, reality therapy, EMDR trauma therapy, solution focused therapy, family therapy, and mindfulness based stress reduction. In addition, each person I serve will have an agreed-upon counseling plan, with specific goals and projected timelines. I am also trained as a holistic health coach and may discuss relevant aspects of your holistic health in session.

Session Fees and Length of Service 

Typical individual sessions are up to 75 minutes in length. My current private pay fee is $150/session, though I will consider a lower rate for individuals/families who can demonstrate significant financial hardship. I am also currently enrolled as an in-network provider with most major medical insurance carriers and will charge the agreed-upon rate per their schedule with a co-pay or co-insurance determined by your plan. I accept as payment for private pay and co-insurance: cash, check, credit card, and PayPal.

Use of Diagnosis 

For clients using medical insurance, a formal mental health diagnosis is required. For those paying privately, a formal mental health diagnosis is not legally required. At some point, however, such a diagnosis may be helpful to clarify treatment options and additional services needed. At that time, I will discuss that situation with you, if I feel you can benefit from a referral for additional services. I will inform you of the diagnosis and will ask for your consent before we submit the diagnosis to insurance companies or any other agency. Any diagnosis made may become part of your permanent health/medical records.

Confidentiality 

All of our communication becomes part of your clinical record, which is accessible to you upon request. I will keep confidential anything you say/s as part of our counseling relationship, with the following exceptions: (a) you direct me in writing to disclose information to someone else, (b) it is determined you are in danger or are a danger to yourself or others (including child or elder abuse), or (c) I am ordered by a court to disclose information.

Complaints 

Although you are encouraged to discuss any concerns with me first, you may also file a complaint against me with the organization below should you feel I am in violation of the code of ethics below.

​I abide by the ACA Code of Ethics, which you can find here: http://www.counseling.org/Resources/aca-code-of-ethics.pdf.

North Carolina Board of Licensed Professional Counselors
POB 77819, Greensboro, NC 27417
Phone: 844-622-3572 or 336-217-6007
Fax: 336-217-9450
E-mail: complaints@ncblpc.org

Acceptance of Terms 

I understand the above information and agree to these terms and will abide by these guidelines.