Birches Health
Birches Health is a Phoenix-based telehealth provider founded in 2023 that delivers insurance-covered, virtual specialized treatment for gambling disorder and related behavioral addictions across all 50 U.S. states, serving individuals with gambling, sports betting, day trading, crypto, pornography, sex, and video gaming addictions alongside B2B partners including health plans, gaming operators, and state governments.
- Company typePrivate
- Founded2023
- HeadquartersPhoenix, United States
- Headcount1–10
- GTM typeB2B and B2C
- OfferingServices
What Birches Health does
Birches Health (legally Nulli Secundus Health, Inc.) is a privately held, venture-backed telehealth provider founded in 2023 and headquartered in Phoenix, Arizona, that delivers insurance-covered, fully virtual treatment for gambling disorder and related behavioral addictions across all 50 U.S. states. The company's core platform combines licensed gambling-disorder therapists, peer support mentors with lived recovery experience, specialized group leaders, financial wellness coaches, and family/couples therapists, organized around a three-phase clinical program (Assessment & Goal Setting, Skills Building, Transition & Long-term Recovery) and a free post-treatment Birches Recovery Network community. Treatment is grounded in Cognitive Behavioral Therapy and Motivational Interviewing, with measurement-based care tracked through validated instruments (G-SAS for gambling symptoms, PHQ-9 for depression, GAD-7 for anxiety) and delivered via secure video across intake (intake.bircheshealth.com), engagement (engagement.bircheshealth.com), and gambling-inquiry portals.
The product portfolio spans specialty modules for sports betting, casino gambling, lottery, day trading, cryptocurrency, pornography, sex, and video gaming addictions, plus a dedicated veterans program covered by TRICARE. The company monetizes through two complementary revenue streams: (1) per-session clinical services billed primarily through 100+ in-network commercial insurance plans (Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, Anthem, TRICARE) with typical patient copays of $0–$25, and (2) B2B partnership revenue from health plans, employers, state governments (e.g., Pennsylvania Department of Drug and Alcohol Programs), gaming operators (PENN Entertainment's theScore Bet and Hollywood Casino, Betflow/Odditt, Splash Sports), prediction-market operators, and sports leagues/teams that embed responsible-gaming content, assessments, and direct referral pathways into their platforms.
Birches Health has raised approximately $20 million in combined Series A and Seed funding (2023 Seed led by General Catalyst; 2025 Series A led by AlleyCorp, with Will Ventures participating) and is led by Founder and CEO Elliott Rapaport alongside VP Clinical Cynthia Grant, PhD (ex-Grow Therapy, Rula Health), SVP Strategy Andrew DiGiacomo, and VP Partnerships Dan Pozner, with former Cigna-Evernorth CMO Dr. Doug Nemecek on the advisory board. The company has received industry recognition including the 2026 MedTech Breakthrough "Best Telehealth Platform" award, selection for the 2026 One Mind Accelerator, and inclusion on the 2026 New York Digital Health 100 list.
Birches Health firmographics
Firmographics- Name
- Birches Health
- Legal name
- Nulli Secundus Health Inc.
- Website
- https://bircheshealth.com
- Company type
- Private
- Founded year
- 2023
- Operating status
- Operating
- Headcount range
- 1–10 employees
- Short description
- Birches Health is a Phoenix-based telehealth provider founded in 2023 that delivers insurance-covered, virtual specialized treatment for gambling disorder and related behavioral addictions across all 50 U.S. states, serving individuals with gambling, sports betting, day trading, crypto, pornography, sex, and video gaming addictions alongside B2B partners including health plans, gaming operators, and state governments.
- Ownership category
- akta.pro rank
Birches Health industry classification
Industry- Product category
- Telehealth Addiction Treatment
- NAICS
- Outpatient Mental Health and Substance Abuse Centers (621420)
- SIC
- Services-Misc Health & Allied Services, Nec (8090)
- akta.pro primary industry
- Psychiatry & Medication Management Platforms (HLALAEAB)
- akta.pro secondary industry
- General Mental Health Therapy Platforms (Talk Therapy) (HLALAEAA)
Keywords
Where Birches Health is headquartered
LocationHeadquarters
- HQ city
- Phoenix
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Birches Health business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Others
Revenue model
- Insurance-covered clinical treatment services: Recurring clinical service revenue from individual therapy, group therapy, peer support, and financial wellness coaching delivered via telehealth, billed primarily through in-network commercial insurance plans (Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, Anthem, TRICARE) and out-of-pocket copays ($0-$25 typical).
- B2B responsible gaming and partnership services: Revenue from partnerships with health plans, employers, state governments, gaming operators (PENN Entertainment, Splash Sports, Betflow/Odditt, prediction-market operators), and sports leagues/teams for embedded responsible gaming content, assessments, referrals, and educational resources.
- State and government program funding: Public-health funding from state departments (e.g., Pennsylvania Department of Drug and Alcohol Programs) to expand access to gambling disorder treatment via telehealth.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Other | Pay-as-you-go | Insurance-covered telehealth treatment with $0-$25 copay for most clients |
| Other | Multi-year contract | B2B partnership pricing (not publicly listed) |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels8 records
Birches Health product offering
Product offeringCore offering
Birches Health (legally Nulli Secundus Health Inc.) delivers fully virtual, insurance-covered outpatient therapy for gambling disorder and related behavioral addictions (sports betting, casino, lottery, day trading, crypto, video gaming, sex/pornography) via a multidisciplinary care team of licensed gambling therapists, peer mentors, group leaders, financial wellness coaches, and family/couples therapists. The service is delivered through secure video sessions across all 50 U.S. states with in-network status at 100+ insurance plans including Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, Anthem, and TRICARE. Treatment is grounded in Cognitive Behavioral Therapy and Motivational Interviewing, tracked with validated clinical instruments (G-SAS, PHQ-9, GAD-7), and supported by self-service assessments, online intake/engagement portals, and a free post-treatment recovery community.
Product overview
Birches Health (legally Nulli Secundus Health Inc.) operates a single unified telehealth platform — Online Therapy for Gambling Addiction Recovery — delivered through a multidisciplinary care team and organized around a three-phase clinical program (Assessment & Goal Setting, Skills Building, Transition & Long-term Recovery) followed by access to the free Birches Recovery Network community. Across this core platform, the company offers a portfolio of specialty treatment modules including Sports Betting Addiction, Casino Gambling Addiction, Lottery Addiction, Day Trading Addiction, Cryptocurrency & Financial Trading Addiction, Video Gaming & Internet Addiction, Sex & Pornography Addiction, and a Veterans program (now covered by TRICARE). Self-service tools such as the Gambling Self-Test feed into the platform, while the Birches Clinical Outcomes & Research Program uses validated instruments (G-SAS, PHQ-9, GAD-7) to measure results across the portfolio. The Birches Health Partners Program extends the platform outward via integrations with health plans, employers, state governments, gaming operators (e.g., PENN Entertainment's theScore Bet and Hollywood Casino apps, Betflow/Odditt), and prediction-market companies, embedding assessments, educational content, and direct-to-treatment referral pathways inside partner products.
Differentiator
Problem solved
Functional benefit
Products and services
- Online Therapy for Gambling Addiction Recovery The flagship offering: insurance-covered, fully virtual, confidential counseling for gambling disorder delivered by licensed gambling-addiction specialists via secure video sessions across all 50 U.S. states. Most clients pay $0–$25 per session. Includes a three-phase clinical program (Assessment & Goal Setting, Skills Building, Transition & Long-term Recovery) and ongoing access to the free Birches Recovery Network.
- Sports Betting Addiction Treatment Specialized care track for individuals with compulsive sports betting, integrating individual therapy, group support, and relapse-prevention skills, delivered by licensed gambling disorder therapists via telehealth.
- Casino & Lottery Gambling Addiction Treatment Specialized care modules addressing compulsive casino and lottery gambling behaviors, delivered via the same virtual multidisciplinary care model with licensed gambling disorder therapists.
- Day Trading Addiction Treatment Specialized counseling for compulsive day-trading behavior, including cryptocurrency and NFT speculation, delivered virtually by licensed specialists trained in gambling and behavioral addiction.
- Cryptocurrency & Financial Trading Addiction Treatment Specialized virtual care targeting compulsive crypto and financial trading behaviors, addressing the cognitive loops (variable reinforcement, loss-chasing, overconfidence bias, dopamine spikes) that drive compulsive trading.
- Video Gaming & Internet Addiction Treatment Licensed-counselor-led virtual care for video gaming addiction, including comprehensive clinical evaluation, ongoing therapy with progress tracking, and insurance-covered sessions.
- Sex & Pornography Addiction Treatment Confidential, personalized virtual treatment for compulsive sexual behavior and pornography use, delivered by licensed specialists and covered by insurance.
- Veterans Addiction Treatment & Counseling Specialized individual and group mental-health counseling for active military members, veterans, and military families, including trauma counseling, covered by TRICARE and other major insurance plans.
- Birches Recovery Network Free private community providing ongoing post-treatment support, resources, and connection for clients after the core program to support the Transition & Long-term Recovery phase.
- Birches Health Partners Program B2B partnership offering for health plans, employers, state governments, gaming companies, sports media/leagues/teams, and publishers that delivers specialized gambling and behavioral-addiction treatment, assessments, content, education, and referral pathways integrated with partner platforms.
Quantifiable outcome
- 85% of patients reported improved gambling disorder symptoms after nine sessions
- +7 more outcomes
Companies that use Birches Health
Customer profileNamed customers6 records
Segments8 records
Ideal customer profiles1 record
Birches Health technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration4 records
Feature5 records
Birches Health partnerships and signals
Strategic signalScale indicators10 records
Recent moves9 records
Expansion highlights6 records
Birches Health competitors and assessment
Company assessmentBroad incumbents
- Talkspace: Public telehealth therapy and psychiatry provider with broad insurance coverage and B2B employer contracts; competes on payor relationships but does not specialize in gambling or process addictions and lacks Birches' validated outcomes dataset.
- BetterHelp: Largest consumer telehealth therapy platform; competes for the same broad behavioral-health demand pool but lacks gambling-disorder specialization, measurement-based outcomes reporting, and operator-embedded distribution.
- Grow Therapy: Network-model telehealth behavioral-health platform in-network with major insurers; Birches' VP of Clinical previously led clinical strategy at Grow, and the two compete for the same payor contracts and clinician supply.
- Rula Health: In-network virtual mental-health provider working with major payors; competes with Birches for therapy demand and payor contracts but covers general mental health rather than gambling/behavioral-addiction specialization.
Direct peers
- Pelago (formerly Quit Genius): Digital substance-use and behavioral-addiction treatment platform serving employers and health plans; directly comparable on virtual addiction-treatment delivery, payor/employer B2B channel, and outcomes measurement, though it has historically emphasized substance use over gambling.
- Lionrock Recovery: Online substance-use and behavioral-addiction treatment provider including gambling; competes in the same insurance-covered telehealth addiction-treatment category with similar patient and payor targets.
- Gamblers Anonymous: Long-standing peer-support organization for gambling disorder recovery; Birches competes and complements GA by offering professional, insurance-covered clinical care where GA offers volunteer-led meetings, often serving as a referral source into Birches' treatment programs.
- Kindbridge Behavioral Health: Telehealth provider specializing in gambling-disorder and gaming-addiction treatment serving U.S. and Canadian markets; the most directly comparable specialty competitor to Birches on clinical scope and patient population.
Regional players
- Charlie Health: Virtual intensive outpatient and mental-health provider serving adolescents and adults with insurance-covered treatment; overlaps on insurance-billed virtual care delivery model and payor contracting playbook but focuses on mood and anxiety disorders rather than gambling.
Emerging players
- Eleanor Health: Virtual and in-person addiction and mental-health provider working with payors; overlaps on outcomes-measured virtual care and value-based payor contracting, though addiction focus is broader than Birches' gambling specialization.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
Birches Health social profiles
Digital presenceBirches Health compliance and trust
Trust signalCompliance3 records
Birches Health financial estimates
Financial estimateRevenue estimate
Valuation estimate
Birches Health leadership team
Management profileNumber of profiles
Profiles6 records
Birches Health funding detail
Funding detailFunding overview
Funding rounds3 records
Investors10 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Birches Health M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Birches Health
What does Birches Health do?
Birches Health (legally Nulli Secundus Health Inc.) delivers fully virtual, insurance-covered outpatient therapy for gambling disorder and related behavioral addictions (sports betting, casino, lottery, day trading, crypto, video gaming, sex/pornography) via a multidisciplinary care team of licensed gambling therapists, peer mentors, group leaders, financial wellness coaches, and family/couples therapists. The service is delivered through secure video sessions across all 50 U.S. states with in-network status at 100+ insurance plans including Blue Cross Blue Shield, UnitedHealthcare, Aetna, Cigna, Anthem, and TRICARE. Treatment is grounded in Cognitive Behavioral Therapy and Motivational Interviewing, tracked with validated clinical instruments (G-SAS, PHQ-9, GAD-7), and supported by self-service assessments, online intake/engagement portals, and a free post-treatment recovery community.
Is Birches Health a public or private company?
Birches Health is a private company. It is classified as venture growth investor backed and is currently operating.
When was Birches Health founded?
Birches Health was founded in 2023. It employs 1 to 10 people.
Where is Birches Health based?
Birches Health is headquartered in Phoenix, United States, in the North America region.
How does Birches Health make money?
Three revenue lines are on record. Insurance-covered clinical treatment services are the primary driver. The others are B2B responsible gaming and partnership services and state and government program funding.
Who are Birches Health's main competitors?
Broad incumbents on record are Talkspace, BetterHelp, Grow Therapy and Rula Health. Direct peers are Pelago (formerly Quit Genius), Lionrock Recovery, Gamblers Anonymous and Kindbridge Behavioral Health. Charlie Health is listed as a regional player. Eleanor Health is listed as an emerging player.
Does Birches Health have an API?
No public API is recorded for Birches Health.
What industry is Birches Health in?
Birches Health's product category is Telehealth Addiction Treatment. Its primary akta.pro industry code is HLALAEAB, Psychiatry & Medication Management Platforms, with a secondary code of HLALAEAA, General Mental Health Therapy Platforms (Talk Therapy). Its NAICS code is 621420 and its SIC code is 8090.