Sandhill Counseling & Consultation

What Sandhill Counseling & Consultation does

Service lines span individual therapy, psychiatry and medication management, substance use disorder treatment, psychological testing, and a specialty Dialectical Behavior Therapy (DBT) program, delivered both in-person and via telehealth. Patient access is mediated through a self-serve online booking and referral intake platform powered by IntakeQ, supplemented by a patient portal and an interactive PHQ-9 depression screening quiz on the company website. Distribution spans referral partner channels (physicians and hospitals), direct patient acquisition via content marketing (blog, 'Everyday Therapy' podcast across Spotify/YouTube/Amazon/Apple, and a Spotify 'Feel Good Anthems' playlist), and SEO-optimized location and specialty landing pages.

The business model is fee-for-service behavioral healthcare billed primarily through in-network insurance payors (Aetna, UnitedHealthcare, Cigna, Anthem, Blue Cross Blue Shield, Humana, Medicare, UCare) with self-pay options for uninsured or underinsured patients. Specific pricing is not publicly disclosed and operates on a pay-as-you-go cadence rather than subscription. Revenue is best understood at the unified Sagent platform level: 1,600+ clinicians generating recurring, multi-year therapy relationships across a 5-state Midwest footprint. The underlying technology stack is intentionally lightweight — third-party IntakeQ for intake, a standard patient portal, and commodity telehealth video — with no proprietary AI/ML capabilities, no API platform, and no disclosed data flywheel. Certifications include LegitScript for healthcare advertising compliance.

Name

Sandhill Counseling & Consultation

Legal name

Sandhill Counseling & Consultation

Website

https://sandhillcounseling.com

Company type

Private

Founded year

2009

Operating status

Operating

Headcount range

11–50 employees

Short description

Sandhill Counseling & Consultation provides therapy, psychiatry, substance use treatment, psychological testing, and DBT services as a sub-brand of Sagent Behavioral Health, which operates 80+ locations and 1,600+ clinicians across five Midwest states.

Ownership category

akta.pro rank

Product category

Outpatient Behavioral Health Services

NAICS

Outpatient Mental Health and Substance Abuse Centers (621420), Offices of Mental Health Practitioners (except Physicians) (621330), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Specialty Outpatient Facilities, Nec (8093)

akta.pro primary industry

Outpatient Mental Health Clinics & Counseling Centers (HLAFACAA)

akta.pro secondary industries

Outpatient Mental Health & Counseling Clinics (HLAFABAC), Neurodevelopmental & Behavioral Therapy Platforms (ADHD/Autism/Behavioral Coaching) (HLALAEAJ), Psychiatry & Medication Management Platforms (HLALAEAB), Couples & Family Therapy Teletherapy Platforms (HLALAEAG)

Keywords

• Mental health counseling
• Behavioral health services
• Psychiatric medication management
• Substance use treatment
• Telehealth therapy

Headquarters

HQ city

O'fallon

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Healthcare Services Revenue: Revenue generated from providing therapy, psychiatry, substance use treatment, psychological testing, and DBT services to patients. Services are billed to insurance providers or paid out-of-pocket by patients.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels6 records

Core offering

Sandhill Counseling & Consultation provides outpatient mental health services including individual therapy, child/adolescent and family therapy, ADHD assessment, marital therapy, psychiatric evaluation and medication management, substance use disorder treatment, psychological testing, and dialectical behavior therapy (DBT). Services are delivered in-person at clinic locations and via telehealth, with appointment booking handled through the IntakeQ platform and insurance billed through major commercial and government payers (e.g., Aetna, UnitedHealthcare, Cigna, Medicare).

Product overview

Sagent Behavioral Health is a unified behavioral healthcare platform offering mental health services through multiple service lines (therapy, psychiatry, substance use treatment, psychological testing, DBT, and telehealth) delivered at over 80 locations across five Midwestern states. The organization operates as a platform combining multiple legacy sub-brands (Nystrom & Associates, Ellie Mental Health, Vantage Point, Sandhill Counseling & Consultation, Psychiatric Associates, and LifeWorks) under one unified identity. Services are accessible via in-person visits, telehealth, and a patient portal, with appointment scheduling handled through third-party IntakeQ integration. The company provides specialized care for conditions including ADHD, anxiety, depression, autism, bipolar disorder, substance use, and LGBTQIA+ affirming services.

Differentiator

Problem solved

Functional benefit

Products and services

• Therapy and Counseling Individual therapy services addressing depression, relationship issues, work stress, anxiety, ADHD, anger management, bipolar disorder, insomnia, stress management, suicidal thoughts, LGBTQIA+ affirming care, autism support, and other mental health concerns for patients of all ages.
• Psychiatry and Medication Management Psychiatric evaluation, medication prescribing, and ongoing medication management services for patients of all ages, including monitoring and adjustment of psychotropic medications.
• Substance Use Disorder Treatment Treatment and support services for substance use disorders, focused on recovery and long-term wellness for patients struggling with addiction.
• Psychological Testing Comprehensive psychological assessment services for diagnostic evaluation and treatment planning, often used to clarify diagnoses such as ADHD, autism, and other complex conditions.
• Dialectical Behavior Therapy (DBT) Structured DBT program providing skills-based therapy for emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness for patients requiring more intensive intervention.
• Telehealth Services Virtual visit options enabling patients to receive therapy and psychiatric care remotely via video conferencing from anywhere within the Sagent Behavioral Health service region.

Quantifiable outcome

• 30+ years of helping people discover their own strength
• +2 more outcomes

Named customers6 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration5 records

Feature3 records

Partnerships

Ten partnerships are on record, tiered core and minor.

• IntakeQcoreTechnology or IntegrationIntakeQ provides the online scheduling and patient intake platform used by Sagent Behavioral Health for appointment booking and referral management. Patients can book appointments and make referrals through the IntakeQ platform.
• AetnacoreOthersAetna is one of the major insurance providers accepted by Sagent Behavioral Health, allowing Aetna members to access behavioral health services through in-network coverage.
• UnitedHealthcarecoreOthersUnitedHealthcare is an in-network insurance provider accepted by Sagent Behavioral Health for behavioral health services.
• CignacoreOthersCigna insurance is accepted in-network by Sagent Behavioral Health for mental health and behavioral health services.
• AnthemcoreOthersAnthem Blue Cross Blue Shield is an in-network insurance provider for Sagent Behavioral Health services.
• Blue Cross Blue ShieldcoreOthersBlue Cross Blue Shield insurance plans are accepted in-network by Sagent Behavioral Health for behavioral health care.
• HumanacoreOthersHumana is an accepted insurance provider for Sagent Behavioral Health mental health services.
• MedicarecoreOthersMedicare coverage is accepted by Sagent Behavioral Health for eligible behavioral health services.
• UCarecoreOthersUCare is a regional insurance provider accepted by Sagent Behavioral Health, particularly relevant for Minnesota patients.
• LegitScriptminorOthersLegitScript has verified Sagent Behavioral Health's website for compliance with healthcare advertising and pharmacy standards.

Scale indicators5 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• LifeStance Health: The largest U.S. outpatient mental health platform with thousands of licensed clinicians across dozens of states, offering therapy, psychiatry, and psychological testing on an in-network insurance basis—directly comparable to Sagent's model and scale.
• Headway: Mental health provider network that recruits and credential therapists into insurance panels across the U.S., competing for the same clinician pool and self-pay patient demand that Sagent serves across the Midwest.
• Thriveworks: Multi-state outpatient therapy and psychiatry practice with in-person and telehealth delivery, accepting major insurance plans—a near-direct comparable in services, payer model, and patient experience.

Emerging players

• Cerebral: Digital mental health company combining therapy and medication management for anxiety, depression, and ADHD, overlapping with Sagent on psychiatry, ADHD, and anxiety treatment lines via a national telehealth-first model.
• Spring Health: Employer-sponsored mental health benefit platform that routes employees to therapy and psychiatry providers; competes for both clinical talent and insured demand in Sagent's footprint, particularly in Minnesota-based employer accounts.
• Lyra Health: Mental health benefits provider for employers offering in-person and virtual therapy plus coaching; targets the same employer-insured population that Sagent indirectly serves through commercial insurance.

Broad incumbents

• Talkspace: Public telehealth therapy and psychiatry platform with national reach and insurance partnerships, providing a competing virtual-first alternative to Sagent's in-person clinics across the Midwest.
• BetterHelp: Largest U.S. direct-to-consumer teletherapy subscription service (Teladoc subsidiary), serving as a national alternative to in-person providers like Sagent for self-pay and some insurance-covered therapy demand.
• Acadia Healthcare: Large public behavioral health operator best known for inpatient psychiatric and residential programs, but with growing outpatient partial-hospitalization and therapy capacity that competes for referrals and clinician talent alongside Sagent.

Regional players

• Refresh Mental Health: Multi-state outpatient mental health platform operating clinics across the Midwest and South; competes regionally with Sagent on outpatient therapy, psychiatry, and psychological testing under similar in-network insurance models.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/SandhillCounsel
• Facebookfacebook.com/SandhillCounseling

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Sandhill Counseling & Consultation