Foundations For Change

What Foundations For Change does

Foundations For Change is a privately held mental health therapy practice operating as Foundations for Change, LLC in the St. Louis, Missouri metropolitan area. Founded in 2013 by three clinicians, the practice delivers a broad portfolio of counseling services including individual, adolescent, couples, family, and group therapy, with specialized modalities such as EMDR, trauma therapy, play therapy, and LGBTQ+ affirming care. Its signature specialized program is ASAP (Adolescent Sexual Adjustment Program) for teens with problematic sexual behaviors, and it also offers psychiatry services through an on-staff psychiatrist. The clinical staff consists of over 20 licensed therapists plus a psychiatrist, organized around three co-owners (Dana Baker, Sara Allen, and Alexandria Boyer), all licensed professional counselors with advanced credentials and specializations in trauma and adolescent behavioral health.

The practice generates revenue through a fee-for-service model with session fees that range from $30 to $150 depending on provider licensure level, supplemented by a sliding scale and broad insurance panel participation covering major commercial payers and Missouri Medicaid (MO HealthNet, Home State Health, Ambetter). Go-to-market is community-anchored: long-standing referral relationships with St. Louis County Family Courts, local schools, healthcare providers, and community organizations such as Girl Scouts of Eastern Missouri drive mid-funnel demand, while the practice's website, blog content, Facebook, and LinkedIn presence support top-of-funnel awareness. Distribution is through two physical offices (St. Louis City and Creve Coeur, with Des Peres and St. Charles consolidated into Creve Coeur effective December 1, 2025) plus telehealth delivery.

The underlying technology stack is intentionally minimal: a Webflow-hosted patient-facing website with appointment scheduling, informational content, and basic account functionality, plus standard telehealth infrastructure for remote sessions. There is no developer API, no third-party integrations, and no disclosed proprietary platform. The practice has no external institutional ownership, no funding rounds, and no M&A history. Material near-term operational risks include the planned summer 2026 retirement of the practice's psychiatrist, Dr. Marta DaSilva, and the recent office consolidation, both of which signal capacity rationalization in a stable, mature local practice rather than expansion.

Name

Foundations For Change

Legal name

Foundations for Change, LLC

Website

https://foundationsforchange.net

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

Foundations For Change is a privately held St. Louis-based mental health therapy practice offering individual, adolescent, couples, family, group, LGBTQ+, EMDR, and play therapy, plus psychiatry, to individuals and families across the St. Louis metro via two offices and telehealth.

Ownership category

akta.pro rank

Product category

Mental Health Therapy 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), Services-Health Services (8000)

akta.pro primary industry

Behavioral Health for Children & Adolescents (Youth Services) (HLAFACAL)

akta.pro secondary industries

School-Based Mental Health Therapy (Licensed Clinicians) (EDAKAMAD), Neurodevelopmental & Behavioral Therapy Platforms (ADHD/Autism/Behavioral Coaching) (HLALAEAJ)

Keywords

• Mental health counseling
• Individual therapy services
• Trauma and EMDR therapy
• Couples and family therapy
• Adolescent therapy

Headquarters

HQ city

St Louis

HQ country

United States

HQ region

North America

Offices2 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

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

Revenue model

1. Therapy Session Fees: Fee-for-service model with session fees varying by provider licensure level. Accepts multiple insurance plans and offers private pay options at $30-$150 per session. Provides sliding scale based on financial need.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels5 records

Core offering

Foundations For Change is a St. Louis-based mental health therapy practice providing a comprehensive suite of counseling services including individual therapy, adolescent therapy, couples therapy, family therapy, group therapy, play therapy, LGBTQ+ affirming therapy, trauma therapy, EMDR, and the Adolescent Sexual Adjustment Program (ASAP). Services are delivered in person at two St. Louis metro offices and via telehealth, supported by a clinical staff of over 20 therapists and a psychiatrist. The practice accepts multiple insurance plans, offers private pay on a sliding fee scale, and accepts community referrals from courts, schools, and healthcare providers.

Product overview

Foundations for Change is a St. Louis-based mental health therapy practice offering a comprehensive suite of counseling services. The practice operates as a unified service portfolio centered around individual, adolescent, couples, family, and group therapy modalities. Core therapeutic approaches include EMDR (Eye Movement Desensitization and Reprocessing) for trauma recovery and specialized programs such as the Adolescent Sexual Adjustment Program (ASAP). The practice also provides LGBTQ+-affirming therapy, play therapy for children, and educational in-service presentations for community organizations. Services are available at two St. Louis locations (St. Louis City and St. Louis County/Creve Coeur) with over 20 therapists and a psychiatrist on staff.

Differentiator

Problem solved

Functional benefit

Products and services

• Individual Therapy
• Adolescent Therapy
• Play Therapy
• Couples Therapy
• Trauma Therapy
• EMDR Therapy
• Family Therapy
• LGBTQ+ Therapy
• Adolescent Sexual Adjustment Program (ASAP)
• Group Therapy
• In-Service Presentations

Quantifiable outcome

• 1000+ individuals helped with personalized care
• +2 more outcomes

Named customers2 records

Segments5 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered core and minor.

• St. Louis County Family CourtscoreStrategic or Co-development PartnerEarly partnership providing counseling for youth in juvenile detention. The founders initially partnered with Family Courts to provide mental health services to underserved youth in the court system.
• Local SchoolsminorStrategic or Co-development PartnerPartnership with local schools for in-school mental health services and educational outreach.
• Healthcare ProvidersminorStrategic or Co-development PartnerHealthcare provider partnerships for coordinated mental health care referrals.
• Girl Scouts of Eastern MissouriminorStrategic or Co-development PartnerCommunity organization partnership for youth mental health outreach.
• Matthews-DickeyminorStrategic or Co-development PartnerCommunity partnership providing mental health support to youth through this St. Louis community organization.
• CWIT (Girls Who Code area initiative)minorStrategic or Co-development PartnerCommunity partnership supporting youth development and mental wellness.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Broad incumbents

• LifeStance Health: Largest publicly traded outpatient mental health platform in the U.S. with thousands of clinicians across multiple states. Directly comparable as a multi-modality outpatient mental health group practice, though at vastly larger scale and with PE backing.
• BetterHelp: Largest consumer online therapy subscription service. Comparable as a broad telehealth therapy provider serving individuals, couples, and teens, though operating at much greater scale and as a direct-to-consumer subscription model.

Direct peers

• Two Chairs: Therapy group practice operating across multiple U.S. markets with employed therapists offering individual, couples, and group therapy. Comparable as a multi-modality, employed-clinician therapy group with insurance and private-pay options.
• Talkspace: Online therapy platform offering individual, couples, and teen therapy with insurance and private-pay options. Comparable in providing telehealth-delivered therapy across age groups with broad insurance acceptance.
• Cerebral: Telehealth-based mental health provider offering therapy and medication management for anxiety, depression, and related conditions. Comparable as an outpatient mental health provider combining therapeutic and pharmacological services.
• Talkiatry: Psychiatry-led mental health practice offering in-network psychiatric evaluation and medication management with both in-person and telehealth delivery. Comparable in offering combined therapy and psychiatric services within a single outpatient model.
• Lyra Health: Mental health benefits platform offering therapy, coaching, and psychiatry to employees and their families. Comparable as a multi-modality therapy and psychiatric provider, with strong clinical specialization similar to Foundations for Change's diverse modalities.
• Brightside Health: Telehealth mental health platform providing therapy and psychiatry services with insurance acceptance. Comparable in combining teletherapy and psychiatric medication management for depression and anxiety.
• Charlie Health: Intensive outpatient and virtual mental health provider focused on adolescents, young adults, and families. Comparable given Foundations for Change's strong adolescent and family therapy emphasis, including school-linked and juvenile-justice work.

Others

• Headway: Marketplace and software platform that helps therapists accept insurance and manage practices. Relevant as an ecosystem enabler for outpatient therapy groups like Foundations for Change seeking to expand insurance panel participation.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks5 records

Key highlights5 records

Customer concentration

• Facebookfacebook.com/FoundationsForChange
• LinkedInlinkedin.com/company/foundations-for-change

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 records

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 Foundations For Change