North Coast Family Foundation

What North Coast Family Foundation does

North Coast Family Foundation is a private, for-profit outpatient mental health practice founded in 1984 by Drs. Michael and Chuck Misja. The firm has operated for over 40 years in the Greater Cleveland area under a Christian counseling philosophy that integrates biblical principles with state-licensed clinical care, addressing depression, anxiety, grief, trauma, marriage and family conflicts, childhood disorders, attention deficit, panic disorder, anger management, abuse, domestic violence, crisis management, spiritual issues, and parenting concerns. Its service portfolio comprises six core offerings — adult counseling, child and adolescent counseling, couples and marriage counseling, family counseling, faith-integrated Christian counseling, and medication management — delivered through approximately 23 staff members (predominantly LPC, LPCC, LSW, PhD, and one APRN) across three Ohio offices in Middleburg Heights (headquarters), Akron, and Willoughby Hills, with telehealth supplementing physical visits.

The practice runs on a third-party TherapyNotes EMR with a telehealth-enabled patient portal at therapyportal.com; there is no proprietary technology stack, no AI/ML components, and no external software products. Revenue is generated almost entirely through insurance billing for outpatient mental health services plus a self-pay/private-pay option for uninsured clients, with copays and deductibles collected at the time of service. The go-to-market motion is sales-led and community-rooted: phone-based intake (440-842-6867) with direct scheduling, insurance verification offered as a courtesy, intake forms via the patient portal, and patient acquisition channeled through community referrals (churches, schools) and word of mouth rather than paid digital channels.

Ownership remains with the founding Misja family, with no parent company, venture capital, private equity, or institutional investment disclosed. The operating footprint is regional, confined to Ohio, with three physical points of service and a telehealth extension. No acquisitions, funding rounds, regulatory actions, or leadership transitions outside the founder lineage have been disclosed; the firm describes itself as a stable, multi-generational private practice whose growth has been entirely organic and self-financed over four decades.

Name

North Coast Family Foundation

Legal name

North Coast Family Foundation

Website

https://northcoastfamily.com

Company type

Private

Founded year

1984

Operating status

Operating

Headcount range

11–50 employees

Short description

North Coast Family Foundation is a private, faith-integrated outpatient mental health practice founded in 1984, serving individuals, couples, children, and families across three Ohio offices with counseling and medication management services delivered by a 23-person licensed clinical staff.

Ownership category

akta.pro rank

Product category

Outpatient Mental Health Services

NAICS

Other Individual and Family Services (624190), Child and Youth Services (62411)

SIC

Services-Health Services (8000), Services-Misc Health & Allied Services, Nec (8090)

akta.pro primary industry

Family & Parenting Support Services (BPAGAEAC)

akta.pro secondary industry

Parent Mental Health, Stress Management & Wellness Programs (EDACALAJ)

Keywords

• Outpatient mental health services
• Christian counseling
• Marriage and family therapy
• Medication management
• Telehealth counseling

Headquarters

HQ city

Cleveland

HQ country

United States

HQ region

North America

Offices3 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Infrastructure

Revenue model

1. Counseling Services: Insurance billing for outpatient mental health services. Copays, deductibles, and patient responsibility amounts due at time of service. Self-pay/private pay option available for clients without insurance coverage.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

North Coast Family Foundation is a Christian counseling practice providing outpatient psychological and faith-integrated counseling services to adults, children, couples, and families across three Ohio locations. Core services span adult counseling, child and adolescent counseling, couples and marriage counseling, family counseling, Christian (biblical-integrated) counseling, and medication management delivered by an on-staff nurse practitioner.

Product overview

North Coast Family Foundation is a Christian counseling practice offering a unified suite of mental health services rather than a software platform. The core offerings consist of six interconnected service lines: Adult Counseling, Child and Adolescent Counseling, Couples and Marriage Counseling, Family Counseling, Christian Counseling (faith-integrated care), and Medication Management. These services are designed to work both independently and in combination, with medication management coordinated alongside therapy through an on-staff nurse practitioner to provide integrated care within a single practice. The practice serves individuals, couples, children, and families across three Ohio locations, accepting insurance and offering both in-person and telehealth appointments.

Differentiator

Problem solved

Functional benefit

Products and services

• Adult Counseling Individual counseling services for adults navigating identity, loss, anxiety, and life transitions using faith-integrated and clinical approaches. Targets adult individuals in Northeast Ohio seeking outpatient mental health support.
• Child and Adolescent Counseling Counseling services for children and adolescents addressing behavioral concerns, communication challenges, and developmental issues, with trust-building as the foundation of care. Targets parents/guardians seeking outpatient mental health care for minors in Northeast Ohio.
• Couples and Marriage Counseling Marriage and relationship counseling helping couples improve communication, recover from infidelity, and develop lasting partnerships aligned with faith values. Targets couples in Northeast Ohio.
• Family Counseling Family therapy services addressing underlying causes of pain and distance, offering healing and reconnection pathways for families. Targets families in Northeast Ohio.
• Christian Counseling (Faith-Integrated Care) Psychological counseling that integrates biblical principles with professional clinical methods for clients who desire faith to be part of their healing process. Targets individuals and families in Northeast Ohio seeking faith-integrated mental health care.
• Medication Management Medication evaluation, prescribing, monitoring, and adjustment services provided by on-staff Nurse Practitioner Vetrice Kotek for conditions including anxiety, depression, mood disorders, and stress-related concerns, offered alongside counseling for integrated care. Available in-person and via telehealth.

Quantifiable outcome

• Over 40 years of serving individuals, couples, children, and families

Segments6 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Scale indicators2 records

Recent moves5 records

Expansion highlights5 records

Emerging players

• Brightside Health: Telepsychiatry and therapy platform combining medication management with counseling for anxiety and depression — comparable as an emerging player delivering integrated therapy plus psychiatry, the same combination NCFF offers under one roof.

Broad incumbents

• BetterHelp: Largest online therapy platform offering licensed counseling on demand via subscription — comparable as a broad incumbent in the same outpatient mental health category, though operating at vastly larger scale and via digital delivery rather than office-based.
• Talkspace: Public online therapy and psychiatry platform with employer and consumer channels — comparable as a broad incumbent in outpatient mental health, with overlapping therapy and medication management services though at national scale.

Direct peers

• Applewood Centers: Cleveland-area nonprofit providing outpatient mental health, counseling, and family services to children, adolescents, and families across multiple locations — directly comparable in service mix, regional footprint, and target populations to NCFF.
• Catholic Charities Corporation (Diocese of Cleveland): Faith-based social services and counseling provider in Greater Cleveland serving individuals, couples, and families — directly comparable to NCFF on faith-integrated care model, regional scope, and family/parental support services.
• Christian Counseling Associates (CCA): Multi-state faith-based outpatient counseling practice integrating biblical principles with licensed clinical care — directly comparable to NCFF on faith-integrated positioning, therapy delivery, and target client base.
• PsychBC (Psychological & Behavioral Consultants): Multi-location outpatient mental health practice in Northeast Ohio offering therapy, psychiatry, and medication management — directly comparable in service mix, regional concentration, and integrated counseling plus prescribing model.
• Rosemont Center: Cleveland-based outpatient counseling and mental health center serving individuals, couples, and families — directly comparable in geographic market, service scope, and outpatient therapy delivery model.
• The Centers for Families and Children (Centers Inc.): Greater Cleveland nonprofit providing outpatient mental health, family counseling, and integrated social services across multiple sites — directly comparable in target populations, regional reach, and multi-disciplinary service model.

Regional players

• Northcoast Behavioral Healthcare System: Ohio regional behavioral health system operated by the Ohio Department of Mental Health serving Northeast Ohio — comparable as a regional mental health provider in the same geography, though publicly operated and at greater scale than NCFF.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat4 records

Key risks6 records

Key highlights1 record

Customer concentration

Revenue estimate

Valuation estimate

Number of profiles

Profiles17 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 North Coast Family Foundation