Supervision and Training Program

The OpenGate Supervision Program is a paid, graduate-level internship or postgraduate externship designed for clinicians pursuing their Vermont LCMHC, Clinical Social Worker, or LADC license. Our goal is to help you build a fully functioning, independently licensed private practice—one that reflects your clinical strengths, your values, and the kind of therapeutic life you want to create.

Training in this program provides a balanced focus on both the front-of-house (clinical practice) and the back-of-house (private practice management). You’ll learn every element needed to run a legal, ethical, efficient, and sustainable practice—including licensure and compliance, documentation, advertising, collaboration, insurance credentialing, claims and billing, bookkeeping, and systems management. Clinically, we work through issues specific to your caseload as well as those that arise in the broader development of your practice. When challenging or complex cases emerge, or when personal and professional difficulties surface, supervision is here to provide steady guidance and a safe space to think and process.

As Clinical Director, Kathleen provides most administrative training, practice management support, and supervised billing. You will also work closely with your assigned supervisor, who may be Kathleen or another member of our growing supervision team—each bringing extensive training, clinical experience, and a shared commitment to ethical, grounded, thoughtful practice. Your supervisor will help you develop your clinical voice, navigate challenges, and build confidence in both your therapeutic work and your business.

It’s important to know that OpenGate is not designed to be a side hustle. The structure, supports, and financial model of the program work best for clinicians who plan to build a full-time private practice (typically 18–28 clients per week). This program is a good fit for the serious, self-motivated entrepreneur who is ready to invest in their future and grow a meaningful, sustainable practice.

You can read Kathleen’s full bio and credentials—as well as the bios of all OpenGate supervisors—on the Counseling Team page.

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How it Works

First, envision your dream practice. Then, reach out and we’ll take it from there! Full transparency and fairness are important parts of the OpenGate business model. I put it all out here so you can make an informed decision about whether this program might be for you. Here’s the scoop, but feel free to ask about anything you wonder that isn’t laid out here.

Fee Structures:

Monthly Subscription Services for Training and Supervised Billing. $750/month*

Individual face to face clinical supervision rate: $150./session

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Clinical Supervision

Individual sessions with Kathleen and the supervision team offer the opportunity to present challenging cases for clinical support, to focus on general counseling skills, counselor development, general counseling topics and concepts of relevance, practice management, documentation, ethics, or crisis management. This program includes assessment, collaborative goal setting, and evaluation.

Group Supervision rate: $150/hr (group is 2 hrs.) divided by the number of participants. We offer monthly general group supervision, and specialty supervision groups for gender affirming care, school-based practice, and couples/family counseling.

Administrative Supervision and Training Program

*included in the subscription service fee includes:

• the ability to provisionally work and bill insurance claims under the license and supervision of Kathleen Landry or a member of the supervision team, as per the regulations of the state of Vermont and Vt. Medicaid.

• Each clinician is given a sub-account of OpenGate’s Simple Practice account, this is a complete office management system which includes scheduling, client database, telehealth services , HIPPA secure electronic charts, and more. This account is linked to your Supervisor, and all of your charts and documentation can be signed off easily. Here you can also track your earnings and hours.

• We offer mentorship, education, training, and oversight of a complete curriculum of private practice management skills, including both clinical and administrative skills. Materials, including guides, checklists, and handbooks, and access to some groups and all classes and workshops throughout the year are all included in the cost.

• We provide some referrals, and a listing on our website directory, as well as caseload development strategies and support.

• Kathleen holds open office hours for administrative support on Wednesdays and Fridays between 8am and 4pm. For all calls under 15 minutes, there is no charge for this service.

• Clinicians now have access to our secure Clinician Hub, where they can access all of the resources and training materials included in the program, anytime, from anywhere, all organized carefully, as well as tools announcements, and more!

• NOT INCLUDED, but optional add-ons include AI Note Taker at a charge of $35./month (after 30 day free trial)
• Your first month of subscription fees are waived with a six month or more commitment!

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Reimbursement:

• OpenGate pays the full amount of reimbursement by insurance companies to clinicians for all sessions, minus supervision fees and services, which are deducted from your bi-weekly paycheck. Payments are made to clinicians every other Friday via direct deposit.

• We accept BCBS, Medicaid, MVP, and bill out of network to Cigna, as well as direct payments via checks and credit/debit cards. (Interns can not accept BCBS until they graduate)

If you have any questions about how our programs work, please reach out!

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Kathleen’s Philosophical Framework for Supervision Practice

My supervision model is an integrated and flexible approach that combines several established theories and methods to ensure a comprehensive and supportive supervision experience. This model is deeply influenced by my years of experience in the field of adult education, as well as the educational principles of John Dewey and Maria Montessori. Their philosophies emphasize experiential learning, critical thinking, and individualized education.

I foster a mutual and reciprocal relationship with my supervisees through the Interactional Model, emphasizing the Supervisory Working Alliance. This involves setting collaborative goals and objectives while building a strong emotional bond of caring, trust, and respect.

At times, I employ a Patient-Centered approach, acting as an uninvolved counselor/advisor and focusing on the client’s needs rather than the supervisee or the supervisor-supervisee relationship. In other instances, I utilize a Supervisee-Centered approach, concentrating on the supervisee’s experience as a counselor. 

My supervision also incorporates the Holistic Model, emphasizing trust, safety, positive regard, congruence, acceptance, and authenticity. This model utilizes a systems approach that highlights parallel processes and a strength-based perspective, viewing supervisees as colleagues and focusing on their strengths rather than solely on problems.

I integrate Competency-Based Supervision to ensure that supervisees develop the necessary skills and competencies required for effective practice. Additionally, I incorporate the Existential-Humanistic Therapy Supervision Model to support supervisees in exploring existential and humanistic aspects of their work, and the Cognitive-Behavioral Therapy Supervision Model to provide structured and evidence-based guidance in cognitive-behavioral techniques.

This eclectic and adaptive approach ensures that supervision is tailored to the unique needs and developmental stages of each supervisee, promoting their growth and professional development in a supportive and structured environment.

OpenGate currently has openings- apply today!