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Kathy Weller, MA, LPC, NCC, CCMHCCentennial Park

Kathy Weller, MA, LPC, NCC, CCMHCCentennial Park 2026

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The document is an informational guide from Centennial Park Counseling, PLC, detailing the procedures for new clients attending their first appointment. It includes instructions on filling out forms, office location, check-in procedures, payment policies, confidentiality practices, and emergency contacts. Additionally, it outlines the consent for services and fee agreements, cancellation policies, privacy practices under HIPAA, and various intake forms for child/adolescent clients. The document emphasizes the importance of client confidentiality and provides contact information for further inquiries.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields. This includes your name and address, which are essential for identification.
Proceed to the 'Consent for Services and Fee Agreement' section. Carefully read through the terms and sign where indicated to acknowledge your understanding and acceptance.
Fill out the 'Child/Adolescent Intake Form' if applicable. Provide details about your child’s legal name, date of birth, and any relevant medical history.
Complete the 'Notification & Coordination with Primary Care Physician/Psychiatrist' form if you wish to authorize communication between your therapist and other healthcare providers.
Review all entered information for accuracy before saving or printing the completed forms for your first appointment.

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What does LPC ncc mean?

National Certified Counselor (NCC) The National Board for Certified Counselors, Inc. (NBCC) administers a rigorous, examination-based, professional certification program titled as the NBCC National Certified Counselor (NCC) Program.

What does NCC stand for in therapy?

What is NCC? The National Certification Corporation (NCC) is a not-for-profit organization that provides a national certification program for nurses, physicians, and other licensed healthcare professionals.