Customized Consulting and Supervision Services

Running a therapy practice—whether you're just getting started or have been in the business for years—can be a deeply rewarding and complex journey. At different points along the way you may find yourself in need of guidance: someone who understands not only the clinical side of therapy, but also the business, leadership, and operational demands that come with running a successful practice. That’s where consulting with Crossroads comes in.

Whether you’re launching a private practice, leading an established organization, or seeking clinical supervision, Matt Otto brings a wealth of real-world experience to help you make informed, confident decisions. With a career that spans years as an individual therapist, business partner, and organizational leader, Matt is uniquely equipped to support fellow professionals at key turning points.

Consulting and supervision

New Practice Consulting: Launching with Clarity and Purpose

Taking the leap into private practice is both exciting and overwhelming. You may be grappling with questions like: How do I structure my business? What should my mission be? How do I align my services with the needs of my community? Whether you're a seasoned clinician ready to go solo or someone thinking about growing a team for the first time, getting started the right way matters.

Matt offers personalized consultation services to guide you through this foundational stage. His approach begins with helping you articulate your mission, vision, and values. From there, Matt works alongside you to evaluate your target community, explore sustainable growth models, and develop a step-by-step strategy to meet your goals.

This isn’t a one-size-fits-all approach. Some practitioners may benefit from a quick coffee conversation to bounce around ideas, while others may seek a longer-term partnership that provides mentorship and structured guidance over several months. Either way, Matt meets you where you are—offering insight, support, and encouragement tailored to your unique path.

Strategic Planning for Existing Practices: Recharging Your Momentum

Even the most successful practices hit plateaus or encounter new challenges. The day-to-day responsibilities of running a business—managing staff, juggling finances, navigating technology—can be exhausting. Over time, it’s easy to lose sight of the bigger picture. That’s where a fresh set of eyes can make all the difference.

Matt collaborates with established practice owners to help them regain clarity, solve problems, and develop strategies for the next phase of their journey. Whether you’re facing internal challenges, such as staff turnover or operational inefficiencies, or grappling with external factors like industry changes or economic shifts, Matt provides actionable guidance to help you regain your footing.

Through in-depth analysis and strategic dialogue, Matt helps identify pain points, diagnose root causes, and co-create a roadmap for forward momentum. His approach blends practical business acumen with an understanding of the emotional and relational dynamics that often shape organizational success in the mental health field.

Leadership and Practice Retreats: Strengthening Your Team and Vision

In any organization, culture and cohesion matter. For therapy practices, where trust and collaboration are central to both client outcomes and workplace satisfaction, investing in leadership and team development is crucial. A well-organized retreat can offer the space and structure needed to reflect, reconnect, and realign around shared goals.

Matt specializes in facilitating customized retreats designed to meet the unique needs of your team. Whether you're looking to build camaraderie among staff, refine your strategic plan, or address systemic issues within your organization, Matt can create and lead full-day or weekend retreats that deliver both insight and inspiration.

From planning agendas to facilitating discussions, Matt ensures that every retreat is thoughtfully designed and effectively executed. His leadership helps teams not only problem-solve but also reconnect with their purpose—renewing energy and direction for the road ahead.

Clinical Supervision: Supporting the Next Generation of Counselors

Supervision is more than a licensing requirement—it’s an essential component of professional development. For new therapists, clinical supervision is where the theories of graduate school meet the realities of client work. And for experienced counselors, consultation can provide a valuable sounding board for complex cases or professional reflection.

As a Licensed Clinical Supervisor for Licensed Graduate Professional Counselors (LGPCs) in the state of Maryland, Matt is committed to nurturing the growth of emerging therapists. With over 15 years of clinical experience, he has worked with a wide array of clients and presenting issues, equipping him to offer grounded, compassionate, and insightful supervision.

Matt's approach to supervision focuses on helping you discover your own voice and style as a counselor. He creates a supportive space for reflection, skill-building, and self-awareness, tailoring his guidance to fit your professional goals and developmental needs. Whether you're looking for regular supervision hours, occasional case consultation, or broader mentorship, Matt is here to support your evolution as a clinician.

Why Work with Crossroads?

At its core, Crossroads is about meeting you where you are and helping you take the next step forward—no matter what that looks like. Matt Otto brings not only years of practical experience but also a passion for seeing others succeed. His work is driven by the belief that therapists and business owners thrive best when they have access to trusted, personalized support.

Clients consistently appreciate Matt’s blend of empathy, strategic thinking, and practical know-how. He brings both heart and expertise to the table, helping individuals and teams make decisions that are both thoughtful and actionable.

Ready to Connect?

If you’re at a professional crossroads—whether starting fresh, scaling your business, refining your leadership, or growing in your clinical practice—Matt Otto is here to walk alongside you.

To learn more or schedule an initial consultation, reach out today.