Insurance in New York
In-network with Aetna, Cigna, Carelon Behavioral Health, Anthem EAP, Horizon BCBS of NJ (virtual network), and BCBS of Massachusetts (virtual network). United Healthcare, Oscar, and Oxford applications are in progress — join the notify list.
In-network now
Aetna
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Live (since 2023)
Carelon Behavioral Health
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Live (since 2024)
Cigna
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Live (since 2023)
Anthem EAP — Expanded
.
Live (since 2024)
Horizon BCBS of New Jersey
Virtual network
Live (since 2024)
Blue Cross Blue Shield of Massachusetts
Virtual network
Live
Coming soon
Oxford (Optum)
In credentialing
In progress
Oscar (Optum)
In credentialing
In progress
UnitedHealthcare (Optum)
In credentialing
In progress
Private pay is always available, with limited sliding-scale spots. Out-of-network? We provide superbills for reimbursement. Panel status updated August 2026.
Your New York therapist
Every clinician at A Key Therapy is licensed in the state where you live — that's how telehealth licensing works, and how it should work.
Lex E. Santí
LCSW, DSW-S · Founder & Clinical Director · Telehealth in New York
An LCSW with a decade of clinical experience, now completing a doctorate studying how therapists truly attune to their clients. Lex's approach is relational and collaborative: you are the expert on your own story. He works with adults navigating anxiety, depression, life transitions — and recovering from therapy that missed them.
Anxiety
Depression
Life transitions
Therapy that missed you
How it works
Therapy grounded in presence, awareness, and real connection — from wherever you are in New York.
1
Reach out
Send a note or book directly. Tell us as much or as little as you like — you don't have to arrive with clarity.
2
Free 20-minute consult
A conversation, not an assessment. We'll talk about what's bringing you in and whether it feels like the right fit.
3
Begin, at your pace
Weekly secure video sessions from home. We slow down, listen, and build from your own account of who you are.
What we help with
Anxiety
When your mind won't stop running ahead of you.
Depression
When everything feels heavier than it should.
Life transitions
New chapters, endings, and everything unsettled in between.
Therapy that missed you
You tried before and left feeling labeled, not heard. We start differently.
Questions New Yorkers ask us
If you need help right now
If you are in crisis or thinking about harming yourself, don't wait for an appointment. Free, confidential support is available 24 hours a day.
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Call or text 988: Suicide & Crisis Lifeline. Or chat at 988lifeline.org/chat.
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Text HOME to 741741: Crisis Text Line.
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In immediate danger? Call 911 or go to your nearest emergency room.
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Veterans and service members: call 988, then press 1.
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LGBTQ+ young people: The Trevor Project, 1-866-488-7386.
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Outside the US: findahelpline.com.
A Key Therapy is not monitored 24/7. Email, voicemail and contact forms are not for emergencies.
A Key Therapy
Here-and-now therapy · Telehealth in NY, NJ, VA & DE
akeytherapy@gmail.com
Other states we serve
Therapy in Virginia· Therapy in New Jersey · Therapy in Delaware
© 2026 A Key Therapy. Serving Virginia via secure, HIPAA-compliant telehealth.