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Telehealth · Licensed in New York

Online Therapy in New York

Relational, unhurried telehealth for adults across New York State — from the five boroughs to the North Country. In-network with major insurance plans.

✓ In-network: Aetna, Carelon Behavioral Health, Cigna +

"Be here now."

Insurance in New York

We're in-network with several major plans in New York today, and the Optum family of plans is in credentialing now. If your plan is still in progress, join the list and we'll reach out the moment it's live.

In-network now

Aetna

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In-network now

Carelon Behavioral Health

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In-network now

Cigna

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In-network now

Anthem EAP — Expanded

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In-network now

Horizon BCBS of New Jersey

Virtual network

In-network now

Blue Cross Blue Shield of Massachusetts

Virtual network

In-network now

Coming soon

Oxford (Optum)

In credentialing

Coming soon

Oscar (Optum)

In credentialing

Coming soon

UnitedHealthcare (Optum)

In credentialing

Coming soon

Waiting on your plan?  Leave your name and we'll reach out the day your insurance goes live in New York — no obligation, your spot held.

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.

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Lex E. Santí

LCSW · Founder & Clinical Director · Telehealth in Virginia

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.

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2

Free 15-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.

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Depression

When everything feels heavier than it should.

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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

Ready when you are

Reaching out is hard — especially if you've been missed before. We'll begin with a conversation and see if it feels right. Whenever you're ready, we're here.

A Key Therapy
Here-and-now therapy · Telehealth in NY, NJ, VA & DE
akeytherapy@gmail.com

If you're in crisis or thinking about harming yourself, please don't wait for an appointment — call or text 988 (Suicide & Crisis Lifeline), available 24/7, or go to your nearest emergency room.

© 2026 A Key Therapy. Serving Virginia via secure, HIPAA-compliant telehealth.

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