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Telehealth · Licensed in Virginia

Online Therapy in Virginia

Relational, unhurried telehealth for adults across the Commonwealth — NoVA, Richmond, Hampton Roads, and everywhere between. In-network with major insurance plans.

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

"Be here now."

Insurance in Virginia

We're in-network with four major plans in Virginia today, including Anthem Blue Cross Blue Shield Virginia. Optum plans have an open waitlist — join it and we'll reach out the moment they're live.

In-network now

Aetna

In-network now

Carelon Behavioral Health

In-network now

Cigna

In-network now

Anthem Blue Cross Blue Shield Virginia

In-network now

Waitlist open

Oxford (Optum)

Waitlist open

Waitlist

Oscar (Optum)

Waitlist open

Waitlist

UnitedHealthcare (Optum)

Waitlist open

Waitlist

Waiting on your plan? Leave your name and we'll reach out the day your insurance goes live in Virginia — 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 Virginia 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_092225-7328_edited.jpg
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 Virginia.

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 Virginians 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

Other states we serve
Therapy in Virginia · Therapy in New Jersey · Therapy in Delaware

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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