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 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.
​
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.
​
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 Virginians ask us
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.
