Healthcare

Tax help for private-practice therapists

Therapists in private practice offset session income with licensing, supervision, an office, and the secure tools their work requires.

Prepared by real tax specialists — with Enrolled Agent or CPA review when your return calls for it.

Solo private-practice therapists report on Schedule C and pay self-employment tax on net profit.

Payments may arrive directly, through insurers, or via platforms, and all of it is reportable regardless of the form received.

Income you’ll report on: 1099-NEC, 1099-K.

Save money

Deductions for private-practice therapists

Most people in this line of work leave money on the table. Here's what we make sure to capture:

  • Office rent or a qualifying home office
  • Licensing, supervision, and continuing education
  • Professional liability and malpractice insurance
  • HIPAA-compliant telehealth and scheduling software
  • Professional association dues
  • Office furnishings and supplies
  • Billing and payment processing fees
Watch out for

What makes your taxes different

  • A home office must be used regularly and exclusively for the practice
  • Income is reportable whether received directly, from insurers, or via a platform
  • Quarterly estimated taxes usually apply
  • Personal therapy for yourself is generally not a deductible business expense
FAQ

Frequently asked questions

Do private-practice therapists pay self-employment tax?

If you earn as an independent contractor, yes — self-employment tax is 15.3% (Social Security and Medicare) on your net profit, on top of regular income tax. You deduct half of it, and every business deduction lowers what you owe. We handle the calculation on Schedule SE.

What can private-practice therapists write off?

Common write-offs include office rent or a qualifying home office, licensing, supervision, and continuing education, professional liability and malpractice insurance, hipaa-compliant telehealth and scheduling software, plus a share of your phone and any home-office use. We go through your year line by line so nothing legitimate gets missed.

Do private-practice therapists need to pay quarterly estimated taxes?

If you expect to owe $1,000 or more for the year, the IRS generally wants quarterly estimated payments to avoid an underpayment penalty. We calculate them so next April isn't a surprise.

Do I have to report income if I didn't get a 1099?

Yes. Your income is taxable whether or not a client or platform sent a 1099. We report it correctly and offset it with every deduction you qualify for.

Taxes handled · so you can get back to work.

Tell us what you've got and we'll come back within one business day with the plan and the price · from a preparer who knows your line of work.

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