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Practice Management Software for Therapists & Coaches in Connecticut
Prexella is practice management software Connecticut counselors, social workers, psychologists and coaches use for booking, out-of-network superbills, e-signed intake and telehealth scheduling on their own domain. This page covers how Connecticut's rules apply, with sources.
Last updated 10/10/2026 · Sources verified 10/10/2026
Sources verified 10/10/2026.
Connecticut licensing: one department, four licenses
Connecticut licenses therapists through the Department of Public Health's Practitioner Licensing and Investigations Section, which oversees social workers, professional counselors, marital and family therapists and psychologists:
| License | DPH page |
|---|---|
| LCSW and LMSW | Social worker licensure and telehealth |
| LPC and LPC Associate | Professional counselor |
| LMFT | Marital and family therapist licensure |
| Psychologist | Psychologist licensure requirements |
Connecticut's license titles differ slightly from neighbors': it licenses "marital and family therapists" and has a two-tier counselor structure with an LPC Associate license. Prexella stores whichever Connecticut license number you hold, together with your individual and group NPI, tax ID and taxonomy code, in the superbill settings and prints them on every superbill.
Connecticut telehealth rules
PSYPACT. Connecticut enacted PSYPACT in 2022, effective October 1, 2022 (PSYPACT map), so psychologists with the compact's telepsychology authority from another member state can see clients located in Connecticut.
Counseling Compact. Connecticut appears as a member state on the Counseling Compact map. Privileges to practice under the compact are only live for licensees from a few states so far, so check before relying on one.
Out-of-state providers. Connecticut's pandemic-era flexibility for out-of-state behavioral health providers has narrowed. DPH says that before July 1, 2024, out-of-state social workers could treat a client located in Connecticut with whom they had a preexisting relationship (DPH). Public Act 24-110 then created a temporary "telehealth registrant" route for providers pursuing a Connecticut license, with registrations due to DPH by June 30, 2025 (DPH telehealth registrant). For new clients today, assume you need a Connecticut license or compact authority to see a client who is in Connecticut during the session.
How Prexella handles it. Each booking records telehealth or in office, and the superbill applies place-of-service 10 or 02 for telehealth and 11 for the office. Prexella does not capture the client's physical location at the start of each video session, so clinicians should confirm and note it. That matters on the Fairfield County line, where many clients work in New York.
Connecticut insurers and cash-pay rates
KFF's 2024 data shows a concentrated commercial market (large group, small group, individual):
- Elevance Health (Anthem BlueCross BlueShield): 29% of large group, 57% of small group and 46% of the individual market.
- UnitedHealth Group: 28% of large group and 23% of small group.
- Cigna: 25% of large group and 19% of small group.
- EmblemHealth (ConnectiCare): 54% of the individual market.
KFF's tables name only these four parent companies across Connecticut's commercial markets, so we list four rather than pad the list. With Anthem, UnitedHealth and Cigna splitting employer coverage, Connecticut out-of-network practices see a wider carrier mix than New Jersey's.
On cash-pay rates, Sidecar Health's cash-price analysis, reported by Becker's, put Connecticut psychotherapy at $274 to $363 per session (Becker's Behavioral Health).
E-signatures and record retention in Connecticut
E-signatures. Connecticut adopted the Uniform Electronic Transactions Act at Conn. Gen. Stat. §§1-266 to 1-286, under which electronic records and signatures may not be denied legal effect solely because they are electronic. The federal ESIGN Act covers interstate transactions. Prexella's e-signatures store the consent statement, typed name, drawn signature, time, IP address and browser for every form.
Record retention. NASW Connecticut's guide to record keeping, summarizing the state's medical-records regulation, says all parts of a record must be kept for seven years from the last date of treatment, and recommends keeping minors' records until age 21 or longer. Prexella keeps records in your practice's database until you delete them.
How Connecticut practices use Prexella
A three-carrier superbill routine. Connecticut employer coverage is split between Anthem, UnitedHealth and Cigna, so out-of-network practices send superbills to all three. Prexella's superbill uses the same layout for every carrier: your Connecticut license number, NPI, EIN and taxonomy code, the diagnosis you enter, and each session's CPT code and place of service.
LPC Associates and supervision. Connecticut's two-tier counselor license means many groups employ LPC Associates under supervision. Prexella is one flat fee for the practice, quoted on a demo call, so associates do not add per-seat costs.
Commuter scheduling. Fairfield County practices serve clients who work in New York; shoreline and Hartford-area practices serve clients across the state. Clients pick telehealth or in office each time they book, and you confirm their location at the start of each video session.
Marital and family therapy. Connecticut licenses marital and family therapists separately. Couples and family sessions can be coded 90847 with the client present or 90846 without on superbills, and couples can prepay a package of sessions in the portal.
Records on your terms. Every intake, consent and telehealth consent form is e-signed with an audit trail and stored on the client's record in your practice's own database.
Psychologists under PSYPACT. Connecticut psychologists with telepsychology authority can keep seeing clients who move to, or spend time in, other member states. Clients book video sessions the usual way; the psychologist confirms the client's location at the start of each session and documents it, which is what the compact expects.
Hartford and the shoreline. Outside Fairfield County, many Connecticut practices are solo or small groups serving a wider area by video. One flat fee for the practice suits that shape: a solo LPC pays the same way a five-clinician group does, and a group adding an associate pays nothing extra per seat.
What Prexella does not do in Connecticut. It does not submit claims to a clearinghouse itself, it does not host video, and it does not track client location automatically during telehealth sessions.
Connecticut professional associations
- NASW Connecticut Chapter
- The Connecticut Counseling Association, a state branch of the American Counseling Association
- Connecticut Psychological Association
Prexella across Connecticut
- Practice management in Greenwich, CT
- Practice management in New Haven, CT
- Practice management in Stamford and Fairfield County, CT
Clinicians licensed in more than one state can see New York and New Jersey. For the profession view, see marriage and family therapists, counselors and social workers, or request a demo.
Frequently asked questions
Can a New York-licensed therapist see Connecticut clients by video?
Not on a New York license alone. Connecticut's temporary telehealth registrant pathway for out-of-state behavioral health providers required applications by June 30, 2025. Psychologists can use PSYPACT if their home state is a member, which New York is not. Most clinicians need a Connecticut license.
Who licenses therapists in Connecticut?
The Department of Public Health's Practitioner Licensing and Investigations Section licenses clinical social workers, professional counselors, marital and family therapists and psychologists.
How long should Connecticut clinicians keep records?
NASW Connecticut's guide to the state's medical-records regulation gives seven years from the last date of treatment, and recommends keeping minors' records until age 21 or longer. Prexella keeps records in your practice's database until you delete them.
Most of my clients have Anthem. Will superbills work?
Anthem (Elevance Health) is Connecticut's largest commercial carrier. Reimbursement depends on each client's out-of-network benefits, but a complete superbill is what lets them file. Prexella builds it from completed sessions.
Are e-signatures valid on Connecticut consent forms?
Connecticut adopted the Uniform Electronic Transactions Act, which gives electronic records and signatures legal effect. Prexella records the consent statement, typed name, drawn signature, time, IP address and browser for each signed form.
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