In this episode, Patrick Casale and Nicole McCance talk about her proven 5-step method for scaling a group practice—perfect for anyone feeling stuck at an income ceiling, burned out, or simply wondering what the next level looks like for their private practice.
3 Key Takeaways:
- Systemize First, Hire Second: Before you build your team, get everything out of your head and document your systems. As Nicole says, if you don't systemize before hiring, you'll end up as the "chief question answerer"—not a true CEO.
- Marketing Matters—But Do It Right: Digital marketing (especially Google Ads) is essential, but make sure your website and ads are synced, specialty pages are clear, and hire experts when needed. Don’t waste money on marketing that doesn’t connect.
- Retention is Your Secret Weapon: Booking clients for multiple sessions and following up consistently (even after no-shows or cancellations) can increase your sessions by up to 20%. Simple steps = big impact.
Whether you're dreaming of scaling, preparing your practice as an asset, or just want more freedom as an owner, Nicole’s guidance offers a fresh roadmap using practical strategies.
More about Nicole:
Nicole is a Psychologist (retired) turned Business Coach for therapists scaling to a group practice. She expanded her private practice to 55 therapists and multiple 7 figures in 3 years (with toddler twins at home). Nicole sold her clinic in the 4th year and then retired as a Psychologist in her 5th year. She now teaches therapists how to help more people, make more money, and have more freedom following her proven method. The McCance Method: mccancemethod.com
Social Media
Sign up Nicole’s FREE Masterclass: How to Build a 7-Figure Group Practice → mccancemethod.com/webinar-free-masterclass-from-solo-to-superteam
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✨ The Receptionist for iPad
Thanks to The Receptionist for iPad for sponsoring this episode.
The Receptionist for iPad is a HIPAA-ready digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients or patients can check in for their appointments, and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time, because it is valuable. Start a free 14-day trial of the Receptionist for iPad by going to thereceptionist.com/privatepractice. Make sure to start your trial with that link to get your first month free if you decide to sign up.
Free Gifts for Our Listeners
✨ Free Podcasting Workbook
Get a practical podcasting workbook for therapists considering starting a podcast, created by Patrick Casale, host of the podcasts All Things Private Practice and Divergent Conversations.
You'll get a practical structure for therapists who want to start a podcast but don’t want to rush, perform, or build something they can’t sustain.
Grab your free copy of the Podcasting Workbook: atppod.com/free-podcasting-workbook
✨ Move Beyond Private Practice As A Neurodivergent Entrepreneur
Move Beyond Private Practice As A Neurodivergent Entrepreneur is a FREE 5-part mini-course designed for therapists who want sustainable financial independence beyond one-on-one work.
Access your free mini-course here: atppod.com/move-beyond-private-practice-free
Mentioned in this episode:
The Receptionist for iPad
The Receptionist for iPad is a HIPAA-ready digital check-in system that eliminates the need to walk back and forth from your office to the waiting room to see if your next appointment has arrived. Clients or patients can check in for their appointments, and you'll be immediately notified by text, email, or your preferred channel. Break free from interruptions and make the most of your time, because it is valuable. Start a free 14-day trial of the Receptionist for iPad by going to https://thereceptionist.com/privatepractice. Make sure to start your trial with that link to get your first month free if you decide to sign up.
