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 offers an iPad list check-in option where clients can scan a QR code to check in, which negates the need for you to buy an iPad and stand. Go to thereceptionist.com/privatepractice and sign up for a free 14-day trial. When you do, you'll get your first month free. And don't forget to ask about our iPad list check-in option.
✨ Alma
Thanks to Alma for sponsoring this episode.
Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.
✨ All Things Private Practice — 2025 & 2026 Retreats
All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026.
Join us in Edinburgh, Scotland, for the second Doubt Yourself, Do It Anyway Summit from July 14th to 17th, 2025! We have an incredible lineup of 12 speakers and offer 12 MBCCEs. If you're a leader or aspiring to start a group practice, join our Leadership Retreat in Chania, Crete, from September 6th to 11th. In 2026, we have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd.
Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway!
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.
All Things Private Practice — 2025 & 2026 Retreats
All Things Private Practice has some amazing retreat experiences coming up in 2025 and 2026. Join us in Edinburgh, Scotland for the second Doubt Yourself, Do It Anyway Summit from July 14th to 17th, 2025! We have an incredible lineup of 12 speakers and offer 12 MBCCEs. If you're a leader or aspiring to start a group practice, join our Leadership Retreat in Chania, Crete, from September 6th to 11th. In 2026, we have two retreats in Queenstown, New Zealand. The first is for Neurodivergent Entrepreneurs from March 1st to 8th, and the second retreat, Beyond Private Practice, focuses on moving beyond one-on-one therapy and creating alternative income streams from March 15th to 22nd. Spaces are limited, so check the links to sign up today. Doubt yourself, do it anyway!
Doubt Yourself, Do It Anyway Summit in Scotland: https://www.empoweredescapes.com/scotland-july-2025-summit
Leadership Retreat in Chania, Crete: https://www.empoweredescapes.com/greece-retreat-2025
Neurodivergent Entrepreneurs in Queenstown, New Zealand: https://www.allthingspractice.com/new-zealand-neurodivergent
Beyond Private Practice in Queenstown, New Zealand: https://www.allthingspractice.com/new-zealand-income-streams
Alma
I want to thank Alma for sponsoring this episode.
Building and managing the practice you want can be challenging. That’s why Alma offers tools and resources to help you build not just any practice, but your private practice. They’ll help you navigate insurance, access referrals who are the right fit for you, and efficiently manage administrative tasks — so you can spend less time on the details, and more time delivering great care. You support your clients. Alma supports you. Visit helloalma.com/ATPP to learn more.
