How to Start a Group Therapy Practice in Oregon: Licensing, LLC & Payer Basics

Starting a group therapy practice in Oregon comes down to four things: making sure your (and your clinicians') licenses are in order, choosing and registering a business entity, getting credentialed with the payers you want to accept, and understanding Oregon's specific rules for Medicaid and behavioral health. Oregon does a few things differently than other states — especially its coordinated-care Medicaid system and a Certificate of Approval requirement — so here's what to know before you build. I've walked this path myself building Sprout Therapy PDX from solo to 40+ clinicians, and I'll flag the Oregon-specific traps along the way.