Kim W Piasecki, MS, LCPC in Baltimore: Individual and Couples Therapy Focused on Life Transitions
Kim W Piasecki is a licensed clinical professional counselor (LCPC) in independent practice in Baltimore, offering talk therapy for adults navigating relationship issues, life changes, and emotional adjustment. As a solo practitioner, Piasecki provides longer appointment slots and continuity of care without the fragmentation typical of larger mental health clinics, though availability is more limited than at group practices or hospital-affiliated centers.
What Piasecki's practice is
Piasecki holds the LCPC credential, Maryland's highest license for counselors without a doctoral degree (PhD or PsyD). This credential requires 60 graduate coursework hours and 3,000 supervised clinical hours. LCPCs can diagnose and treat mental health conditions independently; they operate at the same scope as many licensed social workers (LCSW-C) in Maryland. Piasecki works with individual adults and couples in a private practice setting, typically seeing clients in weekly or biweekly sessions. The practice specializes in life transitions—career changes, relationship conflict, grief, identity questions—rather than crisis intervention or medications. This positioning suits people managing adjustment challenges, not those in acute psychiatric episodes or needing psychiatric medication management.
Services and pricing
Piasecki offers psychotherapy sessions. Standard session length is 50 minutes. Exact fees should be confirmed directly, but private practice LCPCs in Baltimore typically charge between $90 and $180 per session depending on experience, specialty, and insurance status. Piasecki accepts most major insurance plans and typically files claims directly; out-of-pocket cost depends on your plan's copay, deductible, and whether the provider is in-network. Some insurers reimburse at higher rates than others, so verifying in-network status with your plan before scheduling is critical. Sliding-scale fees may be available; ask when calling.
How Piasecki compares to other Baltimore therapists
Individual LCPC practitioners like Piasecki differ from larger group practices (such as community mental health centers or clinic networks affiliated with Johns Hopkins or University of Maryland Medical System). Group settings often have shorter appointment slots (30 minutes), faster new-client intake, psychiatric consultation on-site, and shorter wait times for initial appointments. They may also offer specialized services like intensive outpatient programs (IOPs) or group therapy. Piasecki's solo practice trades those conveniences for continuity—you see the same clinician, longer sessions, more flexibility in scheduling once established, and often greater personal attention. Private practitioners are best for people with stable mental health who want consistency and deeper relational therapy; group clinics suit those needing rapid access, medication management, or lower cost.
Another Baltimore resource is Community Health Systems of Maryland (CHSM), a nonprofit with multiple locations offering sliding-scale therapy and psychiatric care, often with shorter wait times than private practitioners. Baltimore also has university-based training clinics through Coppin State, Loyola, and University of Maryland offering lower-cost therapy provided by graduate students under supervision. Piasecki sits at the middle of the spectrum: more flexible than a clinic, less affordable than a university training program.
Who Piasecki suits and who it does not
Piasecki is well-suited for adults with employed or insured status, those seeking relationship work, and people managing life transitions without acute psychiatric symptoms. Couples therapy is a strength of this practice type. Adults without insurance or those needing low-cost options should first contact community mental health centers or university training clinics. People in psychiatric crisis, those at risk of harm, or those needing medication management should contact a psychiatrist or go to an emergency department; Piasecki does not provide psychiatric care. Adolescents and children are typically not served by adult-focused independent practitioners; Baltimore's Department of Health and Behavioral Wellness and community clinics offer child-focused services.
What the first visit involves
New clients typically call to schedule an initial consultation. Piasecki will likely conduct a brief intake over the phone to assess fit and availability, then schedule a 50-minute first appointment. At that session, expect to discuss presenting issues (why you're seeking therapy), mental health history, current stressors, any past therapy experience, and goals for counseling. Piasecki will explain confidentiality limits (mandatory reporting for abuse, neglect, or imminent danger) and the general approach to treatment. Bring insurance information and a valid ID. Most therapists use the first session to establish safety and begin building the therapeutic relationship rather than delving deeply into problem-solving; actual work typically unfolds over subsequent sessions.
Hours, location, and logistics
Specific hours of operation and office location should be confirmed by calling or checking Piasecki's website or phone number. Independent practitioners in Baltimore often offer weekday evening and some weekend appointments to accommodate working adults. Parking depends on the office location; ask whether street parking, lot parking, or paid parking is available. Remote (telehealth) sessions via secure video are common post-pandemic and worth asking about, especially if scheduling in-person visits is difficult. Verify current hours before scheduling, as independent practices sometimes change availability seasonally or due to personal schedule shifts.
Piasecki's practice represents the Baltimore private therapy landscape: individual clinicians offering consistency and deeper engagement without the overhead or walk-in access of larger clinic networks. For someone seeking ongoing, relationship-centered talk therapy with continuity of care, this model delivers.
