Coming Soon - Thomas Cummings, PMHNP, ASAT-Candidate
Are you feeling overwhelmed, anxious, or stuck? You’re not alone. I help adults 22+ navigate life’s challenges through personalized, holistic psychiatric care. My approach integrates mental, emotional, spiritual, social, and physical health, ensuring that you receive well-rounded support tailored to your unique needs. While I have a strong passion for Men’s Mental Health, my practice is open to all adults seeking support for anxiety, depression, ADHD, trauma, and more. My goal is to provide a safe, judgment-free space where every individual can work toward mental wellness. I am currently in training as an Associate Sex Addiction Therapist Candidate.
Serving Lakewood, WA & Beyond If you’re looking for a psychiatric nurse practitioner for adults 18+ in Lakewood, WA, I offer in-person sessions at my local office and virtual care across Washington State. Convenient telepsychiatry services available for residents in Pierce County, Gig Harbor, Key Peninsula, Tacoma, and near Joint Base Lewis-McChord.
Politics and religion: I recognize that many people seek care wanting to feel comfortable discussing their experiences without worrying that their political views will be judged or misunderstood. As a psychiatric nurse practitioner, I provide care that is clinically grounded, respectful, and focused on your mental health goals—not on promoting any social or political perspective. Individuals across the political spectrum are welcome.
My role is to listen carefully, think collaboratively, and offer evidence-based treatment in a setting where you can speak openly and be treated with professionalism and dignity. Your values and concerns help shape the work we do together.
As to faith, I believe that part of informed consent (as well as respectful, whole-person care) includes being transparent about the values that shape how we show up in the world. I personally hold a Christian faith, which informs my commitment to compassion, dignity, and ethical practice. I do not proselytize, and I do not impose my beliefs on patients. My approach is always patient-led: if spiritual or faith-related topics are important to you, I am comfortable incorporating them into care; if they are not, they need not be part of our work together.
I welcome and serve individuals of all faith backgrounds, as well as those who identify as atheist, agnostic, or non-religious. My priority is to provide a safe, respectful, and clinically sound environment.
Services
My experience includes working with:
- Anxiety & Depression Treatment for Adults 18+ in Lakewood, WA
- Virtual Psychiatry Services Across Washington State
- ADHD & Mood Disorder Management
- Personalized Medication Management
- Trauma-Informed Psychiatric Care
- Men’s Mental Health Counseling
- Holistic Psychiatric Evaluations
- Addiction
- Mode Disorders
- Infidelity
- PTSD
- Sexual Addition
- Seasonal Affective Disorder (SAD)
- Sleep or Insomnia
Approaches:
- Behavioral Therapy
- Cognitive Behavioral Therapy (CBT)
- Motivational Interviewing
- Person-Centered
- Psychiatric Medication Review
- Therapeutic Journaling
- Mindfulness
Fees and Payments
Fees for all services are billed to your insurance company at current rate:
- $180 – Initial Session
- $165 – Additional Sessions
Self-Pay fees paid with Credit Card (at time of service):
- $150 – Initial Session
- $130 – Additional Sessions
- $65 – 30 minutes = (for established clients only for continuity of care)
Sessions are 50-55 minutes long and billed at the above rates. These fees apply to in-person, phone and online sessions. Extended sessions are billed at the same rate.
Insurance Accepted: Premera, Regence, Aetna, Cigna Healthcare, First Choice Health, Optum
To help ensure that I'm a good fit for you, please review some items that I do not address in my practice
- I do not prescribe benzodiazepines (Xanax, Ativan, Klonopin, Valium, etc.), but will work with you on alternative treatments.
- I do not fill out or file disability forms or perform disability exams.
- I don’t perform employment/work psychiatric evaluations or court-mandated forensic reports.
- Controlled substance prescribing (e.g. Adderall, Vyvanse, Ritalin, etc) may be considered only after a relationship has been well-established and there is a verifiable record that other alternatives have failed.
- I do not provide letters or documents for service or emotional support animals.
- I do not provide first visit or new patient FMLA, short-term or long-term disability assessments, these endorsements are intended for established, continuing care, or transferring patients.
- I do not appear in court without a subpoena.
- I do not perform divorce or custody evaluations.
- I do not provide Jury duty excuses.
- I do not treat severe cognitive disabilities/dementia.
- I do not provide prescribing medications primarily used for substance use disorders, such as buprenorphine, methadone, or benzodiazepine tapers. Due to the limited nature of our practice we cannot provide the routine monitoring offered by comprehensive on-site chemical dependency treatment programs (MAT).
Contact Information
Office Address: 9125 Bridgeport Way SW, STE 102, Lakewood, WA 98499
Phone: (253) 893-4943
Fax: (253) 237-9128
Office: (253) 893-4943
Email: Thomas@VineandBranchesCounseling.com
Office Hours: Monday: 9am to 6pm / Tuesday: 9am to 6pm / Thursday 9am to 6pm / Friday: 9am to 6pm / Saturday: 9am to 6pm
Telehealth Office Hours: Flexible. Contact me to coordinate an appointment at Thomas@VineandBranchesCounseling.com
