Coming Soon - Thomas Cummings, PMHNP, ASAT-Candidate
Are you feeling overwhelmed, anxious, or stuck? You’re not alone. I help adults 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.
If you’re looking for a psychiatric nurse practitioner for adults 22+ in Lakewood, WA, I offer in-person sessions at my local office and virtual care across Washington State.
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
I provide medication management and mental health care for depression, anxiety, bipolar, and other diagnoses or problems. I do not see people for therapy only, however, and aside from sexual addiction therapy, only take new patients for medication management.
If you are seeing a therapist and wish to see me for medication management, I am happy to collaborate with your therapist around your treatment.
I integrate the Cognitive-Behavioral Therapy modality with medication management when appropriate.
My experience includes working with:
- Anxiety & Depression Treatment for post-college adults (22+) in Lakewood, WA
- Virtual Psychiatry Services Across Washington State
- ADHD & Mood Disorder Management
- Personalized Medication Management
- Trauma-Informed Psychiatric Care
- Men’s Mental Health
- Holistic Psychiatric Evaluations
- Addiction
- Mood Disorders
- Sexual/pornography addiction/infidelity
- PTSD
- 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:
- $400-$600 – Initial 90 Minute Session
- $200-$350 – Additional Sessions
Same Day – Self-Pay fees paid with Credit Card (at time of service):
- $300 – Initial 90 Minute Session
- $150-$200 – Additional Sessions
Sessions are 90 Minutes for intakes, and between 20-50 minutes for follow-ups depending on complexity of care.
Sessions are 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 provide autism diagnosis, but do refer out to other providers for this service. I do not provide full neuropsychiatric (multiple hour-long) evaluations
- 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 do not fill out Sedgewick claims
- 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 see children or adolescents in my practice.
- 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: Tuesday: 9am to 4pm / Wednesday: 9am to 5pm / Friday: 9am to 5pm / Saturday: 10am to 4pm
Telehealth Office Hours: Flexible. Contact me to coordinate an appointment at Thomas@VineandBranchesCounseling.com
