Registering for this site is easy. Just fill in the fields below, and we'll get a new account set up for you in no time.

Account Details

Profile Details

Name (required)

If you're signing for an account as an "Individual Licensed Treatment Provider" enter the full name that is associated with your license without extra information. If you're signing up as an account for a Clinic, Hospital, Treatment Center enter the name of the company you represent.

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License Type

These types of Licensed Treatment Providers can join the private community on Thero.org. Select any that apply to you.

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License Number (required)

Enter a license number provided by the state licensing board where you primarily practice. We use this number to verify your license and your identity. **NOTE: Our community is only for mental health providers who hold a license and we currently do not accept members who only hold certifications.

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NPI Number

Enter the National Provider Identifier (NPI) number of the clinic, hospital or treatment center. NPI numbers can be found at https://npiregistry.cms.hhs.gov/. If you are signing up as an individual (i.e. therapist, psychologist, psychiatrist, counselors or MD) please select "Individual Licensed Treatment Provider" under "Member Type."

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State where Licensed

The state licensing board for the license you listed.

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City

Primary city where you work.

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Zip/Postal Code

Primary Zip or Postal Code where you work.

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Website

List any publicly accessible website where your information is featured. We use the information on your website to help us verify your identity. If we are unable to verify your identity through your email, social media, phone number or other sources we may require you to provide additional information.

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Phone Number

The phone number where other providers in private Community can contact you. We use this for verification purposes.

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About Me

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My Interests

Select any that apply. Hold "control" or "command" button to select multiple options.

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About Us

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Developer's Specialties

List the skills and specialties you'd like to feature to the mental health professionals on the Thero.org community.

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