In development · early profiles opening
The empty hour is the expensive one.
A directory that only gets you found leaves you to run the rest — a calendar in one app, payments in another, notes in a third, and a one o'clock that quietly went unfilled. Pexido puts the booking, the money and the clinical record behind the same profile clients find you through — whether your hour is therapy or medication management. Flat monthly fee, no commission, and you can take the whole record out again whenever you want.
Thursday · 4 appointments
Waiting for your confirmation
An illustration of the dashboard — not real clients.
- No commission
- A flat subscription. Your bill doesn't grow when your caseload does.
- A BAA with every therapist
- Not an add-on and not a higher tier. Being drafted now.
- Free trial first
- Full use of the platform before you pay, with no card to start.
- The record, if you want it
- A full clinical record inside the same app — or keep the one you have.
Your profile
Built to be chosen, not just listed.
You build it step by step and can stop and resume at any point, with a progress bar showing what's left and a preview of exactly how clients will see you.
Verified credentials
Your licence number and state go to review before your profile appears in search. Once cleared, a verified badge sits on your public profile — worth more than any claim you could write yourself.
An intro video
Optional, and one of the strongest things you can add. Choosing a therapist is a question of fit, and thirty seconds of you talking answers that better than any bio.
Specialties and languages
Pick from a reference list — focused profiles perform better, so three to five is the sweet spot — plus every language you practise in. Language is one of the filters clients use most and one the fewest directories handle well.
Online, in person, or both
In-person profiles carry a real address, so you appear when someone searches within a radius of where they live rather than in a nationwide list they scroll past.
Insurance you accept
Chosen from a reference list. Clients who recorded their insurance see an "accepts your insurance" badge on your card — one of the strongest filters they use, and a reason they stop scrolling.
Your fee, stated plainly
Your session fee and cancellation policy are visible before anyone books. That removes the awkward opening conversation and the client who books without realising the price.
The kinds of therapy you practise
Pick your modalities from a reference list of thirty — CBT, EMDR, psychodynamic, internal family systems and the rest. Specialty says what you treat; modality says how you work, and a client comparing two profiles is usually trying to tell those apart.
Education and certifications
Up to six degrees — qualification, field, school and year — and up to twelve certifications with the issuing body and the year earned. The things a careful client looks for and most directories make you cram into a bio paragraph.
Who you work with
The age groups you see, whether you are taking new clients right now, how often you typically meet, and — if you practise under supervision — that too, stated plainly rather than left for someone to ask about.
Accessibility, said out loud
The accommodations your practice can offer. For a client who needs one, its absence from a profile is not neutral — it is a reason to keep scrolling, and usually a wrong one.
Calendar and no-shows
Your availability, honestly reflected — and fewer empty hours.
Working hours, and the exceptions
Set a repeating weekly pattern in your own timezone, then add exceptions for holidays and one-offs. Session length (fifty minutes unless you change it), the buffer between sessions, how much notice you need and how far ahead people may book all feed the slots that get offered — so you never offer a time you did not mean to.
Two clients cannot take the same slot
Booking takes a lock on your calendar and re-checks availability inside it, so two people racing for your last Tuesday slot can never both win it. Times are resolved per calendar day, which means a 9:00 session stays at 9:00 across a daylight-saving change instead of quietly moving an hour. External calendar sync is designed but not built yet — we won't list it until it works.
The no-show package
Optional deposits are the main lever, backed by automatic text and push reminders at 24 hours and a few hours before, one-tap rescheduling so someone who cannot come says so early, and a cancellation policy the client saw before they paid.
A waiting list that runs itself
Clients join a waiting list for a time range. When a slot frees up, Pexido notifies them automatically — you do nothing, and the hour that would have gone empty gets filled.
Free intro calls
Switch on a short introductory call — fifteen minutes, free, online. The lowest-friction way for a hesitant enquiry to become a booked client, and it costs you a quarter of an hour.
Book for someone who isn't on Pexido yet
Someone rings the practice. Type their name, their number and a time, pick which service it is for, and they get a text with a link — they verify their phone the ordinary way and the appointment is already there. The link gives away nothing the text did not: not your note, not the price, not even their own name. The account is created unverified, so a stranger holding the link cannot claim it, and anyone can decline without signing in at all.
Intake before the first session
Optionally collect a short intake form when a new client books, so you walk into the first session already knowing the basics instead of spending it on admin.
Your services
An intake is not a check-in, and neither is a couples session.
Most directories give you one fee and one length for everything you do. Pexido lets you define each service separately, and the calendar and the invoice both follow it.
Its own length, buffer and fee
A 90-minute intake, a 50-minute session and a 25-minute check-in can each carry their own duration, their own gap afterwards and their own price. The bookable slots are generated from whichever service the client picked, not from one setting applied to everything.
Who the session is for
Individual, couples, family or group — set per service, so a client books the thing they actually need and arrives expecting the right room.
A CPT code where you want one
Attach the billing code to the service once and it travels with every appointment made from it, instead of being remembered at paperwork time.
The terms are snapshotted per service
When a client books, the fee, the length and the cancellation rule of that service are copied onto the appointment. Change your prices next month and the bookings already taken keep the terms they were made under — including through a reschedule.
Getting paid
Deposits, payouts, and a balance you control.
Take a deposit, the whole fee, or nothing
Two services you switch on independently. Take a deposit that comes off the session fee, take the full amount up front, or leave both off and have clients pay you directly — the booking works either way.
The deposit is yours
A deposit is part of your fee, not a surcharge on top of it, and not Pexido revenue. It lands in your Pexido balance and you withdraw it to your bank through Stripe.
A history in plain language
Every movement — deposits in, full payments in, withdrawals, subscription charges, refunds — listed in words rather than accounting shorthand.
A balance that cannot drift from its history
The transaction history is append-only. Nothing is ever edited after the fact; a correction is a new entry pointing the other way, and your balance is derived from the whole list inside the same locked write. This is money you withdraw, so it has to reconcile — a figure that can quietly disagree with its own history is not auditable.
Pay the subscription from your balance
Flip a switch and next month's subscription comes out of your Pexido balance instead of your card, whenever the balance covers it.
Refunds stay your decision
You issue refunds from the appointment itself. Pexido holds the money and stays out of the conversation between you and your client.
Payouts, identity and tax forms
Withdrawals run through Stripe Connect, which also handles your identity verification and your tax forms. Your bank details live with Stripe, not with Pexido.
Chargebacks come out of your balance
Said plainly because you would find out anyway: if a client disputes a payment with their bank, the amount is debited from your Pexido balance, and the balance is allowed to go negative — it is treated as a debt, not an error. It is in the agreement, and it is the reason accepting the agreement comes before payment setup.
Insurance paperwork, prepared
Pick a date range and pull your insured clients' sessions — who, which insurer, what date, how long. Pexido isn't contracted with insurers and never files on your behalf; the report exists so the form you file takes minutes. Formatted PDF and CSV downloads are still being built; today it gives you the data.
Running the practice
The parts nobody advertises, but everybody deals with.
Your client list
Everyone who has booked with you, with session history, contact details, their insurance if they shared it, their intake answers, and your own encrypted private notes for coordination.
Messaging, kept in its lane
Real-time messaging for scheduling and short questions, with a standing reminder to both sides not to use it for therapeutic content, and a report button on every message.
Statistics that are actually yours
Monthly search impressions, profile views, bookings and intro calls, plus your view-to-booking rate against last month. Your own numbers only — Pexido never ranks you against other therapists, and never sells you placement.
Reviews, and your reply
Only real clients can review you, and every review is privacy-checked first. Reviews are anonymous even to you, and you can reply publicly to any of them. Nothing is removed for being critical — yours or anyone's.
Receptionists and practice staff
Give someone your diary without giving them everything.
A receptionist signs in with their own phone number, not yours. What they can see is set by you, permission by permission — twelve of them, from calendar and appointments through to invoices, insurance, intake answers and notes.
The default is deliberately narrow
A new staff member starts with the calendar, appointments, the waiting list and client contact details. Messages are not included. The message thread is the one place a client writes in their own words believing they are writing to you, so opening it is a toggle somebody has to move — not something that arrives switched on inside a preset most practices never edit.
The sensitive grants ask twice
Intake answers, insurance details and your clinical notes are not ordinary switches. Each needs its own confirmation before it turns on, because these are the grants a practice should make on purpose rather than by clicking through a list.
Eight things nobody but you can ever do
Withdraw money or change where payouts go, change the subscription or payment method, add or remove other staff, change your login phone or recovery codes, edit your licences, approve publication, accept the agreements, or delete the account. Not a permission set to off — there is no route for any of them, so there is nothing to reach by guessing.
Revocable, and logged
Access comes from a membership you can withdraw at any time, not from an account type — so the same person can work for two practices, and can also be a client somewhere, without any of those touching each other. Every staff look at a record is written to the access log alongside your own.
The clinical record
The chart, beside the calendar that filled it.
Most practices run a directory, a scheduler and an EHR that have never heard of each other, and the therapist is the integration. Pexido puts the record in the same app as the booking — and makes leaving with it a first-class feature rather than a retention tactic.
Notes in the format you already use
SOAP, DAP, BIRP or free form, stored section by section rather than as one blob. Drafts autosave every few seconds, because a note lost to a closed tab is not an inconvenience. The template is stamped onto the note when you start it, so changing your default later never rewrites what you already wrote.
A signature is an act, not a side effect of saving
Draft, signed, amended. Signing is deliberate and separate, and a signed note is never edited — you add an addendum, and the original stays. Nothing is bulk-signed, and no clinical record is ever deleted. Voided, yes; deleted, no.
Diagnoses and treatment plans that hold their history
Search diagnoses by wording rather than hunting a code, and the code's official text is stamped on the day you record it — codes get revised, and the record should say what it said then. Plans are versioned and signable, a new version starts as a copy rather than a blank form, goals can be cited from your notes, and a review date that has passed shows up rather than waiting to be remembered.
Documentation help that never puts words in your mouth
Dictate, paste a transcript, record the room with the client's recorded consent — or write three lines and have them expanded, which is the route most therapists who will not record actually want. Every route ends in a draft you read and sign. The model never signs, never suggests a diagnosis, never assesses risk, and is never shown your psychotherapy notes.
Ask the chart, and check the answer
Put a question to a client's own record and get an answer where every factual statement carries a link to the record it came from — one that opens the actual note, not a paraphrase of it. If a sentence cannot be tied to a source, it is not shown at all. An answer you cannot check is not worth having in a clinical setting.
Leaving is a button, not a negotiation
One control that takes everything — notes, appointments, documents, assessments — with the counts shown before you start, a published description of the format, and a history of previous exports. No form, no reason required, no retention screen on the way out. If that ever gains a step, it is a bug.
Said plainly, because it decides whether this is for you: the clinical side is built and is being finished under legal review before any real client record is kept in it, in the same way everything else here is described as built rather than launched. Nothing obliges you to document in Pexido — if you have an EHR you like, keep it. And nothing here will ever show clinical content in a text message, a push notification or an email.
If you prescribe
Built knowing that not every clinician does talk therapy.
Psychiatrists and psychiatric nurse practitioners get told to use software designed for somebody else's visit. The parts of Pexido that would get a medication visit wrong were changed rather than left for you to work around.
Pexido does not prescribe, and will not say otherwise
Prescriptions are written, signed and routed by a certified e-prescribing system — Surescripts-connected and EPCS-certified — in its own interface, under your practice's agreement with that vendor. Pexido's side is enrolment, the way into that interface, and the medication record that comes back. The two-step verification EPCS requires belongs to you at the moment of signing, inside their flow, not to your Pexido login.
A medication list that admits when it is old
The prescription is written in your e-prescribing system; this is the record of it. Two lists kept by hand drift — a dose changes there, nobody changes it here, and months later another clinician or an emergency department reads the old one. A medication list is the one place in a chart where being out of date can hurt somebody, and a stale list looks exactly like a current one. Pexido cannot stop the drift. It stops the list looking confident about it, and says how long it has gone unreviewed.
Coding that knows who held the visit
A twenty-two minute medication visit is not a psychotherapy hour, and the code it supports depends on the clinician, not only on the clock. The billing check reads your profession and role rather than assuming every appointment on the platform was therapy — which is what it assumed while every clinician here was a therapist.
The rest of the record is the same record
Diagnoses, treatment plans, assessments, the timeline, documentation help and export all behave the same for you as for anyone else. Prescribing is a capability on your account, not a separate product with its own subscription.
Where this stands: the medication record and the prescriber-aware coding are built. The connection to a certified e-prescribing vendor is built up to the seam, and no vendor is contracted yet — so treat prescribing itself as coming, not as something you can do here today. We would rather tell you that now than have you find out after you moved your practice.
HIPAA and your obligations
You carry the duty. Pexido is built to hold up its end.
You are the covered entity. Any service that touches your clients' information on your behalf becomes your business associate, and that is only allowed with an agreement in place. Here is what Pexido commits to.
A Business Associate Agreement, signed with you
Not an upsell, not a higher tier — every therapist on Pexido will get one. It sets out what may be done with your clients' information, how it is protected, and how it is returned or destroyed if you leave. The agreement is being drafted now; no therapist will be onboarded without signing it, so ask to see it before you rely on it.
Holding the record does not make Pexido the provider
A chart changes what Pexido holds, not who is responsible for it. You remain the covered entity and the author of every clinical record; Pexido handles it on your behalf, which is what a business associate is. Your psychotherapy notes sit outside all of it — a separate store no staff permission reaches, excluded from the client's own export, and never sent to the model.
Video under the same agreement
The video provider will be chosen against one hard requirement: it must sign a Business Associate Agreement. No session will be recorded, and nobody from Pexido will join.
Access you can account for
Staff access to sensitive records requires a recorded reason and is written to an audit log — so if you are ever asked who touched a record, there is an answer. If the log cannot be written, the request fails: nobody reads a record in a moment where the recording is broken.
What you agreed to, provably
When you accept an agreement, Pexido stores the full text, a cryptographic hash of it, and the exact sentence that sat beside the tick box — because agreeing to a chargeback clause you were shown is a different act from a bare "I agree". If the text is ever altered afterwards, the mismatch is detectable.
Closed by default
Every route into the system is protected unless someone deliberately and visibly marked it public. A new feature is private because nobody thought about it, rather than exposed because nobody thought about it.
Pricing
A flat monthly subscription. No cut of your sessions.
A base amount plus the services you choose to switch on. Each carries its own fixed monthly price, so the therapist who uses a tool is the one who pays for it.
- No commission. Your subscription doesn't change when you get busier. A platform that takes a slice of every session has a reason to keep you inside it; this one doesn't.
- Free trial to start. Full use of the platform before any payment, and no card required to begin.
- One bill. Base plus services shown as a single running total, always visible before it is charged.
- Changes apply next period. Switch a service off and it stops at the next billing cycle — nothing is prorated against you mid-month.
- Your data stays put. If a trial ends without payment, your profile leaves search but nothing is deleted.
Getting started
Four steps, and you can stop between any of them.
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We ask first
No profile is ever created without your say-so. You get a short note explaining Pexido and asking whether you'd like a free one. Decline and that is the end of it — you won't hear from us again.
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Activate it
Confirm your phone number, set your login, and the profile is yours.
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Fill it in at your pace
Photo, bio, specialties, languages, licence, fee, insurance and availability — step by step, saved as you go, resumable whenever.
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Go live
Once your licence clears review you appear in search and can start taking bookings.
A first group of therapists is being invited now.
Early profiles are free, and the people in that first group help shape what gets built next. If that sounds worth fifteen minutes of your time, say hello.
Ask about an early profileQuestions
Frequently asked
Do you take a commission on my sessions?
No. Pexido earns from subscriptions and nothing else. Your bill does not change when you get busier, and no part of your fee is taken. That is deliberate: when the platform takes a slice of every session, it has a reason to keep you inside it and a reason to charge more as you grow. This does not.
What does it cost?
A flat base subscription plus the optional services you switch on — collecting deposits, collecting full session fees, or running video sessions. Each has its own fixed monthly price, so the therapist who uses a tool is the one who pays for it, and your bill is always shown as a single running total. Exact prices are still being set and will be published here before Pexido opens.
Will Pexido sign a Business Associate Agreement with me?
Yes — with every therapist, not as a paid add-on. You are the covered entity, and any service handling your clients' information on your behalf becomes your business associate, which is only permitted with an agreement in place. The agreement is being drafted now, and no therapist will be onboarded without signing it. Ask to see it before you rely on it.
Is there a free trial?
Yes. You get full use of the platform for a trial period before any payment, and you are not asked for a card to start it. If the trial ends without payment your profile leaves search, but your data stays exactly where it is.
Do I have to use the payment tools?
No. Deposits and full-fee collection are separate services you switch on independently. Leave both off and clients simply book, then pay you directly however you already take payment — the scheduling still works exactly the same.
Is Pexido a clinical record system?
Yes — a mental-health record built into the same app, so the chart sits beside the calendar that filled it instead of in a second system you also pay for. Progress notes in SOAP, DAP, BIRP or free form, diagnoses, versioned treatment plans, assessments and a client timeline. Using it is optional: if you already have an EHR you are happy with, keep it and use Pexido for the directory, scheduling and payments. Nothing here requires you to document with us, and nothing makes it harder to leave.
What happens to my data if I leave?
The Business Associate Agreement sets out how your clients' information is returned or destroyed when you go, which is one of the things a BAA exists to settle. If a free trial simply ends without payment, nothing is deleted — your profile leaves search and your data stays put.
Do I need to be licensed in my client's state?
For an online session the requirement is generally that you are licensed to serve clients in the state where the client is at the time of the session. When a client tells us which state they will be in, search only shows therapists with an active licence there, and the booking is checked again — a saved link can reach a booking without passing through search. A therapist with no active licence recorded for that state is left out rather than included, so an unknown is never treated as a yes. When a client has not said where they will be, nothing is filtered. You remain responsible for your own scope of practice and for confirming a client is somewhere you may lawfully see them.
Who sets the cancellation policy?
You do — chosen from a few clear ready-made templates rather than drafted from scratch, which keeps it enforceable and keeps it readable. Whichever you pick is shown to the client in plain language before they pay, so a late cancellation is never a surprise argument.
Is Pexido available yet?
Not yet. Pexido is in active development for the United States market, and a first group of therapists is being invited ahead of launch. If you would like to be among them, get in touch with your name, your state and your specialty.
Get in touch
Want an early profile?
Send a note with your name, your state and your specialty. If you'd just like to know when it opens, that's fine too — say so and we'll leave it there.