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Contact Adapt to Growth Therapy

Use the form below to contact me at Adapt to Growth Therapy about individual, family and group therapy services. If your inquiry includes sensitive or personal details, please contact me directly via phone at +1 206-561-5895. Don’t use this form or general email.

Contact Details

Karla Mancero, MA, LMFT

+1 206-561-5895


My Location

Seattle Office in the Madison Park Neighborhood


In-Person and Telehealth appointments are available at this time. 

Mask mandate in effect when walking to suite. 

Send Me a Message

Under Washington Administrative Code (WAC) 388-877-0600, you have the right to:

  • Receive services without regard to race, creed, national origin, religion, gender, sexual orientation, age or disability.
  • Practice the religion of choice as long as the practice does not infringe on the rights and treatment of others or the treatment service. Individual participants have the right to refuse participation in any religious practice.
  • Be reasonably accommodated in case of sensory or physical disability, limited ability to communicate, limited English proficiency, and cultural differences.
  • Be treated with respect, dignity and privacy, except that staff may conduct reasonable searches to detect and prevent possession or use of contraband on the premises.
  • Be free of any sexual harassment.
  • Be free of exploitation, including physical and financial exploitation.
  • Have all clinical and personal information treated in accord with state and federal confidentiality regulations
  • Review your clinical record in the presence of the administrator or designee and be given an opportunity to request amendments or corrections.
  • Receive a copy of agency grievance system procedures upon request and to file a grievance with the agency, or behavioral health organization (BHO), if applicable, if you believe your rights have been violated.
  • Lodge a complaint with the department when you feel the agency has violated a WAC requirement regulating behavior health agencies.

I have worked in community health for 4 years. I received my master’s in couple and family therapy at Antioch University in Seattle and I graduated in 2015. Before becoming a therapist I worked as a behavioral support technician in schools and in the home. I also have been a support staff in a residential treatment center. I have over a decade in the human service field. I have worked primarily with children and teens while in this field. I have experience and education that helps me to work with the family by using a family systems approach. My primary theoretical orientation is person centered, humanistic, and experiential.  I  have training in Cognitive Behavioral Therapy modalities with a trauma informed approach and Dialectical Behavioral Therapy focused on helping adolescents. I incorporate play and expressive art therapy modalities in my practice and I have had training in these areas.  Please visit my about page for more information on my work experience and skills.  A copy of full informed consent form and disclosure will be provided at intake. 

I am private pay primarily. I am credentialed with Wellspring EAP. Check with your employer if you qualify for coverage. Below I provide information you may need for your insurance company to get out-of-network provider reimbursement. 

License # LF 60595607

NPI# 1184085870


Please review the information below to help you better understand the policies and procedures set up by Adapt To Growth Therapy, PLLC some of which are guided and required by the state of Washington. 

  1. Minors may receive outpatient mental health treatment if they are 13 years of age or older without the consent of a parent or guardian. The parents will not be notified without minor consent. RCW 71.34.530*. Click her for further RCWs on BEHAVIORAL HEALTH SERVICES FOR MINORS
  2. Due to Covid-19: Policy of Adapt To Growth Therapy, PLLC for adolescents 13 years old and up need to consent to treatment, consent to telehealth counseling services by reviewing and signing through their Simple Practice client portal accessed by the  adolescent client’s email address.  A “wet” signature on all standard intake documents will be required as soon as possible. This means that it is recommended that you print and sign all documents and send them to the practice address or hand in person as soon as in-person meetings are available. 
  3. Adapt To Growth Therapy, PLLC policy requires adolescents 13 years and older to access the client portal through their own email to ensure privacy and confidentiality. Adolescent clients must sign a release of information form for all and any adults, parents, or caregivers that they wish to be involved in their treatment (i.e. Scheduling, Attending sessions, receiving assessments or evaluations). Regardless if parents, guardians, caregivers initiated engagement in services and/or are responsible for billing the teen client still needs to sign a release of information for each adult in order for clinician/therapist to communicate with them about treatment.  
  4. Adolescent clients can allow anyone they wish to review the documents sent through the client portal but this clinician will not communicate with the person unless a release of information has been signed for that person and the client has specified that communication be sent and received.

*The Revised Code of Washington (RCW) is the compilation of all permanent laws now in force. It is a collection of Session Laws (enacted by the Legislature, and signed by the Governor, or enacted via the initiative process), arranged by topic, with amendments added and repealed laws removed. It does not include temporary laws such as appropriations acts. The official version of the RCW is published by the Statute Law Committee and the Code Reviser.

Under a new law, clients who do not have insurance or are choosing to not use insurance will receive an estimate of psychotherapy services. This means you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.  According to this new law, any health care provider needs to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

To learn more and get a form to start the process, go to: or call 800-985-3059

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