Online Therapy, Evaluations, and Clinical Supervision in Arizona
Telehealth mental health services for Arizona residents, specialized clinical evaluations and professional letters, and structured supervision for Licensed Associate Counselors pursuing independent LPC licensure.
Elevated Horizons Mental Health provides practical, culturally responsive care to clients and counseling professionals throughout Arizona.
Mental Health Care Throughout Arizona
Access Care Without Being Limited by Distance
Finding the right mental health provider can be difficult—especially when location, scheduling, transportation, or provider availability limits your choices.
Elevated Horizons Mental Health offers secure telehealth services to eligible Arizona residents ages 13 and older. Clients can access care from home or another private location without traveling to an office.
Services are provided by Alexis McCray, Ed.S., LPC. Eligible counseling services may also be available through supervised Counselors-in-Training.
Clients must be physically located in Arizona at the time of each therapy or evaluation appointment. The provider may verify the client’s current location and emergency contact information at the beginning of a telehealth session.
Online Therapy in Arizona
Individual Therapy for Teens and Adults
Individual therapy is available to Arizona residents ages 13 and older who want support that is thoughtful, direct, and grounded in their actual lives.
Sessions may address anxiety, trauma, stress, grief, identity, military experiences, family concerns, relationship patterns, major transitions, and the emotional exhaustion that comes from carrying too much for too long.
Therapy is collaborative and individualized. You will not be forced into a generic formula or expected to have everything figured out before beginning.
Telehealth suitability is considered individually because online therapy may not be appropriate for every person or situation.
Evaluations and Professional Letters
Specialized Services with Clear, Thorough Documentation
Elevated Horizons Mental Health provides specialized clinical evaluations and professional documentation for eligible Arizona residents.
Each service begins with a review of the person’s circumstances, clinical needs, and intended use of the requested documentation. Completion of an evaluation does not automatically guarantee that a diagnosis, letter, or particular clinical opinion will be provided.
Immigration Psychological Evaluations
Trauma-informed psychological evaluations are available for immigration matters involving asylum, VAWA, U-Visas, T-Visas, and extreme hardship.
Evaluations may include clinical interviews, assessment measures, record review, and a detailed written report for the client’s legal matter.
Nexus Letters for Veterans
Independent clinical evaluations and nexus letters are available for eligible veterans pursuing disability claims involving post-traumatic stress disorder or military sexual trauma.
Services are designed to provide a thorough clinical opinion based on the veteran’s history, available documentation, assessment results, and relevant diagnostic considerations.
Emotional Support Animal Evaluations
Clinical evaluations are available for eligible Arizona renters and college students requesting an emotional support animal accommodation. Evaluations may address up to two animals.
Documentation is issued only when clinically appropriate and supported by the evaluation. EHMH does not sell automatic or guaranteed ESA letters.
Gender-Affirming Evaluations and Letters
Respectful evaluations and supporting documentation are available to adults seeking gender-affirming medical care.
The process is designed to be clinically responsible without creating unnecessary barriers or treating a person’s identity as something that must be defended.
Clinical Supervision for Arizona LACs
Work Toward Independent LPC Licensure with Structured Support
Elevated Horizons Mental Health provides clinical supervision for Arizona Licensed Associate Counselors completing supervised experience toward independent licensure as Licensed Professional Counselors.
Supervision is available through secure video conferencing and may include individual and group options. Services are structured to support both compliance with Arizona requirements and meaningful professional development.
Supervision may address:
Clinical case conceptualization
Assessment, diagnosis, and treatment planning
Ethical decision-making
Clinical documentation
Professional identity development
Boundaries and risk management
Licensure-hour planning and documentation
Counselor confidence and clinical judgment
Private-practice and career development
Clinical supervision should be more than counting hours and signing forms. The goal is to help developing counselors practice ethically, strengthen their clinical skills, and prepare for independent practice.
Eligibility, employment setting, supervision format, and other applicable requirements are reviewed before a supervision agreement begins.
Elevated Access Program
Reduced-Cost Counseling Through Supervised Counselors-in-Training
The Elevated Access Program connects eligible Arizona residents with master’s- or doctoral-level Counselors-in-Training who practice under clinical supervision.
Telehealth counseling is available to eligible residents ages 13 and older. Sessions are offered on a sliding scale from $0 to $60, depending on financial need and provider availability.
The program was created to reduce barriers to counseling, increase appointment availability, and give developing counselors meaningful clinical experience under professional supervision.
Parent Coaching
Practical Guidance for Parents and Caregivers
Parent coaching offers focused support for caregivers managing communication difficulties, family transitions, behavioral concerns, boundaries, parenting stress, and changing relationships with children or teenagers.
Coaching centers on the parent or caregiver’s goals and the practical changes they want to make at home. It is not a substitute for a child’s individual therapy or emergency mental health treatment.
Teen-parent coaching is also available to help young parents strengthen caregiving skills, build confidence, and navigate the responsibilities of raising a child.
Professional Training
Mental Health Training for Arizona Organizations
Elevated Horizons Mental Health offers virtual professional development and customized mental health training for businesses, community organizations, healthcare teams, educational settings, and other professional groups.
Training topics may include:
Veteran and military culture
Trauma-informed communication
Mental health awareness
Workplace wellness
Professional boundaries
Culturally responsive care
Customized organizational needs
Training content and format may be adapted to the audience, organization, and learning objectives.
EHMH does not represent these trainings as continuing-education credit approved by the Arizona Board of Behavioral Health Examiners unless a particular offering explicitly states otherwise.
Counselor-in-Training Opportunities
Build Meaningful Telehealth Counseling Experience
Elevated Horizons Mental Health accepts eligible master’s- and doctoral-level counseling students whose universities permit telesupervision and online accumulation of clinical hours.
Counselors-in-Training may participate from different locations when their university requirements allow it. Clients assigned through EHMH must be physically located in a state where the practice is authorized to provide services.
Placement experiences may include supervised client care, clinical documentation, case consultation, group development, professional training, and exposure to the operations of a growing mental health practice.
Placement availability, university requirements, and application deadlines vary by academic term.
Why Choose Elevated Horizons?
Elevated Horizons Mental Health is a woman veteran-owned mental health practice serving Arizona clients and counseling professionals through telehealth.
The practice was founded by Alexis McCray, Ed.S., LPC, a U.S. Air Force veteran and Licensed Professional Counselor authorized to provide counseling services to Arizona residents.
EHMH combines clinical experience, cultural awareness, military insight, and straightforward communication. Services are designed for people who want care that feels personal, ethical, and grounded in real life—not rushed, dismissive, or built around a one-size-fits-all template.
Take the Next Step from Anywhere in Arizona
Whether you are looking for a therapist, need a specialized clinical evaluation, or are an LAC seeking supervision toward independent LPC licensure, Elevated Horizons Mental Health can help you identify the appropriate next step.
You do not need to have everything figured out before reaching out.
Crisis Disclaimer
Elevated Horizons Mental Health is not an emergency or crisis-response service. If you are experiencing an immediate mental health emergency, call 911, call or text 988, or go to the nearest emergency department.
Messages and online forms are not monitored continuously.

