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Believe in the possibility of change

​You can find clarity and new vistas. You can build a strong relationship house. I'm here to help you navigate your current challenges.

 

Specializing in couples counseling and individual counseling/therapy around anxiety, grief, life transitions, and career. 

Vista Beach

Hi, I'm Lori Nicolaysen, LCMHCA

I want to help you successfully navigate your journey and meet your goals, whether you are revitalizing your relationship, managing anxiety or depression, dealing with loss, or building a new career. I provide therapy and counseling for individuals and couples in North Carolina. I offer sessions virtually and in-person (1316 Broad Street in Durham).

Lori Nicolaysen LCMHC-A

I have fourteen years' experience in the field of mental health counseling and recently decided to pursue licensure. I provide a warm, kind, grounded space in which you can gain mental clarity and access to internal and external resources. My style is active and collaborative, and I rely on evidence-based methods. You can learn more about my background here.  ​

 

Adults of all ages (18+) are welcome to contact me for a free consultation. Click here to submit an inquiry.

About
Services
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Compassionate counseling to help with...

Life transitions

Stress

Women's issues

Stepfamilies

Relationship Issues

Spirituality

Academic concerns

Session Length & Fees

We will collaboratively develop a plan to meet your unique needs. Individual counseling therapy appointments are 55 minutes in length and occur as often as necessary. Couples counseling appointments range from 55-90 minutes.

 

Free consultation appointments are 30 minutes. Session fees will be established during your initial conversation and are based on type of service provided and session length.

 

I am in-network with Blue Cross/Blue Shield. For clients with other insurance, I can provide you with a superbill that you can use to request out-of-network insurance reimbursement.

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Couples counseling treats the relationship and is therefore not considered medically necessary by insurance. Career counseling is also not considered a medically necessary service. Couples counseling and career counseling are therefore self-pay only and not covered by insurance. Please speak with me about reduced rates if needed.​

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Good Faith Estimate: I offer information about the cost of therapy during our initial consultation and before beginning sessions, I provide a document that details the cost of sessions. If I increase my fees, I offer at least one month’s notice of this change. This is my established practice fulfilling rules outlined in the No Surprise Act, which aims to reduce surprise patient expenses. You have the right to ask about costs of treatment and anticipated length of treatment at any time.

Experience

For more than two decades I have been supporting individuals undergoing career and life transitions. My work has included roles in career counseling, student affairs, and admissions at Duke University, Weill Cornell Medicine, Stanford University School of Medicine, UC Davis’s School of Nursing, and the University of Virginia. Alongside these academic pursuits, I've practiced and led groups in meditation, mindfulness, breathwork, and dreamwork. 

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It is these diverse experiences that enable me to provide compassionate, holistic, evidence-based counseling tailored to each person’s unique journey. I am committed to helping individuals navigate complex life challenges and find clarity, strength, and direction along the way.

© 2025 by Lori Nicolaysen | Vista Counseling PLLC: Counseling for adults 18+

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​Service Area: Raleigh, Durham, Chapel Hill, Cary, Apex, Morrisville, Wake County, and across North Carolina (telehealth)

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Phone: 919-885-6366 | Email: lori@vistacounselingnc.com
Address: 1316 Broad Street, Durham, NC 27705

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