Private Practice Success Stories

Jena Castro-Casbon
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My name is Jena Castro-Casbon, MS CCC-SLP (of The Independent Clinician and The Private Practice Solution). I am part of a group of private practitioners who have taken client care into our own hands. We are skilled clinicians who pride ourselves on providing high-quality care to our clients and their families. We are fighting against productivity requirements, administrative red tape and unnecessary restrictions. We started our own private practices to take control of our professional and personal lives. Of our schedules. Of our incomes. Of our future. We work hard for our clients but on our terms. We believe in helping others – but also helping ourselves. We’re not interested in competing with each other. We hope that we all make it. We are successful private practitioners and these are our stories. Thank you for taking the time to listen to this interview.

  1. 4D AGO

    Growing a Hybrid SLP Practice: Offering 1:1 Therapy and IEP Advocacy for Maximum Impact with Colleen Ashford

    What if your private practice could be a platform for change—for your clients and yourself? Today’s guest didn't just start a private practice; she built a mission-driven business that blends speech therapy with fierce advocacy. She traded burnout for autonomy and now uses her voice to empower families navigating the complex world of IEPs. I’m so excited to introduce you to Colleen Ashford, a speech-language pathologist and one of the dedicated clinicians inside our Grow Your Private Practice Program. Colleen is the owner and founder of Ashford Speech and Advocacy PC, a mobile and virtual private practice based in Vista, California where she provides evaluations, treatment, consultations, and advocacy at IEP meetings. For Colleen, starting her own practice was about more than flexibility and income—it was about authentic, values-driven work. She has created a unique model that allows her to serve early intervention clients and act as a special education advocate, ensuring families are supported at every step. In this episode, Colleen reveals how leaving the constraints of clinic and school jobs allowed her to design a practice that fits her life, serves her community deeply, and lets her show up as her full, authentic self. Colleen Ashford is a licensed speech-language pathologist and certified special education advocate. After graduating from the University of Illinois with her bachelor’s and Illinois State University with her master’s, she began her career in a public elementary school with a bilingual program, which fueled her focus on improving her Spanish to better serve her students and families. Love brought her to Southern California, where she worked in multidisciplinary clinics alongside OTs and PTs, learning invaluable lessons about sensory and motor development that inform her holistic approach today. Now in her full-time practice, Colleen’s areas of focus include AAC, Autism, Childhood Apraxia of Speech, and parent coaching in early intervention. She is passionate about providing culturally responsive early intervention services to the Spanish-speaking population in her own neighborhood. Always an advocate at her core—and now in title—Colleen equips every parent she serves with knowledge of their educational rights and how to navigate the world of special education. Beyond her community, she brings honest conversations about the IEP process to listeners everywhere through her podcast, Unfiltered IEPs. In Today's Episode, We Discuss:Leaving a "good job" to answer the craving for flexibility and authentic impactThe moment she realized her school-based experience was a superpower for families in needBuilding a hybrid practice with multiple revenue streams, from early intervention to AAC coachingHow embracing systems gave her back her time and freedom Colleen is a powerful example of how you can design a practice that aligns with your deepest values. We are so grateful to have her wisdom and passion in our Grow Program. Her journey proves that with the right tools and community, you can build a career that doesn’t just sustain you, but fulfills you. Want to build or scale a private practice that fuels your passion and gives you the autonomy you crave—just like Colleen? Discover how our Grow Your Private Practice...

    36 min

  2. FEB 9

    How Having an Autistic Sibling Inspired a Neurodiversity Affirming Private Practice with Grace Hedgecock

    What if your private practice could not only fill a critical gap in your community but also give you the freedom to design your ideal work week? Today’s guest turned a lifelong personal connection into a thriving practice that serves an often-overlooked population, and her journey from side hustle to clinic owner is packed with wisdom! I’m thrilled to introduce you to Grace Hedgecock, a pediatric speech-language pathologist and the passionate owner of Hedgehog Speech Therapy in Saratoga in the Bay Area in California. For Grace, private practice was more than a career goal—it was a calling rooted in family. Inspired by her autistic brother, Grace has spent her career specializing in autism, social communication, gestalt language processing, AAC, and supporting autistic teens and young adults with real-life skills in work, relationships, and identity. She is also passionate about literacy after discovering her own dyslexia as an adult. By embracing flexibility and a client-centered approach, she has built a practice that supports her professional passions and personal well-being, proving you can build a business that fits your life, not the other way around. She serves families through evaluations, therapy, screenings, and neurodiversity-affirming parent coaching. In this episode, Grace shares how her personal experience shaped her career path, the strategic steps she took to launch her practice, and how she structures her days to avoid burnout. She is passionate to help children and families understand their unique mind, remove stigma, and grow in confidence. When she’s not in the clinic, Grace enjoys collaborating with her engineer husband on future tech ideas for the field and soaking up time with her dog. In Today's Episode, We Discuss:The pivotal moment of leaping into full-time private practice, trusting her faith without a clear safety netStrategically using preschool screenings to build trust with schools and generate referralsDesigning her ideal schedule to prevent burnout and serve both early intervention and older autistic clients Grace’s story is a beautiful reminder that your unique experiences are your greatest asset in private practice. We are so inspired by her clarity and heart-centered approach. Want to build a practice that aligns with your passions and gives you control over your time—just like Grace has? The Start Your Private Practice Program can give you the tools and step-by-step guidance to get started. Learn more at www.StartYourPrivatePractice.com. Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more. Resources Mentioned:Follow Grace on Instagram: instagram.com/hedgehogspeech/ Check out her website: hedgehogspeech.com Where We Can...

    37 min

  3. FEB 2

    From Overwhelmed Owner to Strategic CEO: Growing a Successful Therapy Practice with Christina Galeano

    What if building a thriving private practice meant creating a place where families feel seen, supported, and truly cared for—while also building a life where you can finally make it to your kids’ basketball games? Today’s guest grew a multi-location practice from the ground up, navigated immense challenges, and came out stronger on the other side. I’m introducing you to Christina Galeano, a Speech-Language Pathologist and the inspiring founder and CEO of Kidspeak Speech-Language Therapy Services Inc, a growing pediatric private practice known for its child-centered approach, strong clinical excellence, and a team culture that therapists rarely want to leave, serving families across Southern California. Christina’s journey is a masterclass in resilience, “failing forward,” and building with heart. She started her practice in 2020, just days before the world shut down, with a laptop, a home office space, and a wildly unrealistic idea of how many things one person can accomplish in a day. And has since grown to multiple locations while navigating personal and professional storms. In this episode, Christina gets incredibly honest about the realities of scaling a practice—from hiring hurdles and billing leaks to legal challenges—and shares the exact systems and mindset shifts that helped her reclaim her time, her sanity, and her vision for the future. Christina Galeano is a licensed Speech-Language Pathologist who holds a Master’s degree in Communicative Disorders. She is passionate about early intervention and is dedicated to creating a welcoming, supportive experience for every family who walks through her doors. She is committed to changing the private practice narrative from “burnout and survival mode” to “sustainable, profitable, and deeply meaningful.” Her mission is to prove that a therapy business can be both clinically excellent and a place where families feel supported and clinicians feel energized. Outside of patient care, Christina focuses on mentoring her amazing all-female team and fostering a positive, connected company culture. In her free time, she loves being present for her three kids and their activities. In Today's Episode, We Discuss:The pivotal moment she realized she needed to build a business bigger than herselfThe hard business lessons—from uncashed claims to lawsuits—that shaped her growthHow implementing simple “money metrics” transformed her practice from surviving to strategically thriving Christina’s story is proof that with passion, perseverance, and the right support, you can build a practice that aligns with your deepest values and grants you the freedom you crave. Her story does not have to be the exception; you, too, can navigate the challenges and create a business that serves your life. Want to build systems that free you from working in your business so you can work on it—just like Christina has? Learn more about our Grow Your Private Practice Program, that’s where she found the community and coaching to navigate hiring, metrics, and scaling with clarity. To learn more, please visit www.GrowYourPrivatePractice.com. Whether you want to start a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website a...

    45 min

  4. JAN 26

    A Practice That Serves You Too: Building a Business With Boundaries With Denise Smith

    What if your previous career—completely unrelated to therapy—held the exact keys you needed to unlock a successful private practice? For Denise Smith, running an auto body shop taught her the administrative, financial, and client-relations skills that gave her the confidence to launch Speak Up Speech Therapy in Southern California. Denise is a speech-language pathologist with over 20 years of experience whose journey to private practice was anything but linear. Born and raised in Beirut, Lebanon, she discovered the field almost by accident when university programs reopened after war. What began as a curious joke with friends became a lifelong calling after she moved to the United States. Denise is also the co-host of the Heal Yourself Podcast, where she and her co-host lead powerful conversations on self-healing, emotional mastery, and elevating your relationship with yourself from the inside out. After years as a school-based SLP, Denise never saw herself as a business owner. But a pivotal stint managing her then-husband’s auto shop—handling scheduling, insurance claims, invoices, and client complaints—became her unexpected training ground. She looked in the mirror and realized, “Why am I not doing this for me?” Her turning point came on a walk past a neighbor’s house—a neighbor who happened to be a special education coordinator. Denise asked how to get on the list for Independent Educational Evaluations (IEEs). That simple question started a domino effect: her first contract led to school referrals, which gave her the foundation to build a practice intentionally designed around her life, not the other way around. With a focus on school contracts, IEEs, and private clients, Denise has created what she calls a “lifestyle practice.” It’s a model built on freedom and flexibility, allowing her to heal her nervous system, prioritize her daughter’s competitive dance schedule, and travel—all while serving a population she loves. In Today's Episode, We Discuss:How running an auto shop gave her the unexpected confidence to start her own practiceWhy she ditched perfection and chose progress with purposeWhat it’s like to build a mobile, flexible “lifestyle” practice while navigating divorce and deep personal healingHow she makes income from school contracts, private pay clients, and independent evaluations — without burning out Denise’s story is a powerful reminder that your path to private practice doesn’t have to look traditional. By trusting her unique journey and leveraging all of her experiences, she designed a business that supports her life, family, and well-being first. Ready to explore what a lifestyle practice could look like for you? Whether you’re just starting to consider private practice or looking to grow an existing one, the right guidance can help you build the freedom, flexibility, and fulfillment you deserve — just like Denise has. The Grow Your Private Practice Program gives you the coaching and guidance to scale your private practice. Learn more at www.GrowYourPrivatePractice.com. Whether you want to Start or Grow a private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit a href="http://www.independentclinician.com" rel="noopener noreferrer"

    44 min

  5. JAN 19

    Burnout to Breakthrough: How Private Practice Gave Her Joy, Autonomy, and Impact with San Juanita Reed

    What if the path you thought you were on could lead you somewhere completely unexpected—and completely fulfilling? That’s exactly what happened for San Juanita Reed, founder of Thriving Roots Speech Therapy in Houston, Texas. What started as a teaching career to children eventually blossomed into a thriving private practice, where San Juanita now serves children and adults with a wide range of speech therapy needs. San Juanita’s journey into speech-language pathology began in the classroom. She spent years teaching preschool and working with infants and toddlers, but she often found herself wondering how she could do more to help her students. A chance encounter with a speech-language pathologist opened her eyes to a new path—one that combined her love of working with children with the desire to make a deeper impact on their lives. After navigating personal tragedy and taking a detour to care for herself, she pursued a master’s degree in speech-language pathology and began her career in outpatient therapy and home health. Over time, San Juanita realized that while she loved helping children and families, traditional employment was limiting her growth and contributing to burnout. She began exploring private practice, and with guidance from the Start Your Private Practice Program, she discovered she could create a business that aligned with her skills, values, and life goals. When San Juanita officially launched Thriving Roots Speech Therapy, she approached it with the same careful planning she applies in therapy. She set clear monthly goals, broke them down into actionable steps, and dedicated time to focus on building her practice without distractions. Her first patient inquiries came in on launch day—a perfect reminder that preparation and persistence pay off. In Today's Episode, We Discuss:The moment she knew burnout wasn’t just fatigue — it was a sign to pursue private practiceHow she broke her big goals into tiny steps to make them achievableWhat happened the day her first patient inquiry came in after launchingHow she finally reclaimed joy, purpose, and ownership by being in full control of her practice and her life San Juanita’s story shows that starting a private practice doesn’t require prior business experience or big-city connections—it requires courage, planning, and a willingness to take small, consistent steps. By leading with her heart and putting education and value first, she built a thriving practice that aligns with her purpose and allows her to maintain balance and boundaries. Ready to take control of your career and create your own private practice? The Start Your Private Practice Program gives you the roadmap, resources, and support to get started. Learn more at www.StartYourPrivatePractice.com. Whether you’re just starting out or ready to grow, it’s possible to build a practice that gives you freedom, fulfillment, and the ability to make a real difference—just like San Juanita. Visit www.IndependentClinician.com to learn more. Resources Mentioned:Follow San Juanita on Instagram: a...

    49 min

  6. JAN 12

    The Behind-the-Scenes of a Thriving Pediatric Practice Run by Husband and Wife Team with Morgan and Connor Randel

    What if you could build a private practice with your spouse, create flexibility for your family, and serve your community at the same time? That’s exactly what Morgan and Connor Randel have done with their private practice, Speak, Play, Love, in Charlotte, North Carolina. Morgan has been a speech-language pathologist for 8 years in which she had the privilege working with diverse infants, toddlers, and school age children. Her passion for working with kids started when she was just 12, babysitting and dreaming of a career helping children. After exploring teaching and nursing, she discovered speech pathology in college—a perfect blend of her interests. Connor, her husband, brought a lifelong entrepreneurial spirit and a background in finance and accounting. Together, they realized they could combine their skills to create something truly unique. After moving to Charlotte and navigating the challenges of finding her first job as a new graduate, Morgan started working as an independent contractor. She began to see firsthand the possibilities of private practice. When Morgan became pregnant with their first child, she and Connor decided it was the perfect time to take the leap—launching Speak, Play, Love while growing their family. Starting small, Morgan began seeing 5–10 clients a week, primarily through existing relationships with local daycares. By the time they had their second child, their practice had grown to 18 clients and 26 weekly sessions. Connor stepped in to manage the business side—billing, onboarding, and growth strategy—allowing Morgan to focus on therapy and client care. Over the next several months, Morgan and Connor continued to hire therapists, expand services, and grow their caseload. By creating a mobile-based practice, they kept overhead low, maximized their reach across Charlotte, and made therapy accessible to families who might otherwise face barriers to care. Morgan and Connor’s story highlights the power of partnership. Morgan leads in therapy and client care, while Connor manages the business operations and growth. Their complementary skills, mutual trust, and shared vision allow them to operate a practice that works for their family, serves the community, and supports other therapists in their professional growth. In Today's Episode, We Discuss:Transitioning from traditional employment to private practice while starting a familyBuilding a mobile-based practice to serve the community efficientlyPartnering with a spouse to balance business growth and personal lifeHiring and onboarding therapists to scale services without sacrificing qualityCreating systems that allow for flexibility, sustainability, and growth Morgan and Connor’s journey is a reminder that private practice is more than just a job—it’s about designing a life. By combining their strengths, embracing the challenges, and thinking creatively about their model, they’ve built a thriving practice that supports their family, their clients, and their therapists. If you’re ready to create a private practice that works for you and your family—whether solo or with a partner—the Start Your Private Practice Program can give you the tools and step-by-step guidance to get started. Learn more at www.StartYourPrivatePractice.com. Whether you want to start a practice, grow an existing one, or explore unique practice models, Morgan and Connor’s story shows that with vision, support, and...

    48 min

  7. JAN 5

    You Don’t Have to Build a Big Practice — You Just Have to Begin with Jena Castro-Casbon

    What if you could start building a private practice this January—without quitting your job or working 60-hour weeks? On today’s episode of the Private Practice Success Stories podcast, I want to start with an important truth: you don’t have to grow fast, go all in, or do it alone.  Today, I’m walking you through what a simple, life-aligned private practice can actually look like, and why now is one of the smartest times to take your first step. If you’re a speech-language pathologist or occupational therapist and feel overwhelmed by what you think private practice is supposed to look like, this episode is for you.  Plus, I’ll tell you about something brand new starting next week: the Plan Your Private Practice Bootcamp—our free 3-day event designed to help you go from curious to confident about whether private practice is right for you in 2026 and beyond. In Today's Episode, We Discuss:What a simple, life-aligned private practice can actually look likeWhy right now is a really smart time to take your first stepPlan Your Private Practice Bootcamp Starting small with one client, virtual sessions, or weekend hours isn't a compromise—it's a brilliant strategy. It creates financial breathing room, professional confidence, and a clear path forward on your terms. If you've been waiting for a sign to explore private practice without pressure, this is it. Ready to take your first step with clarity? Join me for the free Plan Your Private Practice Bootcamp. In just three days, you'll go from curious to confident with a real plan. Register now at PlanYourPrivatePractice.com. Whether you want to Start or Grow a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more. Where We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199 Follow Me on Instagram: https://www.instagram.com/independentclinician/ Follow Me on Facebook: https://www.facebook.com/jena.castrocasbon/

    7 min

  8. 12/29/2025

    The Real State of Private Practice As We Head into 2026 (And What It Means for You) with Jena Castro-Casbon

    What if private practice wasn’t about escaping burnout — but about creating stability, flexibility, and breathing room in an increasingly unpredictable world? This year, many clinicians felt the pressure. Workloads increased while pay stayed the same. Financial uncertainty lingered. And more people began asking a hard but honest question: Is this sustainable for the next one, two, or five years? If you’ve been wondering that too, you’re not imagining it.  The system is shifting. And what I've seen firsthand from hundreds of practice owners in 2025 tells me something important: private practice is becoming a mainstream strategy for creating stability, flexibility, and breathing room in a world that feels increasingly unpredictable. In Today's Episode, We Discuss:Five major shifts I’ve seen in private practice in 2025What they actually mean for youHow you can think about your next step This episode is a reminder that private practice doesn’t require burning down your life or a dramatic leap. You don’t need everything figured out. You need clarity, a plan, and permission to move forward. The most successful transitions I’ve witnessed this year started small, slow, and thoughtful—not from desperation, but from intention. As we head into 2026, I invite you to take a breath and start imagining what a private practice designed for you could look like. Want to know more on how we can work together at all stages of the private practice journey? Visit PrivatePracticeSchool.com to learn more. Whether you want to Start or Grow a private practice or grow your existing private practice, I can help you get the freedom, flexibility, fulfillment, and financial abundance that you deserve. Visit my website www.independentclinician.com to learn more. Where We Can Connect: Follow the Podcast: https://podcasts.apple.com/us/podcast/private-practice-success-stories/id1374716199 Follow Me on Instagram: https://www.instagram.com/independentclinician/ Follow Me on Facebook: https://www.facebook.com/jena.castrocasbon/

    14 min
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About

My name is Jena Castro-Casbon, MS CCC-SLP (of The Independent Clinician and The Private Practice Solution). I am part of a group of private practitioners who have taken client care into our own hands. We are skilled clinicians who pride ourselves on providing high-quality care to our clients and their families. We are fighting against productivity requirements, administrative red tape and unnecessary restrictions. We started our own private practices to take control of our professional and personal lives. Of our schedules. Of our incomes. Of our future. We work hard for our clients but on our terms. We believe in helping others – but also helping ourselves. We’re not interested in competing with each other. We hope that we all make it. We are successful private practitioners and these are our stories. Thank you for taking the time to listen to this interview.

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