Tool Review

Octave

Modern hybrid therapy practice with premium clinics and virtual therapy, offering W-2 employment for licensed therapists.

Support Level
Clinical
Pricing
Enterprise
Platforms
Web
Privacy
Not rated

Best For

  • Therapists seeking W-2 employment with practice autonomy
  • Clinicians wanting both in-person and virtual therapy options
  • Providers interested in working from premium clinic spaces
  • Therapists valuing ongoing supervision and professional development

Not Recommended For

  • Therapists wanting independent contractor flexibility
  • Clinicians seeking to build their own practice brand
  • Providers preferring 100% remote work (if wanting physical clinic)
Reviewed by HeyPsych Board· Last reviewed September 2026

About Octave

Octave is a modern mental health practice that combines the benefits of employed clinical positions with high-quality therapy delivery. Founded in 2018 and headquartered in San Francisco, California, Octave operates a hybrid model with beautiful physical clinic locations in California and New York alongside a robust virtual therapy offering. The company has raised over $100 million in funding, including significant investment from Andreessen Horowitz. Octave employs licensed therapists as W-2 employees, providing competitive salaries, comprehensive benefits, and ongoing clinical supervision and professional development. The practice accepts major insurance plans including Aetna, Cigna, and various Blue Cross Blue Shield plans, making quality therapy accessible. For clinicians, Octave offers the stability of employment with the autonomy of private practice, including modern clinic spaces, administrative support, and a focus on clinical excellence without business burden. Octave's approach emphasizes evidence-based treatments and measurable outcomes, with regular outcome tracking integrated into care. The company differentiates itself through its premium physical spaces, focus on therapist well-being, and commitment to reducing the administrative burden that typically comes with private practice.

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Privacy & Security

Privacy Grade
Not rated
HIPAA Compliant
No
Data Sold
No

FAQ

About Octave

Octave therapists are W-2 employees with competitive base salaries typically ranging from $70,000-110,000+ depending on experience, license type, and location. Full-time employees receive comprehensive benefits including health insurance, 401k, PTO, and professional development stipends. Octave handles all billing and administrative work.

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