Nicole Anzalone is a licensed mental health counselor with 12 years of experience who helps people manage stress, anxiety, depression, and addiction.
01About Nicole
Nicole Anzalone is a licensed mental health counselor with 12 years of experience who helps people manage stress, anxiety, depression, and addiction. She practices in South Carolina and offers straightforward, compassionate care. She aims to make the first step easier for people who are nervous about starting therapy.
Nicole has worked across many settings including schools, substance abuse programs, outpatient clinics, hospital behavioral health units, crisis call centers, and independent practice.
Background and approach
That range gives her practical insight into common struggles like trauma, low self-esteem, grief, and motivation. She draws on real-world experience to help people facing life's setbacks and changes. In early sessions she focuses on building a solid working relationship and getting a clear picture of each person’s goals.
She listens without judgment and helps people name what matters most to them. After that, she and the client set reachable goals and choose manageable steps to move forward. Nicole emphasizes coping skills that can be used between sessions, and she works with people to process difficult emotions at a pace they can handle.
She supports people dealing with relationship stress, intimacy issues, parenting strains, and challenges tied to substance use and codependency. Her approach is practical and collaborative. Sessions are intended to feel like problem-solving together, with tools that fit day-to-day life.
Nicole encourages people to try therapy as a way to find clearer thinking and steadier coping over time.
02Credentials
- LMHC (New York)
- License 008004 · expires January 2029
- LCMHC (North Carolina)
- License 15656 · expires June 2027
- LPC (South Carolina)
- License 9626 · expires August 2027
- NPI
- 1316465552 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Nicole lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Addictions
- Trauma and abuse
- Self esteem
- Depression
- LGBT
- Relationship issues
- Family conflicts
- Grief
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Compassion fatigue
- ADHD
- Caregiver issues and stress
- Codependency
- Domestic violence
- Drug and alcohol addiction
- Infidelity
- Men's issues
- Self-love
- Women's issues
- Young adult issues
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04Online support
How evidence-based approaches work online
Nicole uses evidence-based therapeutic techniques that focus on practical change and emotional processing. One approach emphasizes skill building for managing anxiety and stress - teaching breathing, grounding, and thought strategies that people can use when they feel overwhelmed. Another approach centers on working through trauma and difficult memories at a pace the client can handle, paired with tools to reduce distress and improve daily functioning.Choosing the right approach is a team effort. Nicole works with each person to clarify goals, try techniques, and adjust the plan as needed. She helps clients pick methods that fit their preferences, whether they want hands-on coping tools, deeper emotion work, or a mix of both.
Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, live chat suits quick check-ins, and messaging supports ongoing reflection between meetings. These options make it easier to schedule therapy around work, school, or caregiving demands and to keep momentum between sessions.
05Questions people ask
What concerns can Nicole help with?
She helps people facing stress, anxiety, depression, addictions, trauma and abuse, and related issues like self-esteem, grief, relationship strain, and parenting challenges.
What is her therapeutic style like?
Nicole focuses on collaboration and practical skills. Early sessions build a strong foundation and then shift to goal setting, emotion processing, and coping strategies.
How much experience does she have?
Nicole has 12 years of professional experience across school settings, substance abuse programs, outpatient and inpatient units, crisis call centers, and independent practice.
What credentials and region are associated with her practice?
She holds LMHC and LPC credentials and practices in South Carolina.
Are sessions available in other languages or internationally?
Sessions are offered in English. She is not accepting international clients at this time.
What session formats does she offer?
Nicole provides video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How is cost handled for sessions?
Cost varies by location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, completing a short matching questionnaire, and scheduling according to therapist availability.
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