Dr.
01About Nicholas
Dr. Nicholas Koumarianos combines a client-centered approach with practical strategies to help people manage stress, anxiety, and life changes. He is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) practicing in New Jersey.
He aims to make therapy direct and understandable for people who are worried or overwhelmed. He focuses on building coping skills that fit day-to-day life. Sessions often work on improving communication, managing anger, and handling workplace stress.
Background and approach
He also helps with self-esteem, career decisions, and compassion fatigue so people can function better at home and work. His background includes eleven years working with adults who struggle with patterns like obsessive thinking, compulsions, and social anxiety. He brings experience with process addictions and with issues related to sexuality, including BDSM and kink communities.
Immigration-related stress and trauma from disasters are also within his practice focus. Therapeutic work blends talk and action. He uses cognitive-behavioral tools to change unhelpful thinking and solution-focused steps to set goals.
Mindfulness and existential ideas help people tolerate hard feelings and find clearer direction in life. People describe his style as collaborative and straightforward. He helps clients identify small, practical changes that add up over time.
The pace and focus adapt to each person’s needs so progress matches real life demands.
02Credentials
- LPC (New Jersey)
- License 37PC01029600 · expires November 2026
- LMHC (Florida)
- License MH25662 · expires March 2027
- LPC (Missouri)
- License 2025014252 · expires June 2027
- NPI
- 1689033003 · 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 Nicholas lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Self esteem
- Career difficulties
- Coping with life changes
- Coaching
- Anger management
- Compassion fatigue
- BDSM, kink, and alternative sex culture
- Communication problems
- Coping with natural or human-caused disaster
- Dependent personality
- Forgiveness
- Immigration issues
- Impulsivity
- Men's issues
- Midlife crisis
- Obsessions, compulsions, and OCD
- Process addiction (porn, exercise, gambling)
- Sexuality
- Social anxiety and phobia
- Workplace issues
Methods Nicholas names
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Existential Therapy
- Mindfulness Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
These are the methods Nicholas names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
Therapeutic approaches that translate well to online care
Client-centered therapy starts by focusing on the person's experience and goals. The therapist listens deeply and helps the client shape sessions around what matters most, which works well for conversations about stress, self-esteem, and life direction.Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior that keep problems going. It uses clear exercises and homework to change thinking and build new habits, which is helpful for anxiety, compulsive behaviors, and workplace worries.
Mindfulness practices help people notice their thoughts and emotions without getting swept away by them. These exercises can reduce reactivity and improve attention during daily routines.
Finding the right mix of approaches is part of the work together. The therapist collaborates with each person to choose methods that fit their goals, preferences, and pace. That collaborative process helps make sessions practical and relevant.
Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth conversation and visual connection. Phone sessions can be easier when bandwidth is limited or when a shorter check-in is needed. Live chat and messaging let clients share thoughts between sessions or use brief coaching-style exchanges. These options make it easier to fit therapy into a busy life while keeping the focus on progress and usable skills.
05Questions people ask
What concerns does he help with?
He addresses anxiety, stress, low self-esteem, anger, and coping with major life changes, plus workplace and career challenges.
What is his therapeutic style like?
He uses a client-centered style with practical, evidence-informed tools such as cognitive-behavioral and solution-focused techniques.
How much experience does he have?
He has 11 years of professional experience working with adults on anxiety, obsessive patterns, and career or life transition issues.
What are his credentials and where is he based?
He holds LPC and LMHC credentials and practices from New Jersey.
Which languages are supported for sessions?
Sessions are offered in English and international clients are accepted.
What session formats are offered?
He provides video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How are sessions paid for?
Costs vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with him?
Click the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to the therapist's availability.
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