Pittsburgh · Altoona · Philadelphia · Statewide Telehealth
Real Help. Real Progress. Real Therapists.
Personalized, evidence-based mental health therapy for anxiety, depression, relationships, family, and addiction — without one-size-fits-all programs.
CPA Counseling provides outpatient mental health therapy across Pennsylvania — in-person at four offices and via secure telehealth statewide. UPMC, Highmark, Aetna, and Cigna accepted. No referral required.
YOUR FIRST VISIT
What to expect when you reach out
Most first sessions are 45–55 minutes; ongoing sessions are typically 45 minutes. There are no packages or long-term commitments — you get the support you need for as long as it’s helpful.
WHAT WE TREAT
Conditions that respond well to our therapy
Our counseling practice exists to provide a safe and nurturing environment for patients to work through their struggles and get back to living the life they want.
TELEHEALTH — PENNSYLVANIA STATEWIDE
A therapy session you can add to any schedule
All CPA Counseling therapists offer HIPAA-compliant video sessions. Whether you’re across town or across the state, you get the same quality of care from home or any private space.
Telehealth is not a second-tier option — it is clinically equivalent to in-person therapy for most presenting concerns. Your therapist will advise based on your situation.
- Available to any Pennsylvania resident
- Works on any phone, tablet, or computer
- HIPAA-compliant — fully private and secure
- Evening and weekend scheduling available
- Mix in-person and virtual as needed
- Most insurance plans accepted for telehealth

FOUNDED & LED BY CRISTINA PANACCIONE, LPC
A therapist who treats the person, not just the problem
Cristina Panaccione opened CPA Counseling in 2012 after completing her studies at the University of Pittsburgh. She built a practice grounded in one principle: every client should receive exactly the care they need — nothing more, nothing less.
Unlike practices that assign clients to whoever is available, Cristina personally hand-picks every therapist on the team and takes matching seriously from the first contact. Most clients see meaningful progress in three to six months.
MEET THE TEAM
The therapists behind your care
Every therapist is personally selected by Cristina for clinical skill, warmth, and commitment to real outcomes.
Allison Bare
LSW · Gottman-Trained
Locations: Altoona · Telehealth
Skills: Gottman Method, IFS, Somatic Techniques
Services: Marriage Counseling, ADHD, Autism
Therapy should reflect the fact that no two people experience the world in exactly the same way.
Allison provides Gottman-trained couples therapy and works with individuals ages 10 and up — supporting them through ADHD, autism, anxiety, addiction, grief, and life transitions.
Amber Kottner
MA, LPC
Locations: South Hills · Telehealth
Skills: CBT, Solution-Focused, Person-Centered
Services: Anxiety, Children & Adolescents, Grief & Loss
I view therapy as a special partnership.
With more than ten years in private practice, Amber brings a warm, open, and supportive presence — an eclectic, tailored approach that helps children, teens, and adults work through anxiety, depression, grief, and life’s difficult times.
Ashley Spahn
MSW, LCSW
Locations: South Hills · Telehealth
Skills: EMDR, ERP, CBT
Services: PTSD, OCD, Anxiety
The therapeutic relationship is a partnership.
With a warm, empathetic, partnership-based approach, Ashley helps adults work through anxiety, depression, trauma, addiction, and life transitions — and celebrate their growth along the way.
READY TO START?
The next hour can belong to you
Nothing about this gets easier by waiting. The loop is designed to keep running, and every week it runs it takes a little more — your sleep, your attention, the people who’ve stopped asking. You don’t need to have quit anything before you walk in, and you don’t need a plan. You just need to stop negotiating with it on your own.





