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Nicol Geving, LMHC

Licensed Mental Health Counselor

    I strive to provide a warm, safe, and supportive environment in which my clients can explore the issues and challenges they face. I strongly believe in the power of the therapeutic partnership to help uncover the strengths and resources we all possess to bring about the changes we desire in our lives.

     

    I feel privileged to be able to offer my assistance to others on this shared journey and commend you for reaching out for help to make things better. 

 

    I have always been a “helper” and over the years have worked in a variety of capacities in schools, community service agencies, women’s shelters, and as a mother of two children (who are now adults) and three dogs. I believe that each role has helped me to better understand the issues my clients face in their own lives.  

 

Nicol accepts Medicaid/Title 19- Wellpoint/Iowa Total Care, Midlands Choice, Wellmark Blue Cross Blue Shield, United Healthcare, EAP, and Private Pay options.

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Payments accepted: Cash, Check, Credit Card, HSA and FSA

 

Carissa Schmadeke, LISW

Licensed Independent Social Worker

    I strive to empower individuals and their families to overcome life’s challenges and become the best version of themselves. By creating a safe and supportive environment conducive for healing, I believe everyone has the ability to uncover their strengths and find resources best suited for them in reaching their goals. 

 

    I work with children, adolescents, and adults, and for the past three years, I have been utilizing evidence-based interventions such as cognitive-behavioral, dialectical behavioral, client-centered, and trauma-informed therapy to assist clients in reaching their goals. I studied at the University of Northern Iowa where I obtained a master’s degree in Social Work with a trauma-informed care specialization. I hold an active license as a Licensed Independent Social Worker in the state of Iowa.

 

    I firmly believe that the therapeutic relationship is vital for the success of the therapy, and I have found success in this while working with those who have concerns such as anxiety, depression, trauma, anger, grief and loss, and behavioral difficulties, among many others. I have a passion for people and believe that everyone deserves a safe space to work through some of life’s most difficult moments. I would be honored to have the opportunity to work with you to identify and achieve your own personal goals. 

 

Carissa accepts Medicaid/Title 19- Wellpoint/Iowa Total Care, Midlands Choice, Wellmark Blue Cross Blue Shield, United Healthcare, EAP, and Private Pay options.

 

Payments accepted: Cash, Check, Credit Card, HSA and FSA

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Emily Burke LMHC

Licensed Mental Health Counselor

Counseling is a unique relationship between client and counselor, and throughout the course of

counseling we can create and work towards goals, growth, and wellness.

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As your counselor, it is my goal to ensure that you have a safe space to bring any feelings and

challenges that you might be experiencing. I strongly believe that the therapeutic experience is

different for each client, and that your experiences and stories are unique to you. You are the

expert in your own life, and as your counselor, I am here to help you learn about yourself.

 

I have previous experience working with substance use issues, victims of domestic violence,

housing and the homeless, and those considering suicide or self-harm. I believe each of these

experiences have helped me grow

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Emily accepts Medicaid/Title 19- Wellpoint/Iowa Total Care, Midlands Choice, Wellmark Blue Cross Blue Shield, United Healthcare, EAP, and Private Pay options.

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Payments accepted: Cash, Check, Credit Card, HSA and FSA

Hannah Geving tCADC

Certified Alcohol and Drug Counselor

Hello! My name is Hannah Geving and I am a dedicated Certified Alcohol and Drug Counselor (tCADC) committed to helping individuals overcome substance use disorders and lead healthier, more fulfilling lives.

I specialize in providing compassionate and evidence-based treatment for individuals struggling with alcohol and drug addiction. I believe in taking a holistic approach to addiction recovery, addressing the physical, emotional, and psychological aspects of substance use disorders.

My therapeutic approach integrates motivational interviewing, cognitive-behavioral techniques, and mindfulness practices to empower clients to make positive changes and achieve sustainable recovery. I am passionate about supporting individuals at every stage of their recovery journey, from acknowledging the problem to maintaining sobriety and preventing relapse.

Areas of Expertise:

  • Substance Use Assessments

  • Individual and Group Counseling

  • Relapse Prevention Strategies

  • Family and Community Education

  • Co-occurring Disorders (Dual Diagnosis)

 

I understand that seeking help for addiction can be a courageous and life-changing decision. As your counselor, I am here to provide non-judgmental support, personalized treatment plans, and the tools necessary for long-term recovery.

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Hannah accepts Medicaid/Title 19- Wellpoint/Iowa Total Care, Midlands Choice, Wellmark Blue Cross Blue Shield, United Healthcare, EAP, and Private Pay options.

​Payments accepted: Cash, Check, Credit Card, HSA and FSA

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Alex Wirtz
Master of Social Work Intern 

First things first: come as you are. You be you, and I'll be me; everything else can be

figured out after. I have three important rules in my space:

 

1) Be prepared to unmask over time as we grow more comfortable with each other

 

2) Your comfort is paramount. If you are uncomfortable or unsure about sitting and talking during a session, let's fix that. You can draw, crochet, knit, craft, use fidgets, or even play video games in our sessions if it helps you open up. Bring what you want.

 

3) Sometimes healing means taking a break. This may be a short break from therapy altogether, or coming to the session to have someone listen only.

 

I am neurodivergent, a part of the LGBTQIA+ community, and have a chronic, invisible

illness. If you ever felt out of place with therapists before because of any of these

characteristics, know I am here to meet you where you are with empathy and experience

of my own.

Sessions with me will be free of charge until after I graduate and obtain my license.

Starting in June 2026, any session with me will be charged at the regular rate for

Reflections Mental Health Services.

I am currently an intern in the last semester of my Master's in Social Work program at

The University of Northern Iowa. Prior to this, I spent a decade as a licensed massage therapist.

A therapist in the area, a spiritual coach, and an energy healer.

I work with many different types of clients, but my specialty is helping those with any mix of needs.

of the following triad: neurodiversity, those with, and trauma. These three uniquely

influence the treatments applied to each separately, and we will dig into how your life

manifests any strengths or challenges from them. This allows us to work together to find

a way forward that will be achievable.

I encourage the use of art, expressive arts, or video game therapy to do both.

Enjoy our time together and build a supportive environment that will help you feel safe.

and at ease. During your first session, we will explore what has brought you to therapy.

and discuss ways to proceed together. After this, I am likely to include a mix of various.

other treatment types that best fit your goal.

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To set up an appointment, email reflections.cedarfalls@gmail.com or use the contact form here on the website!

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