Join our network

Charles Nechtem Associates, Inc. utilizes solution-focused counseling.  Our goal is to assist the caller in resolving the issue(s) that are interfering with his/her personal or work life in the most efficient manner possible.

We use EAP counseling to both define the issue(s) to be resolved and to guide the caller through a resolution process.  This includes short-term EAP counseling for the majority of callers and referrals to community treatment resources when the caller requires more intensive or specialized care than the EAP counselor can provide. 

Network providers are closely monitored through employee satisfaction surveys, and our provider relations department ensures that all providers are properly licensed and meet all individual state requirements.  They also verify that a provider has no history of ethical violations or complaints.

When clients are referred for face-to-face counseling, they are provided a counselor that is within 10 miles of their desired location – usually work or home. 

Every effort is made to accommodate the personal preferences of the employee in terms of gender, location, financial situation, cultural background, religion and/or age, without compromising the quality of care.

How we choose our providers

Each provider must meet and follow strict guidelines to join and remain on our panel.  Charles Nechtem Associates, Inc. network providers must:

  • Be skilled in diagnostics, crisis intervention and chemical dependency
  • Have current licensure
  • Have current liability insurance
  • Be available for appointments within 72 hours (24 hours for emergencies)
  • Have a practice style consistent with our orientation toward short-term strategic treatment
  • Provide a DSM-IV diagnosis and formal treatment plan for all individuals seeking mental health and/or substance abuse treatment
  • Be available to work on weekends

In order to join our network, providers must meet all qualifications listed above as well as provide:

  • A completed rate agreement
  • Completed Provider Questionnaire
  • Tax identification number
  • Copy of current licensure 
  • Proof of liability
  • W-9 Form, signed and dated
  • Updated resume 

Apply to our network

To receive an application to join our network of providers, please complete our Provider Application Form.
For additional questions regarding joining our network, please contact:

Ivette Rodriguez, Provider Relations Department Supervisor

1 (866) 327-2040, ext. 402

Name *
Name
Office Address
Office Address
Secondary Office
Secondary Office
Mailing Address
Mailing Address
Primary Phone
Primary Phone
Secondary Phone
Secondary Phone
Services Selection
Preferred services you would like to provide
Anything else you want to know?

How to bill for payment 

You may bill on an invoice or HCFA 1500

Make sure to include the authorization number that was provided to you as well as the name of the client. You may submit this information to:

Charles Nechtem Associates, Inc.

Claims Department

595 Bay Isles Road, Suite 115

Longboat Key, Florida 34228

Or fax to: 1 (941) 556-8780