Mary crutchfield, PMHNP-BC, FNP-C
Reimagine Your Practice
Build Your Vision
Create meaningful offers using your strengths, skills, and experience for the clients you’re best equipped to serve.
Practice Is More
Than a Model.
There is no single right way to be a Psychiatric Nurse Practitioner (PMHNP).
Your training matters. So do your strengths, interests, lived experiences, certifications, creativity, and the needs you keep noticing in the clients you serve.
PsychBoss helps you bring those pieces together intentionally — so you can explore ways of practicing that feel meaningful for your clients and sustainable for you.
Programs
What I Offer
Start with The Creative Clinician, then continue through the PsychBoss pathway as your offering evolves.
Start Here
Course 1: The Creative Clinician
Reimagining Mental Health Practice Beyond the Traditional Model
An 8-week program to discover what you uniquely bring to clients, design one meaningful offering, and launch it in the real world.
Explore and RegisterComing Next
Course 2: From Vision to Practice
Stabilizing and Supporting What You Have Created
Build the systems, visibility, marketing, and infrastructure that make your offering sustainable over time.
Private Experience
The 1:1 PsychBoss Immersion
Private. In-Person. Tailored Entirely to You.
Dedicated in-person time with Mary, including lodging, devoted entirely to your vision and your offering.
Schedule a Discovery CallCourse 1: The Creative Clinician
You became a PMHNP because you wanted to do more than manage medications. This course gives you a creative framework for treating psychiatric practice as an art — expanding your clinical identity, your approach, and the possibilities beyond the prescription pad.
The Creative Clinician is an 8-week program for PMHNPs who know there may be more ways to use the skills and experience they already have.
Participants begin by exploring who they are as practitioners — the needs they feel most drawn to meet, the strengths and experiences they bring, and the skills, interests, and creativity that shape the way they want to serve.
From there, they develop one meaningful offering that may complement what they already do or take shape as a group, workshop, specialty service, individual experience, or another format that fits both the client and the clinician.
By the end of the course, you will launch one offering to experience the shift, learn from it, and decide what comes next.
Where PsychBoss Goes Next
Discover, design, and pilot an aligned offering.
REGISTER NOWStabilize what is working and develop the systems, visibility, marketing, infrastructure, and strategy needed to support sustainable growth.
The 1:1 PsychBoss Immersion
This is the most intimate experience I offer. We work together in person — at my home and office — in a fully immersive container dedicated entirely to your vision. We clarify your practitioner identity, shape your offering, and build the structure around how you want to bring it to life. No templates. No group calls. Just you, your vision, and the space to make it real.
The 1:1 Immersion is a fully private, hands-on experience that includes lodging and dedicated time working together in the office. Every aspect is tailored to your strengths, your vision, the clients you want to serve, and the offering you want to create. It is the most personalized and high-touch experience PsychBoss offers.
From Clinicians
"Mary's advice and guidance on opening my therapeutic private practice was exceptional. I have been open for four years now and know I could not have done it without her!
Susan Masterson, LCSW
"I am so grateful for Mary Crutchfield's guidance and support when I was searching for direction as an LCSW in a group practice. When I was ready to leave that practice, Mary encouraged me to go on my own and run my own clinical practice. With her support, I opened up my own business in January of 2018 and it has been successful ever since. Mary continues to be a great support and has always been available if I need continued guidance."
Tracie Hunter, LCSW
"Towards the end of my last semester of NP school, I was completely lost on what to do next. There wasn't a class on how to navigate licensing, prescriptive authority, DEA licensure, insurance paneling, opt out agreements, liability insurance requirements, or what to ask for when signing a contract for a position. Thankfully, I had Mary as a mentor to guide me through these steps. She made this seemingly daunting process a breeze. As a new NP, I felt like an imposter. Mary helped make it clear to me that there was so much I didn't know. Her expertise with medications and ability to explain the mechanism of action gave me the confidence to provide patients the individualized and thoughtful treatment plan they deserved. It was so comforting to have someone I could talk to over a difficult case, or help guide me through what to do when I received that first critical lab result back. I feel so incredibly fortunate that I had that extra guidance from Mary as a new grad."
Laura LaMonica, PMHNP-BC
Hi, I'm Mary.
I opened two insurance-based practices before admitting that the model itself — not my effort — was the part that did not fit. In 2017, I founded Leva Psychiatry as a therapy-forward cash practice, and it has remained sustainable because I've allowed it to evolve around what clients actually need rather than forcing everyone into the same format.
Over time, I began asking a bigger question: what else could psychiatric care look like? That question led me to add groups, retreats, events, consultations, expressive and creative approaches, UCLA PEERS programming, 1:1 trauma-healing intensives, and annual community gatherings — all shaped by the needs I was seeing in real life.
My own path probably explains why I naturally see combinations other clinicians may miss. I grew up in East Africa, studied fine arts, worked in door-to-door sales, changed jobs often when I was younger, and built business experience long before I ever thought those things would matter in psychiatry. Now I see all of it as part of what I bring into the room.
Medication management is meaningful work for the clinicians who love it. But our value as PMHNPs goes far beyond prescribing. We bring assessment, clinical judgment, adaptability, observation, lived experience, additional training, creativity, and the ability to shape care around the person in front of us. I don't believe psychiatric training was ever meant to become a box.
PsychBoss grew out of learning to shape my own career around both client needs and what I uniquely bring as a practitioner. I help PMHNPs identify the strengths, skills, experiences, and interests they may be underusing — and turn those into meaningful ways of serving clients so their practice can feel more expansive, creative, and sustainable.
I've worked in psychiatry since 2011, became a PMHNP in 2016, and have led Leva Psychiatry in Virginia Beach since 2017. Along the way, I've consulted with PMHNPs and LCSWs and built a practice that has earned repeated Best of Coastal VA Psychiatric Practice awards.
Frequently Asked Questions
Who is PsychBoss designed for?
It may also be relevant for other mental health clinicians who are exploring new ways to use their clinical skills, experience, and interests.
Do I need to own a private practice to take Course 1?
You may be adding something new to an existing role, developing a group or workshop, creating a specialty service, or exploring another way to serve clients.
The focus is on designing and piloting one meaningful offering.
What will I leave Course 1 with?
The goal is to move beyond an idea on paper and actually experience one new way of practicing.
How is Course 1 structured?
The weekly structure is intentional. It gives you time to reflect, apply what you are learning, and build each piece before moving on to the next.
Do I need to complete Course 1 before Course 2?
Course 2 will build on the clarity, offering, and real-world experience developed in Course 1.
You Don't Have to Know Exactly What Comes Next.
You just need enough clarity to try something different.
ENROLL IN COURSE 1: THE CREATIVE CLINICIAN Reimagining Mental Health Practice Beyond the Traditional ModelQuestions?
Not sure whether PsychBoss is the right fit, or have a question before enrolling? Reach out and I’ll point you in the right direction.