Mental Health

Mental Health Services by Great Northern

Great Northern Consulting Services is another branch of SCS which provides services to injured workers including mental health therapy, and Behavioral Health Intervention.

Master’s Level Therapist Pilot:

Due to a limited number of mental health providers available to support injured workers, as of 1/1/20 The Washington Department of Labor has begun a new pilot to allow licensed master’s level mental health therapists to provide treatment to injured workers. This means there are now more providers available to support injured workers.

How Mental Health Therapy Can Help Injured Workers:

Experiencing a work-related injury or illness can cause an individual to experience a great deal of stress. It is not uncommon for individuals to suffer from symptoms that may cause functional impairment to one’s mental and emotional health. There are often many issues that an individual faces following a work-related injury or illness. One often encounters stress associated with an unclear course of medical treatment, pain, fear associated with re-injury, difficulty sleeping, unknowns regarding future employment, financial difficulties, and a grieving process related to the loss experienced with activities that have become more difficult or impossible to perform.

Mental health treatment through this pilot will be provided one of two ways:

  • Behavior Health Intervention Sessions
  • Treatment for an accepted mental health condition related to the claim

Behavior Health Intervention Sessions provide support with issues that are considered to be related to the physical diagnosis on the claim, addressing behaviors that are affecting the injured worker’s ability to recover and return to work. The focus on treatment is often related to helping the client develop coping strategies and target psychosocial barriers impacting their recovery. With approval from the attending healthcare provider, injured workers can access up to 8 sessions with no cost to them, with no need for prior authorization. In some cases, additional sessions may be requested and approved.

The other way mental health treatment through this is pilot can be provided is when there is an accepted mental health condition on the claim. Though licensed master’s level therapists are not allowed to assess and diagnose mental health conditions that are suspected to be claim-related, but once services for the psychological condition have been authorized, treatment for the condition can be provided. The focus and length of treatment is determined based on the individual needs of the client.

How Are Referrals Handled?

Great Northern Consulting, LLC has licensed mental health therapists throughout Washington State who are able to provide mental health services to injured workers, providing both in-person and telehealth sessions. You may send referral information to [email protected] or via Fax: (360) 566-2533.

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Vocational Services

Here is the current list of providers available who contract with Great Northern Consulting, LLC:

Carlynn Chumak


Carlynn Chumak is the Behavioral Health Program Manager at Great Northern Therapy Associates. Prior to her work in vocational services, she worked in the mental health field in a variety of different settings including schools, residential treatment, and group homes. She has over a decade of experience as a Vocational Rehabilitation Counselor which has provided her with a solid understanding of the WA Labor and Industries’ system and has allowed her to develop a great compassion regarding the unique issues injured workers often encounter. You can view her profile on LinkedIn here:

Diana Tellez



Diana is located in Yakima, WA and is currently accepting telehealth clients and some clients for in-person. She has worked in the medical social work field for over a decade and has a focus in her practice with helping clients cope with chronic and/or terminal illness, grief and loss, caregiver support, and life transitions. She speaks both English and Spanish.

Laynya Stevens


Laynya is currently accepting clients for telehealth or in-person sessions at the following locations: Gig Harbor, Lakewood and Port Orchard. She has over 20 years of counseling experience involving the workers compensation industry, VA, SSDI, as well as individual, group and family therapy in various settings including schools, juvenile detention, inpatient, group homes and community-based mental health agencies. With experience with various mental health disorders, Laynya offers an empathetic, collaborative, strength-based approach utilizing the biopsychosocial model of counseling.

Melissa Gray



Melissa is located in Spokane Valley and is currently seeing clients in-person or via telehealth.  She specializes in working with clients struggling with chronic pain, panic attacks, eating disorders, adjustment issues, and anxiety.  You can see her Psychology Today profile here:

Sandi Martinez



Sandi is located in Seattle WA and is currently seeing clients via telehealth only. She has specific training and a focus in her practice with treating addiction, trauma/PTSD, anxiety, depression, and relationship issues. Prior to working in addiction and with injured workers, she worked in community mental health with the Latino population. She is a state certified ethnic minority mental health specialist. You can see her Psychology Today profile here:

Teena Jones


Teena is in Longview and is currently receiving telehealth referrals only. She has extensive training and experience treating addiction, depression and anxiety, as well as helping clients cope when diagnosed with life-altering medical diagnoses. You can a further description on her website here:

Dr. Cheryl L. Fracasso


Dr. Cheryl L. Fracasso, PhD, is a Licensed Mental Health Counselor and certified clinical trauma intervention specialist with over 13 years clinical experience. Her area of expertise is in treating trauma and complex PTSD, along with mood and anxiety disorders, and major life transitions. She also specializes in holistic healing methods from a trauma-informed perspective. In addition to her new role serving as a Contract Mental Health Therapist with Great Northern Consulting, she also presently serves as Adjunct Faculty with Bryant & Stratton College where she teaches online Crisis Intervention classes, along with Family Theory & Services, and Assessment, Theories, & Intervention of Addictions classes. Her past clinical experience includes serving as a Psychologist with the State of Washington, Rainier School, for nearly 5 years, and serving as Faculty with University of Phoenix for 9 years teaching undergraduate psychology classes. She is a published author and editor in the field of holistic health with her most recent book titled “Holistic Treatment in Mental Health: A Handbook of Practitioners’ Perspectives” publishing in her 2020. More information about her can be obtained at If you’d like to connect with her she is on linkedIn at:

Dr. Elva Hoxie



Dr. Elva’s education and experience brings a holistic approach to psychology and physiological health,as both a licensed registered nurse and a licensed marriage and family therapist. After completing 2 masters degrees; one in public health with emphasis in nutrition and a second in marital and family therapy with emphasis in postmodern therapies, she earned a PhD in psychology with emphasis in humanistic existential perspectives. Dr. Elva’s dissertation research was on traumatic brain injury and the effects on the family/spouse with a focus on adapting to changes and learning to transcend tragedy.
These experiences and educational endeavors bring a spectrum of knowledge from a multidisciplinary approach to the therapeutic process and life in general. The diversity broadens the level of support for helping clients facilitate positive changes, initiate coping skills for future challenges, and clarify life goals.””>

Manuel Occhiogrosso



Manny has nearly twenty years of experience in the mental health field having worked in hospitals, residential treatment settings and private practice. He possesses a wealth of knowledge and experience working with diverse populations and issues. He specializes in treating trauma, depression, anxiety disorders, relationship issues, LGBTQ issues, codependency, and marriage and family conflict. He is trained in Dialectical Behavioral, EMDR, and Attachment-Based Family Therapy. Manny is most passionate when he can serve his community. He has been a qualified supervisor since 2006 preparing mental health professionals for their lifelong goals of helping clients and their families. He has been active in raising awareness and funds to treat addiction and severe mental illness among indigent populations, volunteered as a Guardian ad Litem for abused and neglected children, and served on many community planning boards to help make his community a better place to live. You can see a link to his website here:

Audrey Ann Sines



Audrey is located in Spokane and is currently receiving telehealth clients only. She has over ten years of clinical experience providing counseling to youth, adults, and families. She has worked in a variety of community-based settings including health clinics, hospitals, Native reservations, and public schools. She has advanced clinical training and certification in Substance Use Disorders, Attachment Theory, Adult Learning, Cognition and Neuroscience, and Identity Development. She is extensively trained and skilled in evidence-based interventions including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Acceptance & Commitment Therapy, and Motivational Interviewing. She is currently seeing patients in-person. You can see a link to her Psychology Today profile here:…

Suzanne Gentry

Counselor, MA, LMHC, NCC


Suzanne Gentry is located in Seattle WA. She is seeing clients via Telehealth. Suzanne specializes working with individuals who struggle with addiction, trauma, family conflict and major life transitions. She is a national certified counselor (NCC) and has advanced training in substance use disorders. You can see her psychology today profile here for more information.

Jessica Miles



Jess is currently accepting clients for telehealth and in-person sessions in Liberty Lake, WA. Prior to her work with injured workers she has worked in a variety of treatment settings including work with mental health, substance use, and personality/mood disorders. Her work in a multitude of treatment facilities and working with different treatment approaches helps give her a diverse knowledge to work with injured workers. She has advanced clinical training with Biopsychosocial approaches, Cognitive Behavior Therapy, and certification in Dialectical Behavior Therapy.

Alec Appel



Alec is located in Mercer Island, WA. He is currently only seeing clients via telehealth. He is skilled in working with addiction, trauma/PTSD, depression, and adjustment difficulties. Having gone through the L&I system after a work injury in 2013, Alec has first hand experience of healing from a severe wound. After having a positive experience with his personal L&I staff, he decided to work with clients who also went through similar struggles. Alec has a long history of working in treatment facilities for addiction and mental health difficulties associated with trauma, anxiety, and depression. Main intervention strategies include cognitive behavioral therapy, mindfulness/holistic practices, and choice theory.

Katie Walker


Katie Walker is a licensed independent clinical social worker. Katie has been working within medical settings, including hospitals as well hospice and home health for 16 years. She has also enjoyed providing therapy to individuals and families throughout life transitions, including facing injury, disease or illness, anxiety, depression, self-care, stress reduction, interpersonal communication and grief & loss.
Katie graduated from the University of Washington with her Master of Social Work degree and received her Bachelors degree in Psychology and Sociology from Western Washington University. In her free time, she enjoys volunteering in her community as a volunteer firefighter, cross country skiing, hiking or camping with her family.