Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
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Sara Fierro

Marriage & Family Therapist, MA, LMFT, LPCC (she, her)

Verified by Psychology Today Verified by Psychology Today
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Let's Connect (760) 280-5879
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Waitlist. Contact to join the list for online therapy.
Mill Valley, CA 94941
Healing shouldn't require becoming someone else. Living in a world not designed for neurodivergent minds often means carrying invisible burdens—executive dysfunction, masking, chronic self-doubt, and the pain of being misunderstood. Many of my clients come to therapy after years of feeling dismissed, pathologized, or defined by a diagnosis rather than seen for who they truly are. My goal is to create a space where you no longer have to perform, explain, or hide. Here, your authentic self is met with understanding, respect, and support as we cultivate self-trust, heal burnout, and create a life that honors your strengths.
Your natural wiring holds wisdom, resilience, and strength. Through a neurodiversity-affirming blend of holistic, transpersonal, and ADHD-informed care, we'll heal burnout, trauma, and overwhelm while building self-trust, nervous system safety, authentic connection, sustainable systems, and greater confidence in who you are.
Taking the first step can feel vulnerable, especially when you've spent years feeling unseen, misunderstood, or pressured to be someone you're not. You deserve a space where armor can soften, your pace is respected, and your authentic self is welcomed with compassion and care. If this resonates with you, I invite you to reach out.
Call or Sara Fierro now for a free 15 minute consultation - (760) 280-5879

My Practice at a Glance

Waitlist. Contact to join the list for online therapy.

Mill Valley, CA 94941

(760) 280-5879

Ashburn, VA 20147

My website
I provide specialized online therapy for individuals and couples across California and Virginia, offering evening and weekend flexibility
I specialize in ADHD, Trauma and PTSD and Neurodivergence 
$175 Per Session, I accept insurance 
I see individuals, couples and families  
Let's Connect (760) 280-5879
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC

My Practice at a Glance

Waitlist. Contact to join the list for online therapy.

Mill Valley, CA 94941

(760) 280-5879

Ashburn, VA 20147

My website
I provide specialized online therapy for individuals and couples across California and Virginia, offering evening and weekend flexibility
I specialize in ADHD, Trauma and PTSD and Neurodivergence 
$175 Per Session, I accept insurance 
I see individuals, couples and families  

Finances

Fees

  • Individual Sessions $175
  • Couple Sessions $225
  • Sliding scale: apply if you may be eligible

Payment Methods

ACH Bank transfer, Apple Cash, Paypal, Venmo, Zelle

Insurance

  • Aetna
  • Aetna EAP
  • Anthem
  • Anthem EAP
  • Blue Cross
  • Blue Shield
  • BlueCross and BlueShield
  • Carelon Behavioral Health
  • Cigna and Evernorth
  • Kaiser (Out-of-Network)
  • L.A. Care Health Plan
  • Magellan
  • Optum
  • Oscar Health
  • Oxford
  • Providence
  • UnitedHealthcare / Optum EAP
  • UnitedHealthcare / Optum Medicaid
  • UnitedHealthcare / Optum Medicare
"
In-network with select commercial & managed care plans. Standard individual rate is $175 (couples $225). Monthly superbills are provided to ease your executive function load. Limited sliding-scale slots are intentionally reserved for local High Desert residents.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879
"
In-network with select commercial & managed care plans. Standard individual rate is $175 (couples $225). Monthly superbills are provided to ease your executive function load. Limited sliding-scale slots are intentionally reserved for local High Desert residents.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879

Qualifications

  • Verified by Psychology Today Licensed by State of California / 122776 Sara Fierro
  • Education and Years In Practice

  • In Practice for 8 years
  • Attended Brandman University, MA/Psychology, Graduated 2018
  • Additional Credentials

  • License: State of California, Board of Behavioral Sciences, Licensed Professional Clinical Counselor 9779 / 2021
  • License: State of Virginia, Virginia Board of Counseling, Licensed Marriage and Family Therapist 0717002228 / 2024
"
I am a dually licensed Marriage and Family Therapist and Professional Clinical Counselor with over eight years of experience, specializing in ADHD, trauma, and neurodivergence. I hold additional licensure in Virginia and am currently pursuing a PsyD to deepen and refine my clinical work.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879
"
I am a dually licensed Marriage and Family Therapist and Professional Clinical Counselor with over eight years of experience, specializing in ADHD, trauma, and neurodivergence. I hold additional licensure in Virginia and am currently pursuing a PsyD to deepen and refine my clinical work.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879

Specialties and Expertise

Top Specialties

  • ADHD
  • Trauma and PTSD
  • Neurodivergence

Expertise

  • Anxiety
  • Autism
  • Coping Skills
  • Couples Counseling
  • Family Conflict
  • Impulse Control Disorders
  • LGBTQ+
  • Life Transitions
  • Marital and Premarital
  • Polyamory & ENM
  • Relationship Issues
  • Self Esteem
  • Sex-Positive & Kink Friendly
  • Stress
"
I walk alongside neurodivergent and high-functioning individuals navigating the intersections of ADHD, anxiety, and trauma. Rather than focusing on rigid behavioral compliance, our work centers on understanding your natural pacing, gentle nervous system regulation, and deep self-compassion. Together, we carve out room for you to live with a genuine sense of clarity, safety, and authentic purpose.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879
"
I walk alongside neurodivergent and high-functioning individuals navigating the intersections of ADHD, anxiety, and trauma. Rather than focusing on rigid behavioral compliance, our work centers on understanding your natural pacing, gentle nervous system regulation, and deep self-compassion. Together, we carve out room for you to live with a genuine sense of clarity, safety, and authentic purpose.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879

Client Focus

Age

Teen , 
Adults

Participants

Individuals , 
Couples , 
Family

Communities

Bisexual Allied , 
Gay Allied , 
Lesbian Allied , 
Non-Binary Allied , 
Queer Allied , 
Sex Worker Allied , 
Single Parent , 
Transgender Allied

Religion

Other Spiritual or Religious Affiliations

Age

Teen , 
Adults

Participants

Individuals , 
Couples , 
Family

Communities

Bisexual Allied , 
Gay Allied , 
Lesbian Allied , 
Non-Binary Allied , 
Queer Allied , 
Sex Worker Allied , 
Single Parent , 
Transgender Allied

Religion

Other Spiritual or Religious Affiliations

Treatment Approach

Types of Therapy

  • Acceptance and Commitment (ACT)
  • Attachment-based
  • Coaching
  • Cognitive Behavioral (CBT)
  • Family / Marital
  • Integrative
  • Interpersonal
  • Mindfulness-Based (MBCT)
  • Person-Centered
  • Psychoanalytic
  • Psychodynamic
  • Solution Focused Brief (SFBT)
  • Strength-Based
  • Transpersonal
  • Trauma Focused
"
My approach is deeply collaborative, integrating relational psychodynamic and attachment perspectives with the practical flexibility of ACT and mindfulness. By blending these reflective models with neurodivergence-affirming, trauma-informed strategies, we support both your emotional processing and your daily executive flow—honoring your mind and body as a whole.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879
"
My approach is deeply collaborative, integrating relational psychodynamic and attachment perspectives with the practical flexibility of ACT and mindfulness. By blending these reflective models with neurodivergence-affirming, trauma-informed strategies, we support both your emotional processing and your daily executive flow—honoring your mind and body as a whole.
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call or for a free 15 minute consultation now - (760) 280-5879

Location

Primary Location

Mill Valley, CA 94941

(760) 280-5879

Additional Location

Ashburn, VA 20147

(760) 280-5879
"
I provide specialized online therapy for individuals and couples across California and Virginia, offering evening and weekend flexibility
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call for a free consultation now - (760) 280-5879
"
I provide specialized online therapy for individuals and couples across California and Virginia, offering evening and weekend flexibility
Photo of Sara Fierro, Marriage & Family Therapist, MA, LMFT, LPCC
Sara Fierro
Marriage & Family Therapist, MA, LMFT, LPCC
Call for a free consultation now - (760) 280-5879