Dr. Nicholas Koumarianos, LPC, LMHC

New Jersey · 11 years in practice

Dr. Nicholas Koumarianos offers a clear, person-focused style rooted in existential thinking.

License and registration

LPC, New Jersey: 37PC01029600 · expires November 2026
LMHC, Florida: MH25662 · expires March 2027
LPC, Missouri: 2025014252 · expires June 2027
NPI: 1689033003 · national provider identifier
Years in practice: 11
Languages: English

Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.

About Nicholas

Dr. Nicholas Koumarianos offers a clear, person-focused style rooted in existential thinking. He helps adults face questions about meaning, choice, and responsibility while also addressing everyday problems like anxiety, stress, and low self-esteem.

He brings 11 years of clinical experience and uses practical methods to help people move forward. He combines existential ideas with client-centered care and evidence-informed tools. Sessions focus on what matters to the individual and on small, doable steps to improve daily functioning.

Background and approach

Conversations often include skill-building for coping, communication practice, and strategies for handling workplace and life changes. Dr. Koumarianos works with concerns such as obsessive thoughts and compulsive behaviors, social anxiety, impulsivity, and process addictions like problematic pornography or gambling.

He also supports people dealing with midlife shifts, men’s issues, immigration challenges, and compassion fatigue. Sexuality topics including BDSM and kink are addressed respectfully without judgment. Therapy is collaborative and straightforward.

He aims to help people clarify values, notice unhelpful patterns, and try new responses. Sessions are paced to match each person’s readiness for change and focus on measurable steps toward goals. Practically, Dr.

Koumarianos holds LPC and LMHC credentials and practices from New Jersey. He offers sessions in English and provides several online formats to fit different schedules and needs.

Focus areas and approaches

Everything Nicholas lists on their public professional profile, in their own terms.

Stress, Anxiety
Self esteem
Career difficulties
Coping with life changes
Coaching
Anger management
Compassion fatigue
BDSM, kink, and alternative sex culture
Communication problems
Coping with natural or human-caused disaster
Dependent personality
Forgiveness
Immigration issues
Impulsivity
Men's issues
Midlife crisis
Obsessions, compulsions, and OCD
Process addiction (porn, exercise, gambling)
Sexuality
Social anxiety and phobia
Workplace issues

Approaches Nicholas names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How existential and practical approaches work online

Existential Therapy looks at big questions about meaning, choice, and responsibility. In sessions this can mean talking through what matters most, noticing patterns that limit options, and deciding on actions that fit personal values. This approach is useful when life changes feel heavy or direction feels unclear.

Client-Centered Therapy focuses on the person’s experience in the moment. The therapist listens closely, reflects what is said, and helps people feel heard so they can explore feelings and options. Cognitive Behavioral Therapy (CBT) targets specific thoughts and behaviors with clear steps to reduce anxiety and build coping skills.

Finding the right approach is a collaborative process. The therapist will discuss goals, try different methods, and adjust plans based on how helpful they are. Clients and therapist decide together which tools fit best for the issue and the person’s preferences.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different needs. Video works well for in-depth conversations and skill practice. Phone can be easier when bandwidth is limited. Live chat or messaging can be used for brief check-ins, coaching-style support, or ongoing progress notes. These options make it easier to schedule therapy around work, caregiving, or travel while keeping treatment consistent.

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Questions people ask

What concerns does this therapist address?

He helps with stress, anxiety, low self-esteem, career strain, anger, and coping with life changes. Additional focus areas include OCD patterns, process addictions, social anxiety, sexuality topics, and workplace issues.

What is the therapy style like?

The approach blends existential thinking with client-centered and solution-focused methods. Sessions emphasize personal meaning, choices, and practical steps you can try between meetings.

How much clinical experience does he have?

He has 11 years of experience working with adult concerns such as intrusive thoughts, social anxiety, midlife transitions, and men’s issues.

What credentials and location are listed?

He holds LPC and LMHC credentials and practices from New Jersey with licensure noted for MO LPC and FL LMHC.

Are other languages or international sessions possible?

Sessions are offered in English and international clients are accepted.

Which session formats are available?

Sessions can be conducted via video calls, phone, live chat, or text-based messaging to fit different preferences and schedules.

How is cost handled for sessions?

Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.

How do I begin working with this therapist?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist’s availability.

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