Are you licensed to provide therapy in Florida?

He is registered to, which in Florida is a different thing from being licensed there. Florida law (Fla. Stat. §456.47) lets a clinician licensed in another state register with the Florida Department of Health as an out-of-state telehealth provider instead of holding a Florida licence. Matthew Sexton is registered on that route — registration TPSW4838, status active, issued 11 December 2024, and searchable in the Department of Health licence portal. He is separately licensed as an LCSW in New York, Maine, and Delaware. The registration is telehealth-only: it does not permit in-person sessions or an office in Florida. Telehealth is regulated by the state where the client is physically located during the session, so you must be in Florida at the time of each appointment.

Can therapy really be done online in Florida?

Yes. The APA Guidelines for the Practice of Telepsychology recognize secure video as a legitimate format, and outcome research finds telehealth psychotherapy comparable to in-person care for trauma, anxiety, and depression. The work — reality-testing, nervous-system regulation, attachment repair — translates without loss to video, and many clients find it easier to open up from a space they control.

What if I travel out of Florida?

Because telehealth is governed by where you are sitting during the session, appointments happen when you are physically in Florida (or in New York, Maine, or Delaware, where Matthew is licensed). If you are traveling elsewhere, we simply schedule around it. This is a licensing rule, not a preference.

How do I start therapy in Florida?

It starts with a free call. That call is for figuring out whether this is the right fit — what you are dealing with, how the work would go, and any practical questions about scheduling or cost. There is no obligation and no pressure.

Telehealth · New York · Maine · Delaware · Florida

Online therapy for adults in Florida

Telehealth psychotherapy from Matthew Sexton, LCSW, NATC — a clinician registered with Florida as an out-of-state telehealth provider, who works with high-achieving Floridians carrying more than they show, adult children of difficult parents, healthcare workers, and survivors of coercive or antagonistic relationships. Depth-oriented work for complex trauma, narcissistic-abuse recovery, burnout, and high-functioning anxiety, conducted over secure video from wherever you are in the state.

The short version: If you are physically located in Florida, you can work with a clinician Florida has registered to treat you online. Matthew Sexton, LCSW is licensed in New York, Maine and Delaware, and holds a Florida out-of-state telehealth provider registration (TPSW4838) — the route Florida opens to clinicians licensed elsewhere. It is telehealth-only by design, sees adults out-of-network at $225 per session, and provides a superbill for possible out-of-network reimbursement. It starts with a free call — no insurer deciding what care you are allowed to have, and no commute.

Registered in Florida as an out-of-state telehealth provider — TPSW4838

Checked: 2026-09-02
Source: Florida Department of Health MQA licence portal (Fla. Stat. §456.47)
Standing: Registry entry found, name-matched: Clear/Active, out-of-state telehealth only
Telehealth rule: You must be physically in the state during each session

In crisis right now? Call or text 988 — this page can wait.

Why telehealth makes sense in Florida

Florida is large, fast-growing, and unevenly served. Many counties are federally designated Mental Health Professional Shortage Areas, and the wait for a specialist in complex trauma or narcissistic-abuse recovery can run months, especially outside the big metros. Telehealth erases the drive and the waitlist geography: if you are physically in Florida, you can work from Miami to the Panhandle without leaving home, with a clinician Florida has registered to treat patients in the state by telehealth.

What I help with

The work here is depth-oriented and pattern-focused rather than worksheet-driven. These are the specialties clients most often come to Florida telehealth for — each has its own detailed guide:

How online therapy works in Florida

Sessions are 50 minutes over secure, encrypted video. Because telehealth is regulated by the state where you are sitting, you need to be physically located in Florida (or New York, Maine, or Delaware) at the time of each session. That is a licensing rule, not a preference.

There are two ways in. I am in-network through Alma for the plans Alma contracts with — Aetna, Cigna, the UnitedHealthcare family, Anthem Blue Cross Blue Shield and others — where you pay your normal copay and Alma handles the billing. Medicaid, Medicare, Fidelis and Healthfirst are not on the panel. Otherwise the practice is out-of-network at $225 per session, which means no insurance company sits between us deciding how many sessions you are allowed or what you are permitted to work on; after each session you receive a superbill you can submit to your plan for possible reimbursement. Whether that math works for you is one of the things the first call is for.

Serving adults across Florida: Miami · Orlando · Tampa · Jacksonville · Fort Lauderdale · St. Petersburg · Tallahassee, and everywhere in between.

Frequently asked questions

Are you licensed to provide therapy in Florida?
He is registered to, which in Florida is a different thing from being licensed there. Florida law (Fla. Stat. §456.47) lets a clinician licensed in another state register with the Florida Department of Health as an out-of-state telehealth provider instead of holding a Florida licence. Matthew Sexton is registered on that route — registration TPSW4838, status active, issued 11 December 2024, and searchable in the Department of Health licence portal. He is separately licensed as an LCSW in New York, Maine, and Delaware. The registration is telehealth-only: it does not permit in-person sessions or an office in Florida. Telehealth is regulated by the state where the client is physically located during the session, so you must be in Florida at the time of each appointment.
Can therapy really be done online in Florida?
Yes. The APA Guidelines for the Practice of Telepsychology recognize secure video as a legitimate format, and outcome research finds telehealth psychotherapy comparable to in-person care for trauma, anxiety, and depression. The work — reality-testing, nervous-system regulation, attachment repair — translates without loss to video, and many clients find it easier to open up from a space they control.
Do you take Florida insurance?
Two ways in. I am in-network through Alma for the plans Alma contracts with — Aetna, Cigna, the UnitedHealthcare family (Optum, Oxford, UMR, Surest), Anthem Blue Cross Blue Shield and others — and on that route you pay your normal outpatient mental health copay. Medicaid, Medicare, Fidelis and Healthfirst are not on the panel. If your plan is not one Alma contracts with, the practice is out-of-network at $225 per session with a monthly superbill you can submit for possible reimbursement; that route means no insurer sits between us deciding what care you are allowed to have.
What if I travel out of Florida?
Because telehealth is governed by where you are sitting during the session, appointments happen when you are physically in Florida (or in New York, Maine, or Delaware, where Matthew is licensed). If you are traveling elsewhere, we simply schedule around it. This is a licensing rule, not a preference.
How do I start therapy in Florida?
It starts with a free call. That call is for figuring out whether this is the right fit — what you are dealing with, how the work would go, and any practical questions about scheduling or cost. There is no obligation and no pressure.

Let's figure out where you go from here.

A free call — and if I'm not the right fit, I'll say so.

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