
McElroy
Comprehensive Accounting

Empowering your mental health practice through personalized financial partnership and guidance.
Financial Precision for Therapeutic Vision
About My Practice
Before becoming an accountant, I worked in social work and education—so I deeply understand the emotional and practical demands of helping professions. That background shapes the way I approach accounting: with empathy, clarity, and respect for the work you do.
I offer tax-focused accounting and bookkeeping services to therapists and mental health professionals across the U.S. As a solo practitioner, I work one-on-one with each client to help them feel more confident and in control of their finances.
With me, you’re not just another client on a roster. You get a real relationship, personalized support, and a partner who values your time, energy, and impact.
—Niko McElroy, President
Solutions
Accounting & Bookkeeping
I handle the day-to-day financial tracking so you don’t have to—organizing income from private pay and insurance, keeping your records audit-ready, and giving you clear reports that actually make sense.
Tax Advisory
& Compliance
From estimated payments to annual filing, I provide proactive, year-round tax support tailored to mental health professionals—so you're always prepared and never surprised.
Payroll Advisory & Support
Whether you're hiring your first employee or managing a team, I help you set up smart, compliant payroll systems and stay on top of tax obligations—without the usual headaches.
Onboarding & Discovery
How do we get started?
🌱 Step 1: Discovery Review Session
We’ll start with a 60-minute strategy call to assess your current setup and identify what’s working—and what’s not. You’ll leave with a custom roadmap proposal tailored to your practice. Click the contact button below to get started!
💻 Step 2: Onboarding & Tech Setup
Once we’re a fit, I’ll set you up with secure, easy-to-use tools like QuickBooks Online and your client portal—no tech stress, I guide you through it all. And I'll get all the records and access needed to provide service.
🧹 Step 3: Initial Clean-Up
I’ll clean up and organize your books, chart of accounts, and past records so your financials are accurate, audit-ready, and aligned with your practice’s needs.
🎯 Step 4: Strategic Onboarding Meeting
We’ll meet again to review your updated books and talk strategy. I’ll walk you through everything and set the tone for ongoing support, clarity, and growth.