Licensed to practice in North Carolina and accepts 45 insurances. Specializes in Anxiety, Depression, Grief and 10 more.
Welcome! I'm Clarence Leon Spruill, MS, LCMHC, LCAS, CRC, Founder and Psychotherapist of HeartMind Counseling PLLC. I provide compassionate, evidence-based therapy for adolescents, adults, couples, veterans, and families navigating anxiety, depression, trauma, addiction, grief, relationship challenges, and life transitions. Together, we'll build resilience, practical coping skills, greater self-awareness, and meaningful, lasting change through collaborative, personalized care that honors your unique goals, strengths, and experiences.
Beginning therapy can feel uncertain, but you don't need to have everything figured out before we meet. My goal is to create a welcoming, respectful, and judgment-free environment where you feel comfortable sharing at your own pace. During our first session, we'll review confidentiality, discuss what brings you to therapy, explore your personal history, identify your strengths, and talk about the goals you hope to achieve. I'll take time to understand not only the challenges you're facing but also the experiences, relationships, and values that have shaped your life. Together, we'll begin developing a treatment plan tailored to your unique needs. Whether you're seeking support for anxiety, depression, trauma, grief, addiction, relationship concerns, or a major life transition, we'll identify practical next steps that move you toward meaningful progress. By the end of our first session, you'll have a clearer understanding of the counseling process, an opportunity to ask questions, and a collaborative plan for moving forward. My hope is that you leave feeling heard, respected, supported, and encouraged about the work we'll do together.
As the Founder and Psychotherapist of HeartMind Counseling PLLC, I believe effective therapy begins with trust, authenticity, and genuine human connection. Clients often describe my approach as compassionate, thoughtful, and direct. I listen carefully, ask meaningful questions, and provide honest feedback that encourages growth while respecting your pace and readiness for change. My professional background as a Licensed Clinical Mental Health Counselor (LCMHC), Licensed Clinical Addictions Specialist (LCAS), Certified Rehabilitation Counselor (CRC), and Marine Corps veteran has given me experience working with individuals from diverse backgrounds who have faced trauma, loss, addiction, relationship challenges, career transitions, and significant life stressors. Rather than offering quick answers, I help clients understand the patterns influencing their thoughts, emotions, and behaviors while developing practical skills they can apply in everyday life. My approach integrates evidence-based therapies—including Cognitive Behavioral Therapy (CBT), Motivational Interviewing, Person-Centered Therapy, and Solution-Focused Therapy—to meet each person's unique needs. I strive to balance empathy with accountability, creating a supportive space where clients feel challenged to grow, empowered to make meaningful changes, and confident in their ability to build a healthier, more fulfilling life.
My ideal clients are adolescents, adults, couples, veterans, and families who are ready to better understand themselves and create meaningful, lasting change. They may be navigating anxiety, depression, trauma, grief, addiction, relationship challenges, or major life transitions. Whether they are seeking healing, personal growth, or healthier relationships, they value a collaborative, evidence-based approach and are willing to engage in honest self-reflection while developing practical skills to build resilience, confidence, emotional well-being, and a greater sense of purpose.
Cash - $120 per session
Aetna
Aetna - Allied Benefits
Aetna - ASR Health Benefits
Aetna - Lucent Health
Aetna - Luminare
Aetna - Medicare
Aetna - Moda
Aetna - WebTPA
Aetna – HealthEZ
All Savers
Amerihealth Administrators
Amerihealth NJ Medicare Advantage
Anthem
Arlo
AvMed
Blue Cross Blue Shield
Centivo
Cigna
Cigna - HealthEZ
EAP:Cigna
EAP:Evernorth
EAP:UnitedHealthcare/Optum
Evernorth
Golden Rule
GTEB
Harvard Pilgrim/UnitedHealthcare
Humana - Medicare
Humana Dual (Medicare & Medicaid)
Independence Administrators
Independence Blue Cross
NC State Health Plan
Optum
OptumHealth Complex Medical Conditions
Oscar
Oxford
Surest (formerly Bind)
Tufts Health/Cigna
United Medical Resources
UnitedHealthcare Complete Care (C-SNP)
UnitedHealthcare Dual (Medicare & Medicaid)
UnitedHealthcare Life Insurance
UnitedHealthcare Shared Services
UnitedHealthcare StudentResources
UnitedHealthcare/Optum
UnitedHealthcare/Optum - Medicare
I use Solution-Focused Brief Therapy to help clients identify their strengths, recognize existing resources, and build on what is already working. Rather than remaining focused on problems, we work collaboratively to create realistic goals and practical solutions that can be implemented immediately. This approach is especially effective for clients experiencing life transitions, stress, anxiety, relationship concerns, and adjustment difficulties. Through my work at HeartMind Counseling PLLC, I have found that helping clients recognize their resilience often restores hope and confidence while creating meaningful progress in a relatively short period of time. Research supports this approach as an effective method for improving goal attainment and increasing client self-efficacy.
My approach to Adlerian Therapy emphasizes understanding how early life experiences, family dynamics, personal beliefs, and social relationships influence present-day behaviors and decision-making. At HeartMind Counseling PLLC, I help clients explore patterns that may no longer serve them while identifying healthier ways to pursue belonging, purpose, and personal growth. Adlerian principles complement my whole-person philosophy by encouraging insight, accountability, and resilience. This evidence-based approach is particularly beneficial for individuals working through self-esteem concerns, family conflict, relationship challenges, and identity development.
Cognitive Behavioral Therapy is one of the primary evidence-based approaches I use because it provides practical strategies that clients can apply in everyday life. Together, we identify unhelpful thinking patterns, emotional responses, and behaviors that contribute to distress while developing healthier perspectives and coping skills. I appreciate CBT because it combines insight with action, allowing clients to understand not only what they are experiencing but also how to create meaningful change. Research consistently demonstrates CBT's effectiveness in treating anxiety, depression, trauma-related symptoms, stress, and many other behavioral health concerns. At HeartMind Counseling PLLC, CBT is always tailored to each client's individual experiences and goals.
I view couples counseling as an opportunity to strengthen understanding, improve communication, and rebuild emotional safety within the relationship. Rather than identifying one partner as the problem, I help couples recognize interaction patterns that contribute to conflict while developing healthier ways of communicating, resolving disagreements, and reconnecting emotionally. My work integrates evidence-based interventions with practical relationship skills that promote trust, accountability, empathy, and mutual respect. Whether couples are navigating communication difficulties, betrayal, parenting challenges, life transitions, or rebuilding after conflict, my goal is to help both partners work toward a healthier and more satisfying relationship.
The therapeutic relationship is the foundation of meaningful change. Person-Centered Therapy reflects my belief that every client deserves to be treated with empathy, authenticity, dignity, and unconditional positive regard. I strive to create an environment where clients feel safe discussing difficult experiences without fear of judgment. Once trust has been established, clients are often better able to explore painful emotions, develop greater self-awareness, and move toward healthier choices. At HeartMind Counseling PLLC, this approach serves as the foundation upon which I integrate other evidence-based therapies, ensuring that treatment remains collaborative, individualized, and respectful of each client's unique story.
34 ratings with written reviews
August 8, 2026
Paul and I enjoyed our session with Mr. Clarence; he was relatable and understanding. I believe that he is the best to help our relationship and we look forward to our future sessions.
August 1, 2026
Omg my first session went so amazing. Mr Spruill listened to my concerns and created a healing plan for me to be successful in my relationship. I can’t wait for my next session
July 27, 2026
He was a great person to talk to and he allowed me the space to convey my emotions safely and helped provide normality to a lot of the things I was feeling!