Therapy in Wyoming: Costs, Licensing & How to Find Help
A guide to therapy in Wyoming — costs, licensing, telehealth rules, and how to find a therapist.
$140
Avg. session cost
#34
MH ranking (of 51)
250
Providers per 100K
11%
Uninsured rate
Therapist Licensing Requirements
Overseen by the Wyoming Mental Health Professions Licensing Board.
| Credential | Title | Supervised Hours | Required Exams |
|---|---|---|---|
| LPC | Licensed Professional Counselor | 3,000 | NCE, NCMHCE |
| LCSW | Licensed Clinical Social Worker | 3,000 | ASWB Clinical |
| LMFT | Licensed Marriage and Family Therapist | 3,000 | MFT National Exam |
| Licensed Psychologist | Licensed Psychologist | 4,000 | EPPP |
Therapy Costs in Wyoming
The average therapy session in Wyoming costs $140 — $35 below the national average of $175. Online therapy is typically 20% less.
| Metro Area | Average | Range |
|---|---|---|
| Cheyenne | $142 | $105–$180 |
| Jackson | $165 | $125–$215 |
Telehealth Rules in Wyoming
PSYPACT Member (since 2020)
PSYPACT member state. Out-of-state psychologists may practice via APIT. Other therapists must hold a Wyoming license.
Audio-only therapy: Allowed
Medicaid telemental health: Covered
Consent: Informed consent required; verbal consent acceptable when documented in the patient record.
Insurance & Parity in Wyoming
Parity enforcement: weak
Medicaid expanded: No (24 session annual cap)
Typical in-network copay: $30–$55
Major insurers: Blue Cross Blue Shield of Wyoming, UnitedHealthcare, WINhealth
Crisis Resources in Wyoming
Wyoming Department of Health — Behavioral Health Division
Notable Programs
- Wyoming's Community Mental Health Centers provide outpatient and crisis services across the state's rural communities.
- The Wyoming Suicide Prevention Program focuses on at-risk populations including veterans, youth, and tribal communities.
- Wyoming's PATH (Projects for Assistance in Transition from Homelessness) program provides behavioral health outreach to individuals experiencing homelessness.
Therapy Landscape in Wyoming
Wyoming is the least populous state in the nation, and its mental health infrastructure reflects that reality. The state has one of the highest suicide rates nationally and a severe shortage of mental health professionals, particularly outside Cheyenne and Casper. Many counties have no resident psychiatrist and only a handful of therapists. Wyoming's community mental health centers — coordinated through the Wyoming Department of Health — serve as the primary safety net, operating across the state. Out-of-pocket therapy costs typically range from $95 to $165 per session. Blue Cross Blue Shield of Wyoming is the dominant insurer. Wyoming Medicaid covers outpatient behavioral health for eligible residents, though eligibility criteria are among the most restrictive in the country for adults without children.
Finding a Therapist in Wyoming
Wyoming licenses professional counselors (LPCs), clinical social workers (LCSWs), psychologists, and marriage and family therapists (LMFTs). The Mental Health Professions Licensing Board oversees counselor and MFT credentials. Wyoming is a PSYPACT member, and telehealth is essential — for many residents, it is the only realistic way to access specialized mental health care. The Wind River Reservation community has access to Indian Health Service behavioral health programs.
Cognitive behavioral therapy (CBT) is the most accessible evidence-based approach in Wyoming for anxiety and depression. For trauma and PTSD, telehealth makes specialized providers like EMDR therapists reachable from anywhere in the state.
Out-of-pocket sessions typically cost $95 to $165. Insurance copays range from $15 to $40. Community mental health centers offer sliding-scale and reduced-rate services.
Yes, but eligibility is more restrictive than in many states. Wyoming Medicaid covers outpatient mental health services for those who qualify, including children, pregnant women, and adults meeting specific income thresholds.
Telehealth is often the only practical option for rural residents. Wyoming's PSYPACT membership and the Counseling Compact let you access providers in other states. Community mental health centers also serve rural areas.
Yes. Indian Health Service facilities on the Wind River Reservation include behavioral health programs. The Northern Arapaho and Eastern Shoshone tribes also coordinate culturally specific wellness services.
Look for LPC, LCSW, licensed psychologist, or LMFT. All are regulated by Wyoming licensing boards and require graduate education and supervised clinical experience.
Wyoming's small population and vast landscape make accessing therapy harder than in most states, but telehealth, community mental health centers, and interstate compacts are expanding what is possible. If you need support, reach out — the first step is the hardest, and help is available.