Ellen Begley, RN, NCC, LPC


Ellen serves children, adolescents, and parents. 

Education and Qualifications

I am a Licensed Professional Counselor (#3166) and a Nationally Certified Counselor (#45872). I received a Master's Degree in Counseling from Western Carolina University in 1993. I worked as a School Counselor at Fairview Elementary School in Buncombe County for ten years (1992-2002), working with administrators, teachers, and parents to encourage a comprehensive counseling program tailored to meet the school's specific needs. I decided to open a private practice, Begley Child Counseling, in 2002. In 2007, I joined other counselors in establishing a nonprofit counseling center to serve the community. The Black Mountain Pastoral Care & Counseling Center later became Black Mountain Counseling Center. I provide individual and group therapy for children and adolescents aged two years and older, as well as parent education and consultation with day care centers, preschools, and schools.

I hold two Bachelor of Science degrees in Psychology from Appalachian State Univeristy (1981) and Nursing from the University of North Carolina at Chapel Hill (1984). I am a Registered Nurse in North Carolina (#88474) and worked for six years at the Buncombe County Health Department as well as a brief time overseas. I am a member of the National Board of Certified Counselors.

Populations Served and Theoretical Approach to Counseling

My primary professional focus is children and adolescents. My approach is eclectic depending on the client but is based on the concepts and techniques developed by Alfred Adler, emphasizing individual strengths, social influences, and the use of encouragement. I incorporate play and art for building relationships and providing a means for the client to communicate. I believe that a spiritual perspective is important in counseling and may be beneficial in helping the client. In working with children, the significant adult relationships may also be considered. I will negotiate mutual goals with the parents and child; however, the outcome of counseling cannot be guaranteed. Our therapeutic relationship will involve joint responsibility founded upon mutual trust and respect. Parents and the Child may be asked to utilize contracts to work on specific issues between counseling sessions. 

Length of sessions, fees for service, diagnosis, and referral

Counseling sessions are approximately 40 minutes to 60 minutes in length. Payment is due at the time of service for clients seen in the office. The Black Mountain Counseling Center is a nonprofit center that offers a sliding scale. The Center is in-network with BlueCrossBlueShield Insurance and Medicaid.

A diagnosis is required with the use of Insurance and is used to facilitate understanding and to promote effective treatment. If utilitized, it becomes a permaneent part of your record. The Center accepts cash and checks at the time of service unless arranged otherwise. Because of the time allocated for each appointment, missed appointments and those cancelled within 24 hours of the scheduled appointment will be charged to the client. The cost of a missed appointment is the same cost as would be paid by the client for a regular appointment. Those with Medicaid or who have the counseling service offered free of charge will be assessed a $10 fee for missed appointments.

If I am unable to fulfill your counseling needs, I will seek out an appropriate referral to another service provider.


A strict rule of confidentiality applies to all information shared with me. The privacy and confidentiality of our conversations and my records are a privilege of the client and are protected by state law and my profession's ethical principles. I will keep confidential anything the client shares with me with certain exceptions that will be discussed prior to beginning therapy.

Contact Ellen


You can view, save, or print any of these forms/documents.  

  • Authorization to Use/Disclose Information form (pdf) (doc)
  • Client's Rights form (pdf) (doc)
  • Intake Form (pdf) (doc)
  • Health Insurance Portability & Accountability Act (HIPAA) Agreement and Signature (doc) (pdf)