Here when you need a little extra help
Speech therapy and specialized care that meets your child right where they are.
From communication bumps to feeding and airway challenges, we take a calm, thoughtful approach that actually works for busy parents. With advocacy calls and friendly, informative workshops, we’re here to guide you through the hard stuff with clarity, compassion, and zero judgement.
We’re the team for you if . . .
You feel like something isn’t right, but the overwhelm of “what next?” keeps getting in the way.
We’re here to help you beat analysis paralysis, and make a plan of action to get your child the support they need
Doctor visits leave you stressed because you walk out feeling unheard or brushed aside.
If you’re going home and Googling nonstop, we promise there’s a better way. We’re here to explain, advocate + care.
You can’t shake the feeling that something deeper is going on with your child’s wellbeing.
Your intuition is an indicator. We’ll help you get to the root cause issues so you can finally get some answers.
You’ve been told to “wait and see,” but your gut says your child needs support now.
Waiting is fun when you’re counting down to vacation, but when it comes to your child’s wellbeing, we’re on a mission.
Hear us out. What if . . .
You felt heard and reassured about your child’s needs
Instead of being brushed off, we walk you through real possibilities, explain what might be going on underneath, and give you clear next steps. You’ll leave feeling informed, supported, and finally understood.
You could finally enjoy mealtime without refusals
Imagine meals that feel calm instead of chaotic. We help you get to the root of feeding challenges—whether sensory, structural, or skill-based—so your child feels safe exploring food and you feel confident guiding them. Less stress, more bites, more connection.
You were able to enjoy watching your child thrive
With the right support in place, progress stops feeling like a guessing game. You get to see your child grow in ways that feel meaningful—communicating more, eating better, breathing easier—and you get to exhale knowing they’re finally on the right path.
Individualized Speech Therapy
Every child communicates differently, so we build therapy around what works best for them. Sessions are hands-on, playful, and grounded in strategies that actually stick. From speech sounds to language skills and more, we help your child feel confident and capable every step of the way.
SERVICE ONE
Treatment tailored to your child’s goals, needs, & strengths
We blend evidence-based strategies with fun, engaging activities that make therapy feel easy and exciting
Personalized Plan
1:1 Therapy Sessions
Feedback + activities that are simple, realistic, and fit into your daily routines
So you always know what’s improving and what we’re targeting next
Ongoing progress updates
This therapy can be provided in our clinic or onsite at school (we just need permission!) to ensure we’re working with your child’s schedule vs adding another stop in the weekly routine.
LOCATIONS:
Varies depending on needs. Identified during evaluation
TIMELINE:
30 minutes, 1–2 times per week
SESSIONS:
Varies based on session frequency and insurance coverage
INVESTMENT:
To support communication in real-life situations at school, home, and play
We will happily work in tandem with your child’s care team as needed
who listen, adjust & celebrate every win with you. We’re in this together
Collaborative Care
Supportive Team Members
Strategies & Tools
Guidance to help you feel confident supporting your child between sessions
Monthly updates
Parent Coaching
Screenings
Not sure what your child needs, but you have a feeling there’s something more going on? A quick screener can give you clarity, direction, and real peace of mind. We’ll help you understand what’s typical, what’s not, and what steps (if any) make sense next.
SERVICE TWO
- Speech sounds
- Language Skills
- Voice Quality
- Communication Skills
- Stuttering
Language Skills
Voice Quality
Communication Skills
Stuttering
20 Minute One Time Screening with Screening areas to include:
Bonus
Screenings do not replace a comprehensive evaluation, but they offer valuable insight into whether a deeper look may benefit your child.
PLEASE NOTE:
Visit us in-office or schedule a screening at an approved school
FLEXIBLE LOCATIONS:
$20 per screening
INVESTMENT:
Myofunctional & airway concerns check with immediate, easy to understand results to help you plan next steps
on whether a full evaluation or targeted support is recommended
Clear Guidance
Myofunctional Therapy
Think of this as gentle “physical therapy for the mouth.” By strengthening and coordinating the tongue, jaw, and cheek muscles, we help kids breathe better, chew and swallow more easily, and even make speech sounds more clearly. Small changes add up to big, long-lasting wins for your child’s health & daily comfort.
SERVICE THREE
Fewer mealtime battles
Their muscles support teeth alignment instead of fighting it
Being orthodontics-ready
Myofunctional therapy is an involved and hands-on process. It requires solid family participation and regular practice at home. The more consistent we are together, the more powerful (and lasting!) the results.
PLEASE NOTE:
Varies depending on needs. Identified during evaluation
TIMELINE:
Varies based on session frequency and insurance coverage
INVESTMENT:
great for picky eaters or kids who fatigue easily while eating
Through simple, guided exercises and consistent practice, your child may experience lasting benefits like:
Better oral habits
(Hello, closed lips and strong tongue posture)
A natural retainer for life
Yep, the kind that doesn’t cost a dime
Improved breathing
For deeper and more restful sleep
Better daytime focus & mood
Thanks to deeper sleep and better breathing
SESSIONS:
30 minutes, 1–2 times per week
Feeding Therapy: Small Bites, Big Progress
Feeding challenges show up in all kinds of ways—and we’re here for every single one. Kate specializes not only in picky eating, but also in supporting children with ARFID and more complex feeding needs. Feeding therapy isn’t always linear, but with patience, skill, and the right support, the progress is truly life-changing.
SERVICE FOUR
Treatment tailored to your child’s goals, needs, & strengths
We blend evidence-based strategies with fun, engaging activities that make therapy feel easy and exciting
Personalized Plan
1:1 Therapy Sessions
Feedback + activities that are simple, realistic, and fit into your daily routines
Guidance to help you feel confident supporting your child between sessions
Monthly updates
Parent Coaching
So you always know what’s improving and what we’re targeting next
To support communication in real-life situations at school, home, and play
Ongoing Progress Updates
Strategies & Tools
We will happily work in tandem with your child’s care team as needed
who listen, adjust & celebrate every win with you. We’re in this together
Collaborative Care
Supportive Team Members
This therapy can be provided in our clinic or onsite at school (we just need permission!) to ensure we’re working with your child’s schedule vs adding another stop in the weekly routine.
LOCATIONS:
Varies depending on needs. Identified during evaluation
TIMELINE:
30 minutes, 1–2 times per week
SESSIONS:
Varies based on session frequency and insurance coverage
INVESTMENT:
Parent Advocacy Calls and Consults
If you’re feeling unheard, overwhelmed, or unsure about what your child needs next, these advocacy calls are for you. Whether you want clarity before an upcoming appointment, help understanding recommendations, or guidance on how to confidently speak up for your child, we’re here to support you. You get the space to ask questions, share concerns, and explore next steps with a provider who listens—really listens—and empowers you to advocate with confidence.
SERVICE FIVE
to share your concerns, questions, or next steps, without being rushed or dismissed
on what to ask, what to document, and what to look for during upcoming medical, school, or therapy appointments
Dedicated 1:1 time
Clear guidance
Understanding reports, recommendations, or terminology so you feel fully informed (not overwhelmed)
outlining practical next steps for your child’s care
Extra Support
A personalized action plan
to help you speak up confidently and effectively for your child
tailored to your child’s needs—including therapy options, school supports, or further evaluations
Advocacy coaching
Resources and referrals
For clarification; if questions pop up after your call, let’s schedule another!
to calmly process your concerns with a provider who truly listens
Ongoing availability
A judgment-free space
To make sure your call is as helpful and productive as possible, we’ll ask for a bit of information ahead of time. This helps us prepare for your child’s specific needs. If we don’t receive the required details, we’ll simply reschedule the call so we can give you the support you deserve (one free reschedule per booked session)
PLEASE NOTE:
Choose 30 or 45 minutes for your call
SESSIONS:
30 minute sessions: $75
45 minute sessions: $110
INVESTMENT:
Workshops and Topic Talks
Workshops that make you go ‘Ohh! That makes sense! These workshops and topic talks are perfect for schools, daycares, and community groups looking to educate and empower parents, staff, and caregivers. Each topic can be customized to fit the specific needs and interests of your site.
They’re also available for small groups—like a mom meet-up or parent circle—where I come to you and break down the information you’ve been searching for but haven’t been able to find. Practical, approachable, and packed with real answers, these sessions give your community the knowledge they need to feel confident and supported.
SERVICE SIX
tailored to your group’s needs, interests, or concerns
on topics like speech, feeding, airway, Myofunctional concerns, or child development topics
A customized presentation
Engaging and easy to understand education
And take-home tips that parents and staff can start implementing right away
so participants can ask real questions and get clear, honest answers and insights from a professional
Practical strategies
Interactive Q&A time
or resource guides
to support learning after the session
to make concepts simple and relatable
Helpful Handouts
Real examples and demonstrations
We’ll come to you at your school, your site, or your parent meet-up group
who makes learning feel comfortable and clear, not overwhelming
Flexible location options
A supportive and down-to-earth presenter
Mini Talk — 30 Minutes: Perfect for a quick overview or focused discussion on a single topic.
Full Topic — 60 Minutes: Dive deeper with a full session, including interactive Q&A and practical strategies.
Series Option — 30 to 45 minutes: Spread the content across multiple sessions to make learning easier to absorb, practice, and implement. Ideal for schools, parent groups, or staff teams.
SESSIONS INFO:
Mini Talk (30 Minutes): $150
Full Topic (60 minutes): $250
Series (at least 3 sessions): $125 per session
INVESTMENT:
Let’s Get Things Rolling
Step One: Tell Us What You Need
Let us know what you’re looking for! whether you want to chat first or already know your child needs services. Share what you can, and we’ll start supporting your family right away.
Step 2: Lock In Your Time Slot
After our initial call, or once we understand your needs (a screener, an evaluation, or jumping straight into therapy!) we’ll work with you to find a time that fits both our availability and your schedule.
Step Three: The Paperwork Power Up
For families using insurance, please upload:
- Front and back of your insurance card
- A referral from your pediatrician
Your insurance plan’s terms ultimately determine coverage.
Step Four: Your Child's Plan
After the initial evaluation—or after a continuation-of-care session—you’ll receive your child’s report and proposed goals in our system. Review everything at your convenience, and once approved, we’ll begin therapy as recommended (most commonly once a week for 30 minutes).
Take a peek at our process and what it’s like working with our team at Ripple Effect
Your speech therapy specialists
Meet our team!
Kate, JJ, & Luann
What started as a one woman show (plus a CVS attendant Kate befriended to use the restroom!) has grown into a small but mighty team of three with tons of experience and a shared mission: to make therapy feel personable and honest with a “friend next door” feel.
At Ripple Effect, you may work closely with one therapist, but you get the brainpower of all 3 us! We share ideas, problem-solve together, and advocate fiercely to not only help your child get the support they need, but you as well!
Our team puts your child at the center
See the Transformations
Check out some of our favorite ripple effects with our clients. Hard work takes time and we love to celebrate them big or small!
Before + After Tongue Tie Procedure
Why Myo Matters
Tongue ties can create difficulties when speaking and swallowing, and can restrict tongue movement. See what a difference it makes when myofunctional therapy is paired with a tongue tie release.
Honoring every voice
Finding a Voice
That Fits with AAC
Communication isn’t one size fits all, that’s why we embrace total communication to achieve functional needs. This little guy uses both verbal and AAC to be able to communicate in full sentences and we LOVE to see him shine!
Our team puts your child at the center
See the Transformations
Check out some of our favorite ripple effects with our clients. Hard work takes time and we love to celebrate them big or small!
Cultivating connection + comfort
Connection Comes First at Ripple Effect
Therapy comes with many goals but connection remains number one. This moment was so special because for over a year, we worked towards sharing this play together.
Our team puts your child at the center
See the Transformations
Check out some of our favorite ripple effects with our clients. Hard work takes time and we love to celebrate them big or small!
Food doesn’t have to be a fight
Feeding is Fun!
This client came to us only eating mashed avocados and yogurt, everything in a blender but what a difference a year makes! He graduated with over 40 foods and a first birthday cupcake. The perfect celebration!
Our team puts your child at the center
See the Transformations
Check out some of our favorite ripple effects with our clients. Hard work takes time and we love to celebrate them big or small!
We listen first, always. We’re here to get personal, not performative. We look deeper than surface level to find and fix root causes, and our whole-child approach sets your kiddo up for long term success. Let us partner with your family so progress actually sticks.
What’s so great about working with Ripple Effect?
"We saw so much progress in my son's speech in a year!"
We had an amazing experience with Kate! She is so great with communication, and started meeting with my son very quickly after inquiring about her services. We saw so much progress in my son's speech after working with Kate for a year. She did a great job building rapport in sessions, and I appreciated how much education she incorporated for me as a parent.
Kind words from our clients
“She truly cares about the kiddos!”
Kate was absolutely fantastic to work with! She was recommended by a co-worker and I am so glad she was. Going into the appointment I was feeling very overwhelmed and lost about where to go and what to do, but Kate was so helpful. She explained and discussed so many things with me and made sure I left the appointment with next steps. She truly cares about the kiddos and them getting the support they need and it is evident! - Kim
Kind words from our clients
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
Where are all of the therapy notes and documentation?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Frequently Asked Questions
We’ve got answers for you!
A screener is a quick and easy check to see if your child may need extra support. It’s short, looks at a few key skills, and helps answer the question, “Should we look into this more?” An evaluation, on the other hand, takes a deeper and more thorough look at how your child is doing. During an evaluation, we assess specific skills, talk with you, and observe your child. You’ll receive a full report with results and goals, which helps us determine what’s going on and what the best plan moving forward might be.
What’s the difference between a screener vs an evaluation?
Frequently Asked Questions
We’ve got answers for you!
We don’t have Anthem BCBS. Is there an out of network option?
Where are all of the therapy notes and documentation?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
For families who are out of network or paying out of pocket, one option is a “superbill,” which works like a detailed medical receipt. To create a superbill, we’ll need a referral from your child’s doctor and your insurance information. After each service—such as an evaluation or therapy session—you’ll receive a superbill that you can submit directly to your insurance plan for possible reimbursement. We always recommend calling your insurance provider to ask how they handle superbills and what they require for processing.
Where are all of the therapy notes and documentation?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Frequently Asked Questions
We’ve got answers for you!
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
All therapy notes and documentation are stored in our Electronic Medical Record (EMR) system, called Ensora. During the onboarding process, you’ll be invited to the portal to create a login and password. From there, you can complete all required paperwork and access your child’s records and documentation in one convenient place.
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Where are all of the therapy notes and documentation?
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
Frequently Asked Questions
We’ve got answers for you!
If your child receives therapy at school, you can stay up to date by logging into the EMR. Within about 24 hours of each session, you’ll see the service note, which includes “Take Home” recommendations for practice at home. In addition, once a month we send a “monthly update” that provides more detailed feedback on your child’s progress and specific suggestions for carryover at home.
Where are all of the therapy notes and documentation?
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Frequently Asked Questions
We’ve got answers for you!
There isn’t a set timeline for how long a child will need speech therapy, as it depends on each child’s individual needs, progress, and ability to use the targeted skills independently. We monitor all children on a six-month treatment plan, revisiting their progress every six months to provide updates and insights. While we can share progress along the way, it’s not possible to predict exactly how long therapy will be needed.
Where are all of the therapy notes and documentation?
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Frequently Asked Questions
We’ve got answers for you!
We accept multiple types of payment- cash, check or card via Square. You’re able to pay with HSA/FSA funds as well. We are also an Educational Scholar Account (ESA) vendor and can happily invoice you for those payments as well. **For insurance families we require a credit card on file
Where are all of the therapy notes and documentation?
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Frequently Asked Questions
We’ve got answers for you!
If paying privately, invoices will be sent via Square following our completion of the documentation for that session (usually within 24 hours). If using insurance, we wait until an Explanation of Benefits (EOB) is received to confirm amounts due and we then send you the invoice. **Invoices are due within 5 days of services or we reserve the right to charge a late fee
Where are all of the therapy notes and documentation?
What’s the difference between a screener vs an evaluation?
We don’t have Anthem BCBS. Is there an out of network option?
If you see my child at school, how do I know what to work on at home?
How long will my child need speech therapy?
How can we pay for services?
When do we receive the bills for services?
Frequently Asked Questions
We’ve got answers for you!
