Annie Rose Counseling

Portrait of Annie Elder, MA, LMHC (she, her, hers)

Annie Elder MA, LMHC (she, her, hers)

I am passionate about working with marginalized populations and with those who feel they don’t fit within societal constructs. I am supportive of all gender expressions, sexual orientations, and family compilations. I work with an anti oppression framework to support individuals in seeing systemic injustices both externally and internally and challenging these ideals. I strive to support and encourage my clients in creating a better world for themselves and others in the present and future.

Annie provides gender affirming letters.

Dr. Jennifer Arm

My name is Jennifer Arm. I go by “Jenny.” I am a Psychologist based in Bellingham, WA, offering psychotherapy services. Finding a therapist who you feel you can develop a viable working relationship with is important to the therapeutic process. It is important to determine whether our styles and what you are looking for in therapy are compatible (and, if not, connecting you with a colleague). On this site, I have included some information about my approach, background, and topics of interest. If you are interested in pursuing psychotherapy together, please contact me via phone: (360) 746-6148.


Cheryl Enstad (she/her), MSW, LICSW

Cheryl Enstad is a licensed therapist for gender-expansive individuals and their families.

My practice is dedicated to gender expansive and questioning individuals and their families, including assessment and ongoing support in all stages of life. I always have room for gender affirmation letters. Sometimes people need a gender-competent provider to support them in other areas, like anxiety, depression, OCD and trauma. I also offer consultation and trainings for therapists, agencies and medical providers to better support transgender and nonbinary clients and employees, and to develop inclusive policies and forms according to agency values, professional ethical standards, state and federal laws. I can help therapists increase trans competency with case consultation and guidance through gender affirmation letters according to WPATH standards of care. Please don’t hesitate to contact me with any questions, large or small.


(360) 296-5693

Tara Ettlin (she/her), M.S.

Tara Ettlin is a Licensed Mental Health Counselor in Washington State. She earned her Masters of Science in Psychology: Mental Health Counseling from Western Washington University and her Bachelors of Arts in Psychology from Humboldt State University. Tara has over ten years of mental health counseling experience, which includes providing short and long term therapy, behavioral health consultation, and group facilitation.

Tara works with adolescents and adults who are seeking treatment and support for:

  • Depression and mood problems
  • Anxiety and stress
  • Women’s Issues
  • Self-esteem and body image concerns
  • Postpartum depression
  • Adjustment and interpersonal problems
  • Interpersonal conflicts
  • Grief and loss
  • Gender Identity and Gender Dysphoria
  • Developing Mindfulness skills
  • Cross cultural counseling specializing in serving the Latino population/Spanish speakers



Jennifer Given-Helms

Hello. My name is Jennifer Given-Helms (she/her/hers pronouns) and I am a licensed clinical social worker. Offering holistic, inclusive, collaborative support to teens and their families, I am here to assist you in creating a life where you can thrive. 

The deepest impact I want to have is to help people see the amazingness they hold in themselves and to believe that exactly who they are right now is enough.

I do not contract directly with insurance. I am happy to provide detailed receipts for Out-of-Network reimbursement upon request. Reimbursement levels depend on your individual insurance plan.


phone | 360-510-1211
email |

Lisa Harmon (she/her), MS, LMHC

A mindfully collaborative approach to counseling begins with an affirming and compassionate therapist. In this way, I work with adults and adolescents to develop confidence in processing and managing issues such as: chronic illness, trauma, depression, anxiety, grief and loss, relationships and life transitions.

  • Cost per Session: $70 – $150
  • Sliding Scale: Yes
Pay By: Cash, Check
Accepted Insurance Plans
  • Aetna
  • Community Health Plan of Washington
  • First Choice Health | FCH
  • LifeWise
  • Molina Healthcare
  • Premera
  • Regence
  • Out of Network

214 N Commercial Street
Suite #203
Bellingham, WA 98225
(360) 610-4082

Kate Haskell, MA LMHC, NCC

Kate has worked with children, adolescents, and adults for over 30 years. She has worked in community mental health, foster care programs, inner-city gang projects, university clinics, and research projects in both large urban environments and rural settings.  Kate has sought out extensive training, deepening her clinical and personal desire to be an ally/supporter of people and/or their families whom identify as LBGTQ.

Insurances Accepted:
First Choice Network, HMA, Kaiser Permanente, Lifewise of Washington, Premera Blue Cross, Regence Blue Shield


360-255-2505 extension 107

Dr. Ariel Larson, PHD

Dr. Ariel Larson, PHD is a Clinical Psychologist in Bellingham, WA. Her office accepts telehealth appointments.


Claire E. Mannino (they/she), BA, MS

Extensive experience working and volunteering at community mental health facilities and non-profit community outreach organizations including the Western Washington University counselor training clinic, Interfaith Community Health Clinic, and Northwest Youth Services.

Special Interest In:

  • Mindfulness based therapeutic interventions
  • Dialectical behavioral therapy
  • Cognitive behavioral therapy
  • Premarital therapy
  • Gender identity issues
  • Queer, transgender, gender variant, and gender queer individuals
  • Informed consent model when working with clients accessing gender confirming medical procedures.
  • Psychological wounds of abusive relationships
  • Teen pregnancy
  • Teen/Young adult counseling
  • LGBTQ Teens/Young Adults
  • Addiction-Individual, Drugs/Alcohol, Technology
  • Alternative relationships/kink



Morgan M Mitchell (she/her), MA, LMHC, NCC

I have specific training in supporting individuals struggling with PTSD and histories of sexual assault. I’m trained in LGBTQ+ language and support, and offer informed consent letters and consultation. I’m also passionate about working with couples around communication, financial management, adjustment issues, infidelity, and inter-personal conflicts.

  • Cost per Session: $100 – $160
  • Sliding Scale: Yes
Pay By: Cash, Check, Mastercard, Paypal, Visa
Accepted Insurance Plans
  • Aetna
  • First Choice Health | FCH
  • Health Net
  • Kaiser (Out-of-Network)
  • MHN | Health Net
  • Molina Healthcare
  • Regence
  • VA Community Care Network (CCN)
  • Veterans Affairs
  • Out of Network


Jill Newman (she/her), MSW, LICSW

Jill Newman (she/her) MSW, LICSW

Jill has extensive experience working with LGBTQ+ youth and she has a strong interest in diversity and social justice issues.

Call;  360-325-5846


What To Ask When Looking for a Gender Therapist

I would add to this list, “what training have you had regarding people who identify as transgender, nonbinary or intersex?”

A trans identifying licenced social worker helps you know how to look and what to ask here:

Lee Osteen (they/them), MA, MSW, LMHC

Lee Osteen (they/them), MA, MSW, LMHC

I specialize in working with those in the LGBTQIA+, polyamorous and consensual non-monogamy, and kink communities.
I provide a trauma-informed therapeutic approach that is rooted in a feminist and anti-oppression framework. I am trained in Dialectical Behavior Therapy (DBT) and EMDR, and my orientation is influenced by philosophical and spiritual components of Buddhist mindfulness practice. I aim to develop appropriate and effective treatment strategies that fit you.

Call; (360) 523-7905


Autumn Webb (she/her), MS, LMHC, NCC

Autumn Webb (she/her) MS, LMHC, NCC

I strive to deliver gender affirming mental healthcare via tele health in Washington state. I specialize in helping clients who are exploring or struggling with sexual identity, gender dysphoria, trauma survivors, depression, anxiety, and suicidal thoughts. My goal as your clinician is to meet you where you are, and provide you with the tools you need to reach your ideal self.

Call; (360) 233-8548


Juno Wilde (they/them), LMHC

Juno Wilde (they/them), LMHC

LGBTQ+ friendly and specialized in gender identity and transgender issues, as well as navigating life with autism.  I provide a safe space for working through deeper issues, along with the support to gain confidence and embrace your true self.

“At the center of your being you have the answer; you know who you are and you know what you want.”

 -Lao Tzu

call/text; 360.320.6683



Sage Willis (they/them), PhD

Sage Willis, PhD

I specialize in working with college students as well as LGBTQIA+ individuals (16 through 30), including the transgender/gender diverse community. This includes a range of queer identities (non-binary, genderqueer, ace, demi, pan, intersex, etc.).



Support Groups

Gender Spectrum Groups

Gender Spectrum logo

Gender Spectrum hosts free online groups for pre-teens, teens, parents, caregivers, and other family members and adults. 

Some are topic based, some are support groups… and a lounge for connecting inbetween.  Connect via text, audio or video. A facilitator’s support group and lounge for professionals too.



PFLAG logo







PFLAG National is a community of more than 250,000 members and supporters working to create a caring, just, and affirming world for LGBTQ+ people and those who love them.


Queer Youth Programs at Northwest Youth Services

The Queer Youth Project (QYP) at Northwest Youth Services’ is currently on pause while we restructure the program to best support and advocate for at-risk and homeless LGBTQ+ youth.


The Angels

This is a forum supporting the transgender community.


Trans Families Groups

Trans Families Logo 

TransFamilies mom and teen hugging

We run parent support groups (including a group for Spanish-speaking families), a trans youth leadership program, special topics groups, and youth support groups… Individual support is also available. 


Trans Women + Nonbinary Fem + Intersex Discussion Group

Trans Women Nonbinary Fem Intersex Discussion Group






Every Tuesday; 6:00 – 8:30 pm

An opportunity to connect and share your unique experience with other humans who have their own stories from which we all can learn. Offer support, friendship, affirmation, and kindness to each other and your self. Stay connected online on the Discord channel.


Washington Gender Alliance

Washington Gender Alliance Logo








Community-oriented, peer-facilitated, open support group for people who are transgender, gender variant or whose lives may be directly or indirectly involved with a transgender or gender variant person.


Western Students group “LGBTAC” Lesbian, Gay, Bisexual and Transgender Advocacy Council

The purpose of the Lesbian, Gay, Bisexual, Transgender Advocacy Council is to ensure that LGBTQ+ people and issues matter at Western and the larger community. We provide support, advocacy, and resources for the students, staff and faculty of Western Washington University.


WWU T.A.G. Team

T.A.G. Team for Transgender and Gender Non-Conforming Students is an open social space for transgender and gender non-conforming students and community members!

We are a casual social group that meets weekly to relax in an environment with people who can understand and share our experiences. We also plan outings like hikes as well as educational events for non-trans folks. 


School Counselors

Bellingham School District Director of Teaching and Learning Bethany Barrett

Bethany Barrett (she/her) 

Assistant Principal | Sehome High School

GSA Advisor | Sehome High School

Bellingham Public Schools

cell – 360.746.5839 


Some proactive actions we’ve taken in recent years to support all students:

  • We have an LGBTQ+ staff leadership team with representatives from elementary, middle and high school.
  • We are providing initial LGBTQ+ cultural competency training for staff in every school by the end of 2017 and professional development opportunities for counselors, administrators, and teachers to deepen understandings and develop lessons for inclusive conversations and lessons.
  • We have clubs in almost all secondary schools for LGBTQ+ students.
  • Our schools have signage to support inclusion and diversity.
  • Federal law (Title IX) prohibits gender-based discrimination and prohibits discrimination based on documentation status. We follow all anti-discrimination laws and do not tolerate hateful words, actions or crimes against any of the members of our community, regardless of race, religion, language, national origin, gender, sexuality, ability, or socio-economic status.
  • Our district’s point person to connect staff, students, and families to LGBTQ+ resources is Bethany Barrett, Director of Teaching and Learning.