of Master's and Doctoral level LPC's, LCSW's, LMFT's, & Psychologists. Our team has many areas of specialities and together we treat the broad spectrum of mental health disorders. We offer individual, group, family and couples counseling.

Meet One-Eighty Counseling

Garner Staff

Sarah Coates

Sarah Coates

M.Ed, LPC, NCC, DCC

is the founder & owner of One-Eighty Counseling P.A. She started the group in 2007 and has facilitated the company's growth to become the one of the largest Mental Health & Substance Abuse private practices in our area. Sarah is a Licensed Professional Counselor licensed in North Carolina (LPC), Nationally Certified Counselor (NCC) and Distance Credentialed Counselor (DCC). The Distance Credentialed Counselor (DCC) identifies those professional counselors who are uniquely trained in best practices for delivering traditional counseling through technological means. DCCs have met nationally established distance counseling criteria and adhere to the National Board for Certified Counselors (NBCC) ...

Dr. Christina Strayer

Dr. Christina Strayer

Ed.D, LPC, CCTP, AAT, NBCT, DCC

is a Doctoral level Licensed Professional Counselor, a Certified Counselor in Trauma Procedures (CCTP) and trained in Animal Assisted Therapy (AAT). Christina brings a unique approach to her work with children, adolescents and adults by teaming up with her sidekick Betsy. Clients have the option to decline the use of a therapy dog in session. Therapy dogs are proven to assist clients in many therapeutic ways.

Christina has a diverse background in counseling and teaching. Christina works with school aged children, adolescents, adults and couples in the areas of PTSD, Compassion Fatigue, ADHD, Stress, Trauma, Grief and Loss, Anxiety, Depression, Relationship/Communication ...

Jenny Ayscue

Jenny Ayscue

MSW, LCSWA

is a Licensed Clinical Social Work Associate. She earned both her Master's degree in Social Work and her Bachelor's degree with Honors from the University of North Carolina at Chapel Hill.

Jenny has over 12 years of experience working with individuals and families in crisis, serving a number of organizations focusing on mental health, suicide prevention, domestic violence, sexual assault and child abuse. Not only is she adept at assisting those experiencing acute crisis but also enjoys helping people be the best they can b.e

Jenny feels that the therapeutic relationship is of the utmost importance and strives to put people at ease, providing a safe and ...

Victoria Butler

Victoria Butler

M.Ed., LPCA

is a Licensed Professional Counselor Associate. Victoria earned her Master's degree in School Counseling from Campbell University and her Bachelor's degree in English with honors from Mount Olive University.

Victoria has over 8 years of combined experience in providing counseling and educational services to children, adolescents, and families, and she specializes in working with the social, emotional, and behavioral needs of these populations.

She provides a safe, client-centered environment for her clients to explore their feelings and patterns of thinking while setting and working toward their personal goals. Victoria believes that the most valuable ...

Cory Clark

Cory Clark

M.Ed, LPCA, NCC

is a Licensed Professional Counselor Associate (LPCA). Cory holds a Bachelor's degree from the University of North Carolina at Chapel Hill, where he graduated with honors in Psychology. After graduating from UNC, Cory spent several years in Asia as a behavior therapy consultant, working with children with externalizing behavior issues and associated diagnoses, such as ADHD, Oppositional Defiant Disorder and Autism Spectrum Disorders. After living abroad, Cory went on to earn his Master's degree in Clinical Mental Health Counseling from North Carolina State University. He is currently earning his doctoral degree in Counselor Education at North Carolina State University, with research ...

Julie DeFalco

Julie DeFalco

MSW, LCSW

is an accomplished psychotherapist who is trained in Dialectical Behavior Therapy (DBT) and play therapy. As a Licensed Clinical Social Worker with over 20 years experience, Julie has a natural affinity for working with all types of clients, and she is very culturally competent. She believes clients need positive affirmation and empathy along with guidance to learn how to make healthy choices for themselves. She strives to help clients develop into happy, productive members of society. Julie takes a client-centered approach, combining cognitive-behavioral techniques with psychodynamic, insight-oriented therapy. Counseling is tailored to each client's individual needs and preferences. ...

John Eklund

John Eklund

MSW, LCSWA

is a Licensed Clinical Social Work Associate (LCSWA). He earned his Bachelor's degree from Evangel University in Springfield, MO, and graduated with Honors with a Master's Degree in Social Work from Delaware State University.

John started his career in 1999 as a Family Crisis Therapist for the state of Delaware working with at risk children, teens and families and has, over the past 17 years enjoyed providing client-centered counseling services to an incredible variety of populations including: children, youth, families, veterans, incarcerated individuals, state and federal probationers, abused and neglected children, foster children, physically, emotionally and ...

Larry Ellsworth

Larry Ellsworth

MSSW, LCSW

earned his Bachelor's of Science degree in Psychology from the University of Northern Colorado and a Master's Degree in Social Work from the University of Wisconsin-Madison.

Larry has many years of experience providing clinical services for children, adolescents and families dealing with a wide range of mental health issues. Larry was a clinician and then program supervisor at Wake County Mental Health/Human Services where he developed and managed an innovative treatment program for children and families dealing with sexual abuse. During Larry's tenure with Mental Health/Human Services he also provided clinical supervision, consultation and community education. ...

Jodi Engelstein

Jodi Engelstein

MS, LPC, NCC

earned her Bachelors of Science degree in Business Administration from Boston University and her Masters of Science degree in Mental Health Counseling from Nova Southeastern University. She acquired the National Certified Counselors Designation from the National Board of Certified Counselors, and became a Licensed Professional Counselor in North Carolina in May 2014. She has been in the counseling profession for over 20 years.

During that time, she has served different populations, including children, adolescents, families, couples and adults. She has seen clients in different settings as well. Jodi specializes in treating those that need help with their symptoms of ...

Allison Ernest

Allison Ernest

M.S., LMFT

is a Licensed Marriage and Family Therapist (LMFT). She earned her Master's degree from Thomas Jefferson University in Philadelphia, PA, with a specialization in Sex Therapy. She completed her internship at the Council for Relationships (formally the original Marriage Council of Philadelphia) working with diverse populations including couples, individuals, families, and children, all from a variety of backgrounds.

Allison works with various areas including depression, anxiety, relationship issues, self-esteem, past trauma, sexual abuse, marital/ couples work, identity, family dynamics, communication, grief/ loss, stress, and anger management. One of her specialties ...

Karen Finn

Karen Finn

MA, LPC

Originally from Pennsylvania, Karen studied at Kutztown State University, Penn State University, and Wilkes University where she earned a Bachelor's degree in English Education. She has lived in North Carolina for nearly twenty years and earned her Master's degree in Counseling from Campbell University. She is a North Carolina Licensed Professional Counselor and member of the American Counseling Association.

Karen's ten years in business management followed by eighteen years in teaching, counseling in schools, and private counseling, provides a wealth of wisdom and insight into the challenges and behaviors of adolescents, adults, and couples. She works with pre-adolescents ...

Luz Florio

Luz Florio

MA, LPC, CCTP

is a bilingual Licensed Professional Counselor licensed in the State of North Carolina and a certified Trauma Professional. Luz earned her Master's degree in Professional Counseling with honors from Liberty University.

She has over 5 years of experience providing counseling to pre-teens, adolescents and adults with mood and personality disorders, as well as those who have experienced abuse or trauma. During her time working for Interact of Raleigh, Luz gained much experience treating survivors of domestic violence and sexual assault. She also specializes in helping individuals struggling with anxiety, depression and other distressing symptoms such as those associated ...

Michael Garner

Michael Garner

MA, LMFT, LPCA

is a Licensed Professional Counselor Associate (LPCA). Michael earned his Master of Arts in Professional Counseling from Liberty University and his Bachelor's degree from Southeastern University.

Michael specializes in marriage and family therapy, including couples, parenting and adolescent therapy. He has extensive experience working with adolescent and parenting issues. His background includes over 10 years working with adolescents and their parents in several community organizations, which has provided him a great understanding of family, marriage, and parenting dynamics. Michael primarily uses Cognitive Behavioral Therapy (CBT) as well as a Family Systems approach ...

Paula Lavocat

Paula Lavocat

MA, LPC, LCAS, NCC

is a Licensed Professional Counselor (LPC), a Licensed Clinical Addiction Specialist (LCAS), and a National Certified Counselor (NCC). She earned her Master's degree in Clinical Mental Health Counseling from Campbell University and her Bachelor's degree in Communication from North Carolina State University. Paula is also a member of the Advisory Board for the Campbell University Counselor Education Program.

Paula offers individual therapy for clients with mental health concerns, in addition to her specialty in substance use disorders and dual diagnosis. She provides assessments and treatment in the areas of depression, anxiety, PTSD/trauma, adult ADHD, relationships, conflict resolution ...

Jenn Lowe

Jenn Lowe

M.A., LPCA

is a licensed professional counselor associate. Jenn provides individual counseling to children, adolescents, and women. She also provides family counseling.

Jenn believes in building a strong therapeutic alliance and relationship built on trust with her clients. After building a relationship it is her goal to develop mutually assigned upon goals. She uses cognitive behavioral therapy (CBT), trauma-focused cognitive behavioral therapy (TF-CBT), dialectical behavioral therapy (DBT), client-centered approaches, as well as using an eclectic approach to tailor therapy to an individual's unique needs and challenges. With children, Jenn uses play therapy techniques and believes ...

Dr. Kristen Moran

Dr. Kristen Moran

PhD, LPCA

is a doctoral level licensed professional counselor associate in North Carolina. She is also a fully licensed professional counselor in South Carolina. Kristen earned her Masters degree in School Counseling and PhD in Counselor Education and Supervision from Virginia Tech. She earned her Bachelor's degree from William and Mary.

Kristen has over 10 years of combined counseling experience working with a variety of populations. She worked as a school counselor in the elementary, middle, and high school levels and enjoys working one-on-one to help children and adolescents. She also has a passion for working with parents in helping to build strong families and with women ...

Cary Staff

Jenny Compton

Jenny Compton

MA, LPC

Jenny is a Licensed Professional Counselor with a diverse background in counseling and business. She spent 20 years in corporate America serving in various leadership and individual contributor roles. She earned her Master of Arts degree in Professional Counseling and Bachelor of Science degree in Psychology and Christian Counseling from Liberty University.

Jenny enjoys working with adolescents, adults, couples and families. She has provided both outpatient and inpatient care and has clinical experience in the areas of anxiety, depression, bipolar, behavioral problems, trauma, sexual abuse, grief, anger and issues of marriage and family, including step and blended ...

Dr. Ryan M. Denney

Dr. Ryan M. Denney

PhD

is a licensed psychologist and Health Services Provider in North Carolina. He earned a PhD in Counseling Psychology from The University of Southern Mississippi in Hattiesburg, Mississippi and a bachelor's and master's degree in psychology from Midwestern State University in Wichita Falls, Texas.

Dr. Denney provides therapy to teenagers and adults for a wide range of issues and concerns including depression, anxiety, relationship issues, trauma and others. He has a special interest in working with adoptive parents and teens, something close to his heart as an adoptive father ...

Heidi Fox

Heidi Fox

M.A., LPC

received her Master's Degree in Clinical Counseling from Colorado Christian University in Lakewood, CO, and Bachelor Degree from Appalachian State University. She is a Licensed Professional Counselor (LPC) with over nine years of experience serving various populations in Colorado and North Carolina. Heidi has trained and worked in a wide variety of settings with a diverse clientele in both inpatient and outpatient settings. She specializes in treating adolescents and adults who are facing depression, anxiety, self-esteem and relationship issues, and self-harming behaviors. Heidi works with families to repair relationships, enhance parenting skills, and improve family functioning and ...

Hannah Guffey

Hannah Guffey

M.A., LPCA

is a Licensed Professional Counselor Associate. Hannah's bachelor degree is from the University of Mount Olive where she graduated with honors in Clinical Psychology and then went on to earn her Master's degree from Campbell University in Mental Health Counseling. Hannah has worked with One-Eighty Counseling for over three years in an administrative role, while completing both her undergraduate and graduate internships with the practice.

Hannah's passion is working with adolescents and adults in the areas of mood disorders, anxiety, relationship issues, separation and divorce concerns, anger management, ADHD, women's issues, self esteem, life transitional dynamics ...

Phil Guistwite

Phil Guistwite

M.Div., M.S., LMFT, Clinical Fellow AAMFT

is a Licensed Marriage and Family Therapist as well as an Approved Supervisor with the American Association for Marriage and Family Therapy. He has worked with children, adolescents and adults in a variety of settings for over 35 years. Phil is an ordained clergyman who served as a US Army Chaplain on active duty for twenty years. During his service, he practiced psychotherapy with Soldiers, Airmen, Marines and Navy and Coast Guard members and their families. Phil served as an instructor for the Chaplain Corps and taught professional pastoral counseling to over 600 Chaplains of all faith groups. He also served as Senior Pastor in three civilian churches. His education includes two master ...

E.J. Hanks

E.J. Hanks

MA, LMFTA

is a licensed marriage and family therapist associate.

A Cary N.C. native, E.J. graduated with honors from Pfeiffer University, a COAMFTE accredited program, with a Master of Arts in Marriage and Family Therapy. He obtained a Bachelor of Arts with honors from North Carolina Wesleyan College, and completed a graduate level management and leadership program at the University of Louisville, Kentucky.

He works with a diverse group of individuals and couples struggling with a variety of issues including depression, anxiety, parenting difficulties, relationship distress, divorce/separation, grief, stress, and anger management. E.J. worked with public safety ...

Jacob Long

Jacob Long

M.Ed, LPCA, NCC

is a Licensed Professional Counselor Associate. Jacob earned his Master's degree in Education in Clinical Mental Health Counseling and his Bachelor's degree in Psychology from North Carolina State University. Jacob has over 10 years of experience providing mental health care, working in 3 directorial positions and as an outpatient therapist intern. Jacob has worked with adults, seniors and adolescents experiencing a wide range of difficulties, from the acute to the chronic. Jacob treats anxiety, depression, body-image issues, personality disorders, , bipolar disorder, trauma, sexual abuse, relationship issues, dissociation, impulse control issues, self-esteem ...

Suzanne Puckett

Suzanne Puckett

M.Ed., LPC

is a Licensed Professional Counselor and has a B.A. in Psychology with a concentration in Child and Adolescent Development and a M.A.Ed. in Counseling from East Carolina University.

She has counseled families, children, parents and couples for over 20 years. She helps children and adults face their conflicts, find solutions while strengthening relationships and families. Suzanne specializes in treating children, adolescents and families impacted by ADHD, learning disabilities, anxiety, depression and grief. Through the years of counseling families, Suzanne has grown ...

Administrative Staff

Sara Bingham

Sara Bingham

Office Manager

began her career teaching at Johnston Community College as an instructor for their Pharmacy Technology Program. She holds an Associate Degree in Applied Science with a course of study in Pharmacy Technology that she received from Johnston Community College. After 4 years of teaching, Sara felt called to go back to school and she earned her Bachelor's Degree in Healthcare Management at the University of Mount Olive.

As the Front Office Manager for One-Eighty Counseling, Sara's cheery voice is who you hear when you call into our offices. She oversees new patient referrals and appointment scheduling, is responsible for patient check in, assists with verification of insurance ...

Jennifer Latsha

Jennifer Latsha

Practice Manager

Jennifer comes to us with a love for the healthcare field and a broad expertise in many aspects of it. From administrative to billing to management, Jennifer has experience with it all. She received her Inpatient / Outpatient Billing and Coding Certificate with High Honors from Fayetteville Technical Community College and went on to receive her Certification as a Professional Coder with the AAPC in 2012.

Her primary focus is on providing excellent customer service and making sure that needs are well taken care of.


Please feel free to contact Jennifer if you have any questions regarding your insurance and billing and she will be glad to help you. ...