‌Mind Specialist Qualifications and Disclosure Information

This document provides the professional qualifications, licensing information, and required disclosure statements for all Mind Specialists. The information below is provided to comply with state licensing requirements and ensure transparency regarding your clinical care team.

‌Mind Specialists

‌Laura Melton, PhD, ABPP

Education and Training • PhD in Clinical Psychology: University of Houston (Houston, TX) • Internship: VA Palo Alto Health Care System (Palo Alto, CA) • Postdoc: VA Palo Alto Health Care System (Palo Alto, CA) • Board Certification in Clinical Health Psychology: American Board of Professional Psychology (ABPP)

Licensing Information Licensed Psychologist, PhD - PSYPACT Authority to Practice Interjurisdictional Telepsychology (APIT) #21442

Active Individual State Licenses: Alaska - 236362; California - 35978; Colorado - PSY.004089; Iowa - 131138; Hawaii - PSY-2254; Louisiana - 1745; Massachusetts - PSY 10001934; Minnesota - LP6901; Mississippi - 631164; New Jersey - 35SI00782900; New Mexico - PSY-2025-0041; New York - 027189; Oklahoma - 1510; Oregon - 4048

Contact Information Phone: 385-262-7495

State-Specific Disclosure Forms Available: Washington, Vermont, Kansas, Colorado

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‌Alexandra Conway, PhD

Education and Training • PhD in Clinical Psychology: Yeshiva University, Ferkauf Graduate School of Psychology (Bronx, NY) • Internship: Bruce W Carter Department of Veterans Affairs Medical Center (Miami, FL) • Postdoc: VA Connecticut Healthcare System (West Haven, CT)

Licensing Information Licensed Psychologist, PhD - PSYPACT Authority to Practice Interjurisdictional Telepsychology (APIT) #21668

Active Individual State Licenses: Connecticut - 3862; Iowa - 135200; Massachusetts - PSY10001830; New Mexico - PSY-2025-0135; New York - 023433

Contact Information Phone: 385-390-3988

State-Specific Disclosure Forms Available: Washington, Vermont, Kansas, Colorado

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‌Common Information for All Specialists

Corporate Contact Information

The Corporation's principal place of business address is: 915 Broadway, Suite 1109, New York, NY 10010

The Corporation's mailing address is: 169 Madison Avenue, Suite 15501, New York, NY, 10016

Program Orientation The Mind program takes a comprehensive approach to mental health and wellness, addressing the connections between your physical health, thoughts and emotions, and environment. Our specialists focus on supporting you with small, manageable actions that you can easily implement in your daily life to create meaningful improvements in how you feel.

Program Structure The standard Mind program is typically 6-12 weeks, with the first meeting being a video call and most interactions after being asynchronous through the Mind app or SMS chat. The actual duration may vary based on your specific needs, progress, and program goals. We will regularly review your progress and adjust your program plan as necessary.

Financial Requirements There are no direct costs to you for these services as they are provided by your employer as part of your benefits package.

Member Rights As a member, you have the right to:

Stop participating in the program at any time
Choose the Mind Specialist that best suits your needs
Request a change in your program focus
Ask questions about your program or Specialist’s qualifications
Receive support from your Specialist in a way that is respectful

Privacy Your communications with your Specialist are kept private and confidential. However, there may be some legal limitations to confidentiality:

If your Specialist has reason to suspect abuse or neglect of a child, elderly person, or other special populations
If you express serious intent to harm yourself or someone else
If your records are subpoenaed by court order
For consultation with other professionals, in which case identifying information will be withheld
For billing purposes, if applicable
Other reasons as required by law

Professional Supervision and Consultation To ensure the highest quality of care, your Specialist may occasionally consult with colleagues about aspects of your treatment while maintaining your confidentiality.

State-Specific Information

Washington

If you have concerns about your treatment, you may discuss them with your Specialist directly. However, if you believe your Specialist has acted unprofessionally, you may file a complaint with the Washington State Department of Health, Health Professions Quality Assurance Division at:

Mailing Address: Washington State Department of Health Health Systems Quality Assurance Complaint Intake P.O. Box 47857 Olympia, WA 98504-7857 Phone Number: 360-236-4700 Email Address: HSQAComplaintIntake@doh.wa.gov Fax Number: 360-236-2626 Online: https://doh.wa.gov/licenses-permits-and-certificates/file-complaint-about-provider-or-facility

Kansas

Our Mind providers are Licensed Psychologists. They have doctoral degrees. They each have a doctoral degree in psychology. Our Mind providers do not have medical degrees. As such, our Mind providers are not authorized to practice medicine and surgery and are not authorized to prescribe drugs. Certain mental disorders can have medical or biological origins, and you should consult with a physician.

Colorado

Client rights and important information

Generally speaking, the information provided by and to you as the client during the therapy sessions is legally confidential. Since the information is legally confidential, I cannot be forced to disclose any of your information without your consent. Information

disclosed to me is privileged communication and cannot be disclosed in any court of competent jurisdiction in the State of Colorado without the consent of the person to whom the testimony sought relates.
There are exceptions to the general rule of legal confidentiality. These exceptions are listed in the Colorado statutes (C.R.S. 12-43-218). You should be aware that provisions concerning disclosure of confidential communications shall not apply to any delinquency or criminal proceedings, except as provided in section 13-90-107 C.R.S. Confidentiality may also be waived in the event of physical abuse and/or neglect of a child, including any past or present sexual contact with a minor. All therapists are required by law to report such instances to the Denver Dept of Social Services. Additionally, in the event of imminent danger to yourself or another person, I am required, by law, to protect you, which may result in you being hospitalized, and I have a duty to warn anyone who may be in imminent danger as a result of your threats or frame of mind.
As to the regulatory requirements applicable to mental health professionals: a Licensed Clinical Social Worker, a Licensed Marriage and Family Therapist, and a Licensed Professional Counselor must hold a masters degree in their profession and have two years of post-masters supervision. A Licensed Psychologist must hold a doctorate degree in psychology and have one year of post-doctoral supervision. A Licensed Social Worker must hold a masters degree in social work. A Psychologist Candidate, a Marriage and Family Therapist Candidate, and a Licensed Professional Counselor Candidate must hold the necessary licensing degree and be in the process of completing the required supervision for licensure. A Certified Addiction Counselor I (CAC I) must be a high school graduate, and complete required training hours and 1000 hours of supervised experience. A CAC II must complete additional required training hours and 2,000 hours of supervised experience. A CAC III must have a bachelors degree in behavioral health, and complete additional required training hours and 2,000 hours of supervised experience. A Licensed Addiction Counselor must have a clinical masters degree and meet the CAC III requirements. A Registered Psychotherapist is registered with the State Board of Registered Psychotherapists, is not licensed or certified, and no degree, training or experience is required.
You are entitled to receive information from me about my methods of therapy, the techniques I use, the duration of your therapy (if I can determine it), and my fee structure. Please ask if you would like to receive this information.
In a professional relationship (such as ours), sexual intimacy between a therapist and a client is never appropriate and should be reported to the board that licenses, registers, or certifies the licensee, registrant or certificate holder.
You can seek a second opinion from another therapist or terminate therapy at any time.

If you have concerns about your treatment, we encourage you to discuss them with your Mind specialist directly. The Colorado Department of Regulatory Agencies has the general

responsibility of regulating the practice of licensed psychologists, licensed social workers, licensed professional counselors, licensed marriage and family therapists, licensed school psychologist practicing outside the school setting, and unlicensed individuals who practice psychotherapy. All questions and/or complaints should be addressed to: Department of Regulatory Agencies, Mental Health Section, Board of Psychologist Examiners, 1560 Broadway, Suite 1350, Denver, Colorado 80202, (303) 894-7800.

Vermont

‌Vermont Board of Allied Mental Health Practitioners Disclosure Vermont law requires persons licensed to practice psychotherapy to disclose to each client their professional qualifications and experience, those actions that constitute unprofessional conduct, and the method for filing a complaint or making a consumer inquiry. This must be done by the third appointment. Rules require the following information to be provided:

If you have concerns about your treatment, we encourage you to discuss them with your Mind specialist directly. However, if you believe they have acted unprofessionally, you may file a complaint with the

Vermont Board of Psychological Examiners

89 Main Street 3rd Floor

Montpelier, Vermont 05620

Phone: 802-828-2390

Office of Professional Regulation Notice

The Office of Professional Regulation provides Vermont licenses, certifications, and registrations for over 56,000 practitioners and businesses. Forty-six professions and occupations are supported and managed by this office. A list of professions regulated is found below. Each profession or occupation is governed by laws defining professional conduct.

Consumers who have inquiries or wish to obtain a form to register a complaint may do so by calling (802) 828-1505, or by writing to the Director of the Office, Secretary of State’s Office, 89 Main Street, 3rd Floor, Montpelier, VT 05620-3402.

Upon receipt of a complaint, an administrative review determines if the issues raised are covered by the applicable professional conduct statute. If so, a committee is assigned to investigate, collect information, and recommend action or closure to the appropriate governing body. All complaint investigations are confidential. Should the investigation conclude with a decision for disciplinary action against a professional’s license and ability to practice, the name of the license holder will then be made public.

Complaint investigations focus on licensure and fitness of the licensee to practice. Disciplinary action, when warranted, ranges from warning to revocation of license, based on the circumstances. You should not expect a return of fees paid or additional unpaid services as part of the results of this process.

If you seek restitution of this nature, consider consulting with the Consumer Protection Division of the Office of the Attorney General, retaining an attorney, or filing a case in Small Claims Court.

Accountancy; Acupuncture; Architects; Athletic Trainers; Auctioneers; Audiologists; Barbers & Cosmetologists; Boxing Control; Chiropractic; Dental Examiners; Dietitians; Drug and Alcohol Counselor; Naturopaths; Nursing; Nursing Home Administrators; Occupational Therapists; Opticians; Optometry; Osteopathic; Physicians and Surgeons; Pharmacy; Physical Therapists; Private Investigative & Security Services; Property Inspectors; Psychoanalyst; Electrolysis; Engineering; Funeral Service; Hearing Aid Dispensers; Land Surveyors; Landscape Architects; Marriage & Family Therapists; Clinical Mental Health Counselors; Midwives, Licensed; Motor Vehicle Racing; Psychology Professional; Psychotherapist, Non-licensed; Radiologic Technology; Real Estate Appraisers; Real Estate; Respiratory Care; Social Workers, Clinical; Tattooists; Veterinary

The Vermont Statutes Online

Title 3: Executive Chapter 5: SECRETARY OF STATE Sub-Chapter 3:

Professional Regulation 3 V.S.A. § 129a.

Unprofessional conduct (a) In addition to any other provision of law, the following conduct by a licensee constitutes unprofessional conduct. When that conduct is by an applicant or person who later becomes an applicant, it may constitute grounds for denial of a license or other disciplinary action. Any one of the following items, or any combination of items,

whether or not the conduct at issue was committed within or outside the State, shall constitute unprofessional conduct: (1) Fraudulent or deceptive procurement or use of a license. (2) Advertising that is intended or has a tendency to deceive. (3) Failing to comply with provisions of federal or state statutes or rules governing the practice of the profession.

(4) Failing to comply with an order of the board or violating any term or condition of a license restricted by the board. (5) Practicing the profession when medically or psychologically unfit to do so. (6) Delegating professional responsibilities to a person whom the licensed professional knows, or has reason to know, is not qualified by training, experience, education, or licensing credentials to perform them, or knowingly providing professional supervision or serving as a preceptor to a person who has not been licensed or registered as required by the laws of that person's profession. (7) Willfully making or filing false reports or records in the practice of the profession; willfully impeding or obstructing the proper making or filing of reports or records or willfully failing to file the proper reports or records. (8) Failing to make available promptly to a person using professional health care services, that person's representative, or succeeding health care professionals or institutions, upon written request and direction of the person using professional health care services, copies of that person's records in the possession or under the control of the licensed practitioner or failing to notify patients or clients how to obtain their records when a practice closes. (9) Failing to retain client records for a period of seven years, unless laws specific to the profession allow for a shorter retention period. When other laws or agency rules require retention for a longer period of time, the longer retention period shall apply.

(10) Conviction of a crime related to the practice of the profession or conviction of a felony, whether or not related to the practice of the profession. (11) Failing to report to the office a conviction of any felony or any offense related to the practice of the profession in a Vermont District Court, a Vermont Superior Court, a federal court, or a court outside Vermont within 30 days. (12) Exercising undue influence on or taking improper advantage of a person using professional services or promoting the sale of services or goods in a manner which exploits a person for the financial gain of the practitioner or a third party. (13) Performing treatments or providing services which the licensee is not qualified to perform, or which are beyond the scope of the licensee's education, training, capabilities, experience, or scope of practice.

(14) Failing to report to the office within 30 days a change of name or address. (15) Failing to exercise independent professional judgment in the performance of licensed activities when that judgment is necessary to avoid action repugnant to the obligations of the profession. (b) Failure to practice competently by reason of any cause on a single occasion or on multiple occasions may constitute unprofessional conduct, whether actual injury to a client, patient, or customer has occurred. Failure to practice competently includes: (1) performance of unsafe or unacceptable patient or client care; or (2) failure to conform to the essential standards of acceptable and prevailing practice. (c) The burden of proof in a disciplinary action shall be on the State to show by a preponderance of the evidence that the person has engaged in unprofessional conduct. (d) After hearing, and upon a finding of unprofessional conduct, a board or an administrative law officer may take disciplinary action against a licensee or applicant, including imposing an administrative penalty not to exceed

$1,000.00 for each unprofessional conduct violation. Any money received under this subsection shall be deposited in the Professional Regulatory Fee Fund established in section 124 of this title for the purpose of providing education and training for board members and advisor appointees. The Director shall detail in the annual report receipts and expenses from money received under this subsection. (e) In the case where a standard of unprofessional conduct as set forth in this section conflicts with a standard set forth in a specific board's statute or rule, the standard that is most protective of the public shall govern. (Added 1997, No. 40, § 5; amended 2001, No. 151 (Adj. Sess.), § 2, eff. June 27,

2002; 2003, No. 60, § 2; 2005, No. 27, § 5; 2005, No. 148 (Adj. Sess.), § 4; 2009, No. 35, §

2; 2011, No. 66, § 3, eff. June 1, 2011; 2011, No. 116 (Adj. Sess.), §5.) § 4093.

Unprofessional conduct (a) Unprofessional conduct means the following conduct and conduct set forth in section 129a of Title 3: (1) Providing fraudulent or deceptive information in an application for entry on the roster. (2) Conviction of a crime that evinces an unfitness to practice psychotherapy. (3) Unauthorized use of a protected title in professional activity.

(4) Conduct which evidences moral unfitness to practice psychotherapy. (5) Engaging in any sexual conduct with a client, or with the immediate family member of a client, with whom the psychotherapist has had a professional relationship within the previous two years. (6) Harassing, intimidating or abusing a client. (7) Entering into an additional relationship with a client, supervisee, research participant or student that might impair the psychotherapist's objectivity or otherwise interfere with his or her professional obligations.

(8) Practicing outside or beyond a psychotherapist's area of training, experience or competence without appropriate supervision. (b) After hearing, and upon a finding of unprofessional conduct, the board may take disciplinary action against a rostered psychotherapist or an applicant. (Added 1993, No. 222 (Adj. Sess.), § 17; amended 1997, No. 40, § 71; 1997, No. 145 (Adj. Sess.), § 61; 1999, No. 52, § 37.)

Version: March 17, 2026