Alexandra  Pierotti

Alexandra Pierotti


Licensed Mental Health Counselor, LMHC Specialties Insurance & Fees Locations
New Jersey Not Accepting Online
New York Accepting Online
Updated February 16, 2024

Specialties & Expertise

  • Trauma
  • Post-traumatic Stress Disorder (PTSD)
  • Sexual health & dysfunction
  • Nonmonogamy, polyamory, and kink
  • LGBTQIA, gender, & sexuality topics
  • Anxiety

Professional statement

Alexandra Pierotti is a Licensed Mental Health Counselor in New York who specializes in helping individuals work through and overcome issues related to anxiety, trauma, relationships, gender/sexuality and sexual dysfunction. Her clients come from diverse backgrounds, but are all seeking a safe place to explore and address both recent and long-standing issues related to their mental health. Alexandra is also passionate about working with clients who are members of the LGBTQIA+, kink/BDSM, consensual non-monogamy/poly and sex work communities.

Alexandra’s approach is integrative and based upon each client’s individual needs, with the understanding that no single approach is able to encompass every client’s specific journey. Alexandra draws from a range of approaches including psychodynamic, CBT, DBT, motivational interviewing and others. Alexandra is trained in EMDR, and works with its application to a range of issues, including PTSD, complex trauma and chronic pain. Alexandra is trained in sex therapy and works with a range sexual dysfunctions, concerns around desire and intimacy, and the pursuit of a fulfilling and healthy sex life.

Alexandra works to create a non-judgmental and safe space to foster the development of a client-therapist relationship that is the key to any successful therapy. This foundation will allow the space needed to explore and move past prior traumatic and painful experiences, overcome current life stressors and foster personal strengths and growth to empower each client.

Alexandra received her Master’s Degree in Mental Health Counseling from Baruch College in 2019. In addition to her experience working in an outpatient setting, she gained clinical experience at the Westchester Behavioral Health Center division of New York Presbyterian Hospital from 2017-2021.

Message to clients

My approach is based on the belief that growth and change cannot take place without a trusting, safe and non-judgmental relationship between the client and therapist. I also believe that no one treatment approach can meet every individual’s need, which is why we will work together to come up with a plan that will help you meet your goals and heal from past and present trauma and stressors. We will work through the negative emotions, behaviors and thoughts that can prevent happiness and fulfillment in your current and future life. I look forward to being a part of your journey of healing.


Trauma - Coping and healing after threatening or scary events, such as witnessing accidents or experiencing sexual, verbal, emotional, or physical abuse

Post-traumatic Stress Disorder (PTSD) - Healing painful experiences and memories from the past

Sexual health & dysfunction - Addressing emotional, physical, and biological concerns related to sexual intimacy and functioning; education and skill building around topics such as erectile dysfunction, orgasms, low libido, shame, and history of abuse; improving communication to realize a fulfilling sex life

Nonmonogamy, polyamory, and kink - Exploring one’s values in and beliefs about relationships; practicing boundary-setting, conflict resolution, and romantic or sexual relationship bonding with partners

LGBTQIA, gender, & sexuality topics - Exploring topics of sexuality, gender, and identity; coping with discrimination and oppression; navigating relationship, family, and cultural challenges

Anxiety - Coping with excessive worry, nervousness, or stress; intense discomfort in social settings (social anxiety); sudden and intense feelings of panic (panic disorder)


  • Adults (24+)
  • Parents
  • Young adults (18-24)


  • Aetna (in-network in NY, NJ)
  • Blue Cross Blue Shield (in-network in NY)
  • Cigna (in-network in NY, NJ)
  • Empire Blue Cross Blue Shield (in-network in NY)
  • NYU Student Health Insurance (Wellfleet / Cigna PPO) (in-network in NY, NJ)
  • New School Student Insurance (United Healthcare Student Resources) (in-network in NY, NJ)
  • Optum (in-network in NY, NJ)
  • UMR (in-network in NY, NJ)
  • United Healthcare (in-network in NY, NJ)
  • United Healthcare Student Health Plan (in-network in NY, NJ)

Out-of-pocket fees

  • Individual sessions: $150 (45min)
  • Initial session: $170 (55min)
  • Individual Session: $180 (60min)

Additional session information

Out-of-network billing options

This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:

  • Super billing
Payment options
  • Credit Card
  • Debit Card
Session frequency

Frequency of sessions this provider offers to see clients once you are an established client.

  • Weekly
  • Multiple times a week


Online Sessions (New York)
Accepting new clients online
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon 9am-2pm
  • Tue 11am-6pm
  • Wed 9am-5pm
  • Thu 9am-5pm
  • Fri 9am-5pm
  • Sat Closed
  • Sun Closed

Online Sessions (New Jersey)
Not accepting new clients online
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon 9:00am-2:00pm
  • Tue 11:00am-6:00pm
  • Wed 9:00am-5:00pm
  • Thu 9:00am-5:00pm
  • Fri 9:00am-5:00pm
  • Sat Closed
  • Sun Closed

Work and Education

Years of Experience: 5 years

Private Practice, Psychotherapist, 2022 - Present
Midtown Therapist , Psychotherapist, 2020 - 2022
New York Presbyterian Hospital, Psychosocial Rehabilitation Specialist, 2017 - 2021

Baruch Collegy, Mental Health Counseling MA, 2019


New York: 011569

New Jersey: 37PC00917000