Siena Ann Vaccara
Zencare Vetted

Siena Ann Vaccara


Master of Arts (MA) - Clinical Mental Health Counseling Mental Health Counselor - Limited Permit, MHC-LP Master of Education, Ed.M. Counseling Psychology Certified Yoga Instructor
New York Waitlist Online
Financial District Not Accepting In-person

Currently Accepting New Clients!

Mondays 1-8

Tuesdays 8-5

Wednesdays 1-8

Thursdays 8-12

Fridays 9-5

Updated March 16, 2023

Specialties & Expertise

  • Anxiety
  • College & graduate student mental health
  • Depression
  • LGBTQIA, gender, & sexuality topics
  • Life transitions
  • Pregnancy, perinatal, postpartum mental health

Professional statement

Siena Vaccara, Ed.M, M.A, MHC-LP (she/her) received her master’s in Mental Health & Psychological Counseling from Columbia University. Siena believes in encouraging personal growth through education, cultural awareness, and building trusting relationships. She utilizes Feminist and Narrative treatment plans, as well as Cognitive Behavioral and Person-Centered techniques in session to incorporate an integrative psychotherapy approach that honors the unique needs of individuals. She understands the importance of the collaborative therapeutic space being non-judgemental, unbiased, open-minded, and strength-driven. Siena treats individuals with concerns ranging from personal transitions to family planning, identity, mood fluctuations, and stressful life events.

Siena’s training includes a specialization in Reproductive & Maternal Well-Being. She is a queer identifying therapist with expertise in LGBTQIA+ affirming care. Siena is also a DONA International educated Childbirth Doula, certified Child Developmental Monitor, certified Yin Yoga instructor, and lifelong musician. She uses her expansive and holistic wellness background as a means to help people cultivate mind-body awareness and to promote optimal holistic grounding, artistic expression, and emotional regulation.

Siena is professionally versed in interpersonal processing group co-facilitation, gender affirming care, sexuality exploration, ASD populations, childhood development, and perinatal health. She is also trained in Emergency Response: Acute Trauma, Overdose Prevention, Suicidal Risk (C-SSRS) Screening, and Stanley-Brown safety planning. Her previous clinical experiences include psycho-educational settings where she has served neurodiverse college aged youth during pivotal adjustment phases.

Message to clients

Finding an environment that is unbiased, open-minded and strength-driven is important when it comes to creating a therapeutic relationship that is collaborative and catered to your unique needs. I believe that clients are experts in their own experiences, and as your therapist, I am here to accompany you as you navigate challenges and change.

As a queer therapist, I am devoted to creating a safe space for you to nurture your identity. As a holistic health advocate, I believe that each individual deserves to receive care that is inclusive and whole person focused. Meaning, your surroundings, history, cultural background, support systems, health and passions are important to me.

Knowing when you need help is a strength, and facilitating that process is not easy but you should be proud of yourself for taking time for your mental health. In session, you should expect to feel heard, feel at ease, feel understood and reassured. I will guide you through examining self-care measures, relationships and life events-using compassion to ground yourself in your values and your goals. As a helper, I am an admirer of human strength, emotion and vulnerability. I hope that I can mitigate your worry, and I encourage you to reach out to see if my approaches are right for you.


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

College & graduate student mental health - Specialized strategies for common issues of young adulthood, including school and career stressors, support around healthy relationships, existential concerns, drug or alcohol issues, eating disorders, and anxiety and/or depression.

Depression - Providing support and promoting healing of hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life

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

Life transitions - Coping with difficult or impactful life changes, such as moving to a new area, relationship transitions, child rearing, or career changes; learning self-care to better manage resulting stress

Pregnancy, perinatal, postpartum mental health - Addressing issues specific to women and families during the pregnancy and postpartum period, including postpartum depression and anxiety


  • Adults (24+)
  • Couples
  • Families
  • Parents
  • Seniors (65+)
  • Teenagers (13-18)
  • Young adults (18-24)


Siena Vaccara is not in-network with any insurances.

Read about the benefits of seeing an out-of-network provider here.

Out-of-pocket fees

  • Individual sessions: $150 (45min)
  • Couples sessions: $200 (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
  • Every other week
  • Multiple times a week


Online Sessions (New York)
Accepting new clients with a 2 - 3 week wait online
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon 11:00am-8:00pm
  • Tue 11:00am-8:00pm
  • Wed 10:00am-7:00pm
  • Thu 8:00am-12pm
  • Fri 11:00am-5:00pm
  • Sat Closed
  • Sun Closed

Financial District practice
140 Broadway, #4657, New York, NY 10005, New York, New York 10005
Not accepting new clients in-person
Currently Available Times
  • Morning (Before 10am)
  • Daytime (10am - 1pm)
  • Afternoon (1pm - 5pm)
  • Evening (After 5pm)
  • Weekends
Regular Hours
  • Mon Please inquire about hours
  • Tue Please inquire about hours
  • Wed Please inquire about hours
  • Thu Please inquire about hours
  • Fri Please inquire about hours
  • Sat Please inquire about hours
  • Sun Please inquire about hours

Work and Education

Years of Experience: 1 year

Wellness Road Psychology , Psychotherapist, 2022 - Present
DONA International, Childbirth/Perinatal Doula, 2022 - Present
Macaulay Honors College, CUNY, Wellness Counselor, 2021 - 2022
Sing For Hope, Hospital Pianist/Musician-Cancer, Alzheimers & TBI Center, 2019 - 2022
Purchase College, SUNY, Disability Resources-Autism Spectrum Conditions, 2018 - 2020
Purchase College, SUNY, Teaching Assistant-Psychopathology, 2017 - 2019
The Children's Center, SUNY, Developmental Monitor, 2017 - 2018

Columbia University , Ed.M in Mental Health Counseling, 2022
Columbia University , M.A in Psychological Counseling, 2022
Columbia University , AdvCert: Sexuality Women & Gender: Maternal & Reproductive Well-Being, 2022
DONA International, Childbirth Doula , 2022
Anjali Holistic Health Academy , Yin & Prenatal Yoga Instruction , 2021
NYS Psychiatric Institute , C-SSRS Screening, 2021
NYS Department of Health , Overdose Prevention, 2021
Purchase College, SUNY, B.A Psychology , 2020
Purchase College, SUNY, B.A Gender Studies, 2020
Purchase College, SUNY, Certificate: Early Childhood Development, 2018


New York: 115947-01