Accountant for therapists, psychotherapists and social workers.
Tax and bookkeeping help for registered psychotherapists, counsellors, social workers and psychologists in private practice. Whether you see clients from a home office, rent a room by the hour or run a group practice, you work with a CPA, CA who knows how a therapy practice runs.
Therapy practices have their own tax rules.
Most therapists and social workers start private practice alongside an agency or hospital job, then grow into a full caseload. Along the way the questions pile up. Am I a contractor or an employee at the group practice? Should I incorporate? What can I deduct when I see clients from home? How much should I set aside for tax?
The answers depend on your profession as much as your income, and the incorporation rules for therapists and social workers are stricter than they are for doctors. We work with therapists across Durham Region, Toronto and the GTA, and online anywhere in Ontario. Psychiatrists will find their own page here: accountant for psychiatrists.
Accounting services for therapists.
One firm for your tax return, bookkeeping and advice. Fixed fees, plain answers and one point of contact who understands a therapist's private practice and what the CRA expects from it.
Personal tax and T2125
Your T1 with Form T2125 (the business income statement for the self-employed), every allowable practice expense claimed and CPP on self-employment worked out correctly.
Bookkeeping for therapists
Payments from clients, insurers, EAPs and clinic payouts reconciled every month, so your income matches your practice software and your bank.
CRA letters and reviews
If the CRA asks for receipts or sends a review letter, we prepare the reply and deal with the CRA for you.
Incorporation advice
Whether a professional corporation makes sense for you, when to set one up and how to pay yourself once you do.
Group practice setup
For clinic owners: contractor and employee agreements, payroll and T4As for the therapists who work with you.
Instalments and planning
Quarterly tax instalments sized properly and RRSP planning, so the April bill is never a surprise.
Four things most accountants miss.
These come up almost every time a therapist changes accountants. Worth knowing whether or not we end up working together.
Your home office has to qualify
You can claim a share of rent, utilities and other home costs only if the space is your principal place of business, or if you use it only for the practice and meet clients there regularly. The claim cannot create or increase a business loss, and any amount you can't use carries forward to next year. Seeing clients online from a spare room still needs to meet these rules.
A job and a practice means two CPP bills
On your practice income you pay both halves of CPP, but what your employer already withheld counts towards the yearly maximum. For 2026 the self-employed rate is 11.9% on earnings between $3,500 and $74,600, plus 8% on earnings between $74,600 and $85,000. Without instalments, that amount lands all at once in April.
Contractor or employee at a group practice
Many therapists work at a clinic as contractors, but the title on the agreement is not the whole test. The CRA looks at who controls your work, who supplies the space and tools, and whether you can make a profit or take a loss. Getting it wrong changes your tax, your CPP and the clinic's payroll obligations, so the agreement needs to match how you actually work.
Your family cannot own shares of your corporation
Psychotherapists, psychologists and social workers can incorporate in Ontario, but every shareholder must be a member of the same profession. The family-shareholder rules that let doctors and dentists issue non-voting shares to a spouse do not apply to you. That changes the math on incorporating, which is why we model it with your numbers first.
Four kinds of therapy clients.
Registered psychotherapists
Solo RPs and psychotherapists building a caseload. Tax, T2125 and bookkeeping kept simple and on time.
Social workers in private practice
RSWs seeing clients privately, often alongside an agency or hospital job. We sort the employment and self-employed income and the CPP on each.
Psychologists
Practices that do assessments as well as therapy. We keep billing, expenses and payroll clean as the practice grows.
Group practice owners
Clinics with associates. Payroll, contractor pay and the right corporate structure.
You'll work directly with Elena.
EK CPA Pro is owner-operated. When you call, you're talking to the CPA, CA who's actually doing the work, not a junior who hands the file off at year-end. Elena has been working with owner-operated businesses across Durham Region since 2009, and is a graduate of CPA Canada's In-Depth Tax Program.
Questions therapists ask first.
Can a registered psychotherapist incorporate in Ontario?
Yes. CRPO registrants and psychologists can set up a health profession corporation, and registered social workers can set up a professional corporation through their College. Every shareholder must be a member of the same profession, so family members cannot own shares. Incorporating usually pays off only once you earn more than you need to live on and can leave the rest in the corporation.
What can I deduct as a therapist?
Reasonable costs of running your practice: College registration fees, room rent, practice software, professional liability insurance, clinical supervision and consulting fees, and a share of home costs if you meet the CRA's workspace rules. A home office qualifies if it is your principal place of business, or if you use it only for the practice and meet clients there regularly.
Am I an employee or a contractor at a group practice?
It depends on the real working relationship. The title in your agreement is only one part of it. The CRA looks at who controls your schedule and methods, who supplies the space and tools, and whether you can make a profit or take a loss. We review the agreement and tell you how to file.
When is my tax return due if I'm self-employed?
If you or your spouse report self-employment income, your T1 is due 15 June. Any tax you owe is still due 30 April, so interest starts from then. Once you owe more than $3,000 in a year, the CRA will usually ask for quarterly instalments.
I have a job and a private practice. How is that taxed?
Your employment income comes from your T4 and your practice income goes on Form T2125. On the practice side you pay both halves of CPP, but what your employer already withheld counts towards the yearly maximum. For 2026 the self-employed rate is 11.9% on earnings between $3,500 and $74,600, plus 8% on earnings between $74,600 and $85,000.
How do you bill?
Fixed-fee, quoted up front. You will know the cost of your year-end, your tax return and your monthly bookkeeping before we start. No surprise invoices, no hourly billing.