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About Us

 

Jeffrey D. Wagaman, Ph.D.
Dr. Jeffrey D. Wagaman has a Ph.D. in Counseling Psychology from Washington State University. He has been trained to work with a diverse client population including adults, children, adolescents, families, couples, and groups. He works with a variety of client problems including, but not limited to, depression/bipolar and other mood disorders, anxiety issues, marital problems, post-traumatic stress disorder(PTSD), sexual abuse, adolescent behavior problems, men's issues, adult attention-deficit hyperactivity disorder (AD/HD), anger difficulties, pre-marital counseling, addictions (including sexual) and psychotic disorders. He also provides diagnostic evaluations/testing for adult AD/HD. Dr. Jeff Wagaman has been in private practice in Olympia, Washington since 1994 and is the president and founder of Cascade Counseling. Dr. Wagaman has been licensed in the State of Washington since 1992.    In addition to private practice, Dr. Jeff Wagaman's experience includes five years with the U.S. Army where he was Chief of Mental Health and Consultation Services, and Chief of Psychology Services. He also, for several years, was a counselor for troubled adolescents and a youth pastor.
Dr. Jeff Wagaman is an understanding, effective and sought after Psychologist. His therapeutic approach is tailored to meet the needs of each client, but tends towards cognitive-behavioral with Biblical and supportive (Rogerian) foundations. In addition to therapy, Dr. Jeff Wagaman is a well-known speaker on marriage, depression, anxiety, and other topics.

Education
Ph.D.- Counseling Psychology, Washington State University

License
Washington State Psychologist (License # PY1722)

Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
Sarah Chickering, PhD 
Sarah Chickering, Ph.D., is a clinical psychologist and earned her doctorate from Seattle Pacific University. She specializes in individual psychotherapy and has extensive experience in the assessment and treatment of several mental health challenges such as depression, anxiety, PTSD, spiritual struggles, women's issues, and bereavement. She has expertise in assisting others to heal from loss with particular strengths in working with clients who have traumatic grief, such as losing a loved one to suicide, violent deaths, and miscarriage.
Dr. Chickering's background includes working in student counseling centers, community mental health agencies, and employment conducting neuropsychological evaluations for mild brain injury and learning disability/ADHD concerns. Dr. Chickering's approach to treatment is humanistic but also employs Acceptance and Commitment Therapy (ACT) and cognitive behavioral techniques. Dr. Chickering is an empathic and effective therapist who collaborates with her clients to work through problems.
In addition to her clinical responsibilities, Dr. Chickering researches and presents on topics such as forgiveness, religious doubt, and spiritual suffering. She is a member of the American Psychological Association and the Society for the Psychology of Religion and Spirituality,

Education

Ph.D. - Clinical Psychology, Seattle Pacific University

 
License & Memberships

Washington State Psychologist  (License # PY 3891).

Member of the American Psychological Association, and Society for the Psychology of Religion and Spirituality.


Insurance

Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 

Susan Wagaman, M.A., LMHC
Susan (Sue) Wagaman is a Licensed Mental Health Counselor in Olympia, WA. She received her Master's degree from Argosy University in Seattle. Sue has lived in the Olympia area since 1993 with her husband, Dr. Jeff Wagaman, and their six children. She has participated as a presenter at multiple conferences and events on the subject of marriage, relationships, self-worth, exercise, health, and child rearing practices.Susan Wagaman has also participated as a leader in parenting classes and group therapy for teenage girls.
Sue enjoys counseling a wide range of populations including children, adolescents, adults, couples and families. She believes the client and therapist should work together as a team towards the goals decided upon in therapy. Her desire is that all clients feel understood and respected. Susan endeavors to facilitate a healthy environment that encourages growth and change. She incorporates many different kinds of therapy to include Cognitive Behavioral, Positive Psychology, Family of origin exploration, relaxation/breathing techniques, and visualization. 

Education
M.A. - Master's in Counseling Psychology, Argosy University, Seattle WA
B.A. - Evergreen State University, Olympia WA
          University of Washington, Seattle WA
 
License
WA State Licensed Mental Health Counselor

Insurance

Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
Katie Smigaj, MA, LMFT
Katie Smigaj has a Masters in Counseling Psychology from Saint Martin's University. She is a Licensed Marriage and Family Therapist specializing in relationship issues, sexual issues, sex therapy, anxiety, depression, trauma/abuse, Post-Traumatic Stress Disorder (PTSD), anger management, and emotional management difficulties. Katie utilizes a Systems perspective in therapy to acknowledge how family dynamics shape each individual as well as Cognitive-Behavioral and Solution based approaches. Along with private practice, Katie worked with the Institute for Family Development for 4 years doing in home therapy for families involved with Child Protective Services. Katie grew up in the Olympia area and enjoys running, snowboarding and drawing in her spare time. 

Education
M.A. - Masters in Counseling Psychology, Saint Martins University, Olympia, WA.
B.A. - Bachelors in Science of Psychology, Washington State University, Vancouver, WA

License
Washington State- LMFT (Licensed Marriage and Family Therapist)

Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
Stephanie Smith, MA, LMFT
Stephanie has a Master's in Counseling Psychology from Saint Martin's University. She is a Licensed Marriage and Family Therapist with extensive experience treating children, adolescents, families, men, women, and couples. Stephanie works with a variety of client problems including, but not limited to, depression/bipolar and other mood disorders, anxiety issues, marital/relationship problems, postpartum anxiety and depression, grief issues, personality disorders, and conversion disorder. Stephanie has significant experience treating teens dealing with suicidal ideation/attempts, anxiety, depression, cutting, self harm, and behavior problems. She has received significant training from the Gottman Institute and is a certified instructor for The Seven Principles for Making Marriage Work by John Gottman. Stephanie has taught classes for anxiety using Cognitive Behavioral Therapy and Exposure techniques. She has received foundational training in Dialectical Behavior Therapy(DBT) and has previously worked on a DBT team, providing both individual DBT therapy and facilitating several DBT skills classes. She incorporates CBT , DBT, Mindfulness, Exposure, Motivational Interviewing and a Systems approach in her work with clients. She enjoys working with patients to identify their own goals for therapy and helping them to determine the next steps in their journey. 
 
Education
M.A.- Masters in Counseling from St. Martins, 2007
B.A.-Bachelors in Psychology from University of Washington, 2003
Licensed Marriage and family therapist since 2009
 
Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
Thomas R. Yarber, MS, RN, ARNP 
Tom Yarber has a Master of Science in Psychiatric Nursing from the University of Illinois at Chicago and a Post Master’s Family Nurse Practitioner certificate from Clarkson College in Omaha, NE.  He recently joined Cascade Counseling with diverse experience with adult inpatient behavioral health and substance use treatment.  Tom has extensive outpatient behavioral health experience providing medication management for adults and adolescents.  His primary duties at Cascade Counseling include psychiatric medication evaluations and ongoing outpatient medication management.  Tom has treated depression, bipolar disorder, anxiety disorders, eating disorders, addictions, attention-deficit hyperactivity disorder (ADHD), post-traumatic stress disorder (PTSD) and psychotic disorders.   Mr. Yarber has been licensed in the State of Washington since 2017.Prior to joining Cascade Counseling, Tom Yarber’s experience included twenty-eight years with the U.S. Army as a Psychiatric Nurse Practitioner and Clinical Nurse Specialist.  
 
Education
Master of Science in Psychiatric Nursing, the University of Illinois at Chicago
Family Nurse Practitioner Certificate, Clarkson College, Omaha, NE
 
License
Washington State Advanced Registered Nurse Practitioner (ARNP) # AP60732229
 
Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
David Rodriguez II, M.A., LMHC
David Rodriguez II received his Bachelor degree from Saint Martin's University in 2013 and his Masters degree from Argosy University in 2016. David completed his internship at Greater Lakes Mental Healthcare in Lakewood and then was hired as a therapist in the Adult Outpatient Group. David worked with many adults with diagnoses such as Bi-Polar disorder, Schizophrenia, PTSD, Anxiety disorders, and Depression. David accepted a position at Catholic Community Services in Olympia where he worked with adults, adolescents, children, and families from 2016- 2018 as a Wrap Around with Intensive Services Therapist. David uses an existential approach which assists clients with understanding the limits and benefits of being human. Existential Therapy focuses on finding purpose and meaning as well as learning how to accept responsibility, cope with emotions and understand the mysteries of the human condition. He meshes Existential Therapy with Cognitive Behavioral Therapy which focuses on challenging and changing irrational or distorted thoughts about life events.
Prior to working in a  therapeutic setting, David worked as a youth leader and youth pastor for 15 years. He has coached youth in the community for 22 years in sports such as football, baseball, soccer and middle school wrestling . David has also worked with married couples and been involved in leading and mentoring men in the community.

Education
Masters of Arts in Counseling Psychology- Argosy University, Seattle
Bachelor of Arts- Saint Martin's University, Olympia

License
Washington State Licensed Mental Health Counselor (License # LH60875635)

Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
  
Michael O'Friel, Psy.D.
Dr. Michael O'Friel, is a licensed clinical psychologist who earned his doctorate from George Fox University. Licensed for over ten years, he emphasizes restoration of wholeness in a person seeking treatment. This includes healing from the past while striving to learn new skills, allowing greater possibilities for growth in the future. Much of his clinical experience focuses on work with adults dealing with the myriad of serious mental health challenges including, but not limited to, depression, anger, anxiety, insomnia, trauma, substance and sexual addiction. Training and education at George Fox University included focus on integration of faith into clinical practice, and his dissertation explored the role of shame across the developmental stage of adolescence.
Dr. O'Friel has provided expert opinion on topics including motivation to change, healthy living, and sleep hygiene to the office of the Surgeon General for the US Army and been a regular guest on American Forces Network (AFN) radio while serving in Germany. He has worked with university student populations, in hospital outpatient settings, and with military veterans. He currently works as an embedded civilian psychologist with the US Army, as well as providing therapy services at Cascade Counseling. He is trained in Eye Movement Desensitization and Reprocessing therapy (EMDR), Cognitive Behavioral Therapy (CBT), and Motivational Interviewing (MI) as his main clinical approaches. 
 
Education
Psy.D.- Clinical Psychology, George Fox University
 
License
Washington State Psychologist (License # PY 60754872)
 
Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
Tiffany Artime, Ph.D.
Dr. Tiffany Artime is a licensed clinical psychologist and earned her doctorate from the University of
Missouri, St. Louis. She has provided counseling and psychological assessment services in a variety of
settings including a community clinic, trauma-focused clinic, university counseling center, public
elementary and secondary schools, and private practice. In addition to her clinical work, Dr. Artime is an
Assistant Professor of Psychology at Pacific Lutheran University in Tacoma, WA. Dr. Artime has a
specialization is trauma studies and sees clients with trauma-related concerns such as post-traumatic
stress disorder, interpersonal and sexual victimization and abuse, and intimate partner violence. Her
other areas of clinical expertise include anxiety, depression and mood difficulties, Obsessive-compulsive
Disorder and Social Anxiety, emotion regulation difficulties, life transitions, relationship issues, and
women’s issues (including fertility challenges and postpartum adjustment). Dr. Artime’s approach to
psychotherapy is based on principles of evidenced-based practice. After a thorough assessment of your
presenting concerns, she collaborates with you to identify your goals for counseling. She primarily uses
cognitive and behavioral interventions (CBT) and some acceptance-based interventions such as
mindfulness and emotion regulation skills. She also uses some aspects of narrative and constructivist
therapies, which aim to discover the role of culture and our environment on our problems, and she relies
on principles from emotion-focused therapy for relationship concerns. Dr. Artime’s hope is that through
the uniqueness of the therapeutic relationship and with the assistance of research-supported
interventions, you might explore new ways of thinking about yourself and the world, and adopt new
behaviors and skills that are consistent with your goals. She believes it is a great privilege to share part
of this journey with you.
 
Education
Ph.D. in Clinical Psychology, University of Missouri, St. Louis
Doctoral Internship completed at Washington State University Counseling and Testing Center
B.A. Psychology, Seattle Pacific University

License
Washington State Psychologist License (PY60461645)
Association for Behavioral and Cognitive Therapies
Western Psychological Association

Insurance
Preferred Provider for:
Regence or Regence Blue Shield, Uniform Medical Plan
Premera or Premera Blue Cross, Lifewise, Federal Employee Program
Kaiser Permanente Options and PPO (not HMO)
First Choice and associates(usually says first choice somewhere on card) such as Carpenters Trust, Cement Masons,Teamsters...
 
Out-of-network provider for:
Aetna
 
Please also refer to our Rates and Insurance page for more detailed information

 
 
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