Welcome to AJISAI Counseling and Consultation, PLLC

Contact: 360-218-4607 (call/text) masami@ajisaicounseling.com

or Headway

Professional bilingual counseling services in Washington State specializing in personalized, client-centered therapy for mental health, trauma, grief, and cultural support in English and Japanese.

What I offer by Telehealth:

  • Individual therapy for adults (Accept insurance through Headway and Private Pay)

  • Life Transition Coaching (Private pay only)

  • Professional Consultation for therapists or agencies (Private pay only- this is not supervision for associate licensed)

  • Grief counseling and bereavement support

  • Culturally responsive therapy for Japanese-speaking clients and multicultural families

Why choose AJISAI: Personalized, bilingual mental health care supporting healing, resilience, and cultural connection.

Get started by giving me a call or email whether insurance or not: 360-218-4607 (call/text) masami@ajisaicounseling.com

  • New clients: brief phone or telehealth consultation to assess needs and match with the right clinician

  • Current clients: secure client portal for scheduling, notes, and resources

  • Insurance and payment: I accept following insurers through Headway and private pay; Superbill is available for clients who requests due to out of network. Private pay protect full privacy due to no contact to any insurance companies.

Currently Accepting Insurance

  • Providence Health Plan in Washington

  • Curative in Washington

  • Carelon Behavioral Health in Washington

  • Regence BlueShield of Washington in Washington

  • Cigna in Washington

  • Aetna in Washington

Contact by phone: 360-218-4607 (call/text) masami@ajisaicounseling.com

An Asian female WA therapist with black hair, glasses, and a necklace, smiling in a setting sun with trees and leaves in the background.

Experiences:

As a Licensed Independent Clinical Social Worker (LICSW), my practice is rooted in the belief that every individual has the inherent capacity for self-leadership and healing. I earned my degree from the University of Washington School of Social Work, which laid the foundation for my heavily humanistic, client-centered approach. My clinical journey encompasses hands-on roles as a Certified Nursing Assistant (CNA), a hospice social worker, and a Behavior Support Specialist working alongside DSHS. Over a decade of experience as a bedside care provider and social worker offers me deep, practical insight into complex family dynamics, caregiver stress, addiction, trauma, grief and loss, and major life transitions. To best support the diverse needs of our community, I provide counseling services in both English and Japanese.

Integrative, Tailored Approach

Therapy is never a one-size-fits-all process. Your treatment is deeply individualized to honor your unique needs, cultural background, core values, and personal pace. From our very first intake session, we work collaboratively to design a therapeutic framework that truly resonates with you. By thoughtfully integrating evidence-based practices with humanistic principles, we create a dynamic, holistic space that adapts as you grow. The strategies and tools we utilize are carefully selected to meet you exactly where you are, ensuring your care is as nuanced and multifaceted as you are.

Your Agency, Your Path

At the core of our work together is a profound respect for your autonomy and self-determination. You possess the inherent wisdom to guide your own journey, and you have complete control to choose the support that best fits your life. There is absolutely no pressure, judgment, or obligation to continue if a direction doesn't feel right. My role is to walk alongside you as an objective collaborator—providing the safe environment, reflection, and tools necessary to ensure your voice is heard. Together, we cultivate your internal self-leadership so you can confidently navigate your own path forward.

An Asian female WA therapist is smiling, wearing a cap, and a white jacket taking a selfie with a red rooster in a evergreen nature setting.
Clusters of pink hydrangea flowers with green leaves surrounding them.

Ajisai, the Japanese word for hydrangea, reflects my core belief that with the right supportive environment, every individual has the natural ability to bloom and thrive."

Hi! I am Masami.

Licensed Independent Clinical Social Worker in WA

Owner of Ajisai Counseling and Consultation

“ Authenticity is the daily practice of letting go of who we think we’re supposed to be and embracing who we are”

Brené Brown, PhD, LMSW,
The Gifts of Imperfection, 2010: 50

日本人・日本語希望の方