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FIFTH AVENUE COUNSELING CENTER INC
NEW YORK, NY · EIN 264445416 · Form 990 · FY2024 · Medium ($1M-$10M) · tfacc.org
revenue
$4.2M
expenses
$4.3M
net assets
$3.4M
employees
24
volunteers
12
program ratio
83%
mission · from form 990

THE FIFTH AVENUE COUNSELING CENTER (FACC) PROVIDES HIGH QUALITY, LOW COST OUTPATIENT MENTAL HEALTH SERVICES TO THE COMMUNITY.

profile · synthesized from sources

Fifth Avenue Therapy provides high-quality, low-cost outpatient mental health services to individuals and couples in New York City. As a nonprofit licensed by the New York State Department of Health, it offers individual psychotherapy, couples counseling, and medication management through a team of over fifty psychotherapists and psychiatrists. The practice emphasizes relational therapy, combining psychodynamic and cognitive behavioral approaches, with services available in-person near Union Square or via teletherapy across New York State.

named programs · 3 · from sources

What they call their work

Couples Counseling
Therapy for partners to improve communication and resolve conflict, available when at least one partner is an existing client
Individual Psychotherapy
Weekly one-on-one therapy sessions using relational, psychodynamic, and cognitive behavioral approaches for anxiety, depression, relationship issues, and personal growth
Medication Management
Psychiatric consultation and medication management provided by on-staff psychiatrists for current therapy clients
activities · 6 groups

What they do

  • Outpatient Mental Health Clinic Services 4 activities
    • Delivering integrated psychiatric and therapy services
      Provides coordinated mental health care through on-staff psychiatrists who work with therapists to align medication management with talk therapy, offering clients monthly psychiatric visits alongside weekly therapy sessions as part of an integrated treatment model.
    • Offering flexible therapy scheduling
      Provides early morning and evening therapy appointments to accommodate working professionals, with options for in-person or teletherapy sessions at the Flatiron District location.
    • Operating a multidisciplinary clinical team
      Employs over fifty licensed psychotherapists and psychiatrists who deliver evidence-based mental health services across modalities, ensuring comprehensive care capacity.
    • Providing outpatient mental health services
      Delivers high-quality, low-cost outpatient mental health services to individuals in New York City and across New York State, including individual psychotherapy, couples counseling, and psychiatric medication management. Services are available in person at the Union Square office and via secure teletherapy platforms.
  • Intake and Referral Coordination 1 activity
    • Conducting client intake and therapist matching
      Operates a structured intake process including a dedicated phone line, clinical assessment calls, and matching clients with therapists based on clinical fit and treatment needs to ensure appropriate care delivery.
  • Healthcare Compliance and Ethics Programs 1 activity
    • Ensuring regulatory compliance for Medicaid services
      Maintains a written Medicaid Compliance Program with established policies and procedures to adhere to federal and state healthcare regulations, supporting ethical and lawful delivery of services.
  • Sliding Fee Scale Healthcare 1 activity
    • Offering sliding-scale fees and insurance-based payment options
      Increases accessibility to mental health care by accepting Medicaid, most major insurance plans, and offering sliding-scale fees based on income for uninsured clients or those with non-accepted insurance plans.
  • Direct Mental Health Counseling and Support Services 1 activity
    • Providing brief therapy for short-term issues
      Offers structured, goal-oriented counseling for short-term mental health concerns, typically lasting about three months, with clinicians providing concrete guidance for behavior change.
  • Marriage and Couples Counseling Services 1 activity
    • Providing couples counseling
      Offers couples counseling to improve communication, resolve recurring conflicts, and strengthen relationships, available with at least one partner as an existing client. Sessions last one hour and are offered in-network with major insurance plans or on a sliding-scale fee basis.
financials · form 990 · fy2024
revenue
Total revenue$4.21M
Contributions & grants$00%
Program service revenue$4.10M97%
Investment income$113K3%
Other revenue$0
expenses
Total expenses$4.26M
Program expenses83%
Admin / overhead17%
Fundraising0%
Salaries & benefits$2.15M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$3.76M
Cash$797K
Investments$1.75M
Liabilities$314K
Net assets$3.45M
Liquid reserves7.2 mo
5 years on record · 2019–2024 · YoY revenue +13.1%
leadership · form 990 part vii · fy2024

Who runs it

paid leadership · 2
NameTitleHours/wkCompensation
ESTIE RUBINSTEIN CHIEF FINANCIAL OFFICER 35 $252K
BABETTE LEFRAK CLINICAL DIRECTOR 35 $143K
board members · 6
  • CHARLES KANNER — DIRECTOR
  • CHARLES RUBINSTEIN — TREASURER
  • JEFFREY WEISSMAN — SECRETARY
  • KENNETH HUNG — DIRECTOR
  • LISA RHINE — PRESIDENT
  • REBECCA HARARRY — DIRECTOR
relationships · 7

Who they work with

  • FIFTH AVENUE COUNSELING CENTER INC Network — Member organization providing outpatient mental health services within its community.
  • Medicaid Government — Accepts Medicaid as an in-network provider for psychotherapy services.
  • Medicaid Government — Insurance program accepted by the organization for psychiatric and therapy services.
  • New York Office of Addiction Services Partner — Refers clients with substance abuse concerns to the New York Office of Addiction Services.
  • New York State Department of Health and Mental Hygiene Government — Licensed outpatient mental health practice regulated by the state.
  • Richard Mack Partner — Compliance Officer responsible for providing guidance on compliance matters and receiving reports of suspected non-compliance.
  • SAMHSA Partner — Refers clients with substance abuse concerns to the SAMHSA helpline.
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Accessibility Through Affordability
    methodology: affordability_access
    By offering sliding-scale fees and participating in major insurance networks, we reduce financial barriers to care, because sustained access to mental health services depends on removing economic constraints.
  • Collaborative and Strength-Based Engagement
    methodology: client_therapist_collaboration
    By building therapy around clients' stated goals and personal strengths in a collaborative relationship, we foster engagement and progress, because a supportive, non-hierarchical alliance enhances client agency and self-efficacy.
  • Integrated Care Model
    methodology: integrated_care_model
    By co-locating and coordinating psychotherapy and psychiatric medication management within a single practice, we prevent fragmented care and improve treatment adherence, because medication is most effective when embedded in an ongoing therapeutic relationship.
  • Integrative and Individualized Treatment Model
    methodology: integrative_therapy
    By combining psychodynamic, cognitive behavioral therapy (CBT), and other evidence-based modalities tailored to the individual, we produce more effective outcomes because a flexible, non–one-size-fits-all approach aligns better with diverse client needs and goals.
  • Relational Therapy Approach
    methodology: relational_therapy
    By leveraging the evolving therapist-client relationship, we identify and address maladaptive patterns in clients' thoughts, feelings, and behaviors, because these relational dynamics are seen as central to understanding and transforming interpersonal functioning.