Fathom Counseling

Hi! Welcome ✨

I’m Nik Ruthless (he/they)!

I’m a fully licensed Clinical Mental Health Counselor (with a fancy Master’s degree to prove it), but what really matters is this: I help people untangle their struggles, find their footing, and move forward—without judgment.

Whether you're dealing with anxiety, relationship drama, or just feeling stuck in life, my job isn’t to "fix" you—it’s to help you figure out what *you* need to thrive.

The Logistics (Because Adulting is Hard Enough)

I take insurance: Aetna, BCBS, and United. (Let’s make therapy as easy on your wallet as possible.) I also do sliding scale based on income.

📍 Where? I have offices in both Boone, NC and Wilkesboro, NC. I offer virtual services for residents of North Carolina and California.

💻 Virtual therapy? Yep! Perfect for when leaving the house feels like too much or your schedule’s packed.

Why Work With Me?

  • No stiff, clinical vibes. Think of me as your emotional assistant- you’re the boss and we work on what’s important to you!

  • All parts of you are welcome here. Identity, faith, past, quirks—nothing’s off the table.

  • Therapy built around you— I don’t work off some rigid checklist full of awkward questions.

Ready to Start?

If you’re tired of feeling stuck, overwhelmed, or just… blah, let’s talk. No pressure, no weird sales pitch—just real help. (P.S. If you’re nervous about therapy, that’s normal. I got you.)