

Find mental health support in Carson City with Cigna coverage through Headway. Access 885 licensed providers for talk therapy and medication management, with sessions available in-person or virtually. Patients typically save 75% on sessions with insurance, with copays around $30.
Nikki Day, LCSW, is a licensed clinical social worker and therapist with experience providing mental health services since 2019 through community mental health agencies, group practices, and private practice settings. She earned her Master of Social Work from the University of Denver in 2020 and completed her clinical licensure requirements in 2025. Nikki is the founder of Vivant Counseling, LLC, where she works primarily with individuals navigating depression, anxiety, trauma, and life transitions. While maintaining a generalist approach, she has developed specialized experience supporting members of the LGBTQIA+ community, and survivors of domestic and sexual violence. In 2026, she expanded her professional licensure to include both Utah and Nevada, allowing her to broaden access to mental health care across multiple states.
I believe that therapy is a collaborative process built on trust, compassion, and respect. My goal is to provide a safe, supportive, and nonjudgmental space where you can explore life's challenges, gain insight, and develop the tools needed to create meaningful and lasting change.
As a mental health therapist, I work with individuals who are navigating anxiety, depression, stress, relationship challenges, trauma, grief, life transitions, self-esteem concerns, and emotional overwhelm. I understand that each person's experiences are unique, so I tailor treatment to meet your individual needs, strengths, and goals.
As a Licensed Clinical Social Worker (LCSW), I am dedicated to supporting children, adolescents, couples, and family systems. I serve individuals and families seeking practical tools and compassionate support to navigate mental, emotional, and behavioral health challenges.
I often help those working through partner betrayal, relational trauma, or severe mood and anxiety symptoms. Clients benefit from my psychodynamic approach which has been shown to be especially helpful for managing complex trauma and improving negative relationship patterns. I have extensive training diagnosing personality disorders, in addition to helping persons with severe depression, panic attacks, nonsuicidal self-injury, and OCD. Clients tell me they appreciate my calm, regulating presence as well as my nonjudgemental stance.
Leah Gaitho is a dual‐certified Psychiatric‐Mental Health Nurse Practitioner (PMHNP) and Family Nurse Practitioner (FNP) based in Las Vegas, NV. She provides compassionate, evidence‐based mental health care across the lifespan, with a holistic approach that considers emotional, physical, and social well‐being. Leah earned her master’s degree from Purdue University and completed advanced psychiatric training through Liberty University. She is licensed in Nevada and California and is committed to creating a supportive, respectful, and nonjudgmental space where clients feel heard and actively involved in their treatment.



Headway makes it easy to get affordable in-network mental health care with Cigna — from finding the right therapist or psychiatrist, to understanding costs, to booking your first session.