
EVALUATIONS
DIAGNOSTICS
INDIVIDUAL PSYCHOTHERAPY
MEDICATION MANAGEMENT
You matter and we are glad you're here
We are so grateful to work with
children and young adults across Virginia.
We currently have openings for new therapy clients with our Supervisee in Social Work, Bram. He is only in-network with Aetna, at this time. All other insurance carriers will be considered "out of network" and will be cash pay. We can provide itemized receipts for you to submit to insurance for possible reimbursement.
Jimmy has very limited openings for MEDICATION MANAGEMENT, EVALUATION AND DIAGNOSTICS on a case-by-case basis. As part of our medication management, we include brief problem-focused psychotherapy in these 30 minute follow-up appointments.
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Honored to be named "Cville's best mental health provider"
Our Team.
A team of certified professionals who are committed to walking alongside your child and family as you
work towards improved mental health. We are in this together!
James Howell PMHNP-BC PNP MSN
Founder / Board Certified Provider
Dually certified Pediatric Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner. He is a four-time graduate from the University of Virginia, most recently obtaining his second Masters of Science in Nursing as a PMHNP and PNP. Jimmy has 9+ years of experience working as a mental health professional. Jimmy is a former D1 athlete and won many accolades in his time as a 4-year starting punter at UVA. Jimmy is a strong believer in treating the whole person and incorporates this into all of his care plans.

Mary Howell MSN RN CPN CNL
Pediatric Nurse / Practice Manager
Mary brings 8+ years of experience as a Pediatric Nurse. She holds a Masters of Science in Nursing from the UVA School of Nursing and is certified as a pediatric nurse and clinical nurse leader. She functions as the practice manager and care coordinator for patients. She also teaches the next generation of nurses at UVA School of Nursing. In her spare time, she wrangles tiny humans at home and enjoys traveling to new places with her family.

Bram Crowe-Getty MSW
Supervisee in Social Work
Bram, a Nelson County native, is a Supervisee in Social Work working toward his LCSW. He holds an Masters of Social Work from Virginia Commonwealth University (VCU) and specializes in therapy for youth and young adults navigating anxiety, depression, grief, and relationship challenges. Bram draws on his background as a school social worker, mentor, and coach, and integrates Cognitive Behavioral, Strength-Based, and Humanistic approaches. He believes healing grows through connection, creativity, and trust—and often brings nature, music, and laughter into his work.
Common Questions



1
What age range do you serve?
Mental Fitness Cville is equipped to treat individuals ages 5-35. We specialize in treating children and young adults ages 21 and under.

2
What do you specialize in?
We can diagnose and treat all psychiatric conditions however we specialize in the following conditions:
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Adjustment problems
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Anxiety Disorders
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Obsessive Compulsive Disorder
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Attention-Deficit hyperactivity Disorder
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Depression
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Behavioral Disorders at home and school
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Personality and Mood Disorders
3
Do you accept health insurance?
Mental Fitness Matters is in-network with several insurance companies. Please see the "insurance" tab for more information. If we are out-of-network with your insurance, we accept cash/credit care and can supply a "super bill" for submission to insurance companies for consideration of reimbursement.

