Online psychiatry is virtual, but it is not available across every state. Where you are physically located during your appointment can determine whether a provider is legally allowed to treat you. This is why every telehealth psychiatry platform maintains a state-by-state list.
This guide covers the states where Blossom Health currently offers care, why state availability matters, and what to do if your state is not on the list.
Key Takeaways
Blossom Health currently offers care in 19 states. The current list includes states across the Northeast, Southeast, Midwest, and West Coast. Availability can change as the practice expands.
Your location during the visit matters. Federal telehealth guidance suggests that clinicians must be licensed or legally permitted to practice where the patient is located, not where they themselves live.
Availability can be confirmed at signup. Entering your state and insurance plan at the start of the signup process helps determine whether Blossom Health can provide covered care where you are.
States Where Blossom Health Is Available
Blossom Health currently lists the following states on its locations page. Because provider licensure and insurance network participation can change, check the current locations page for the most up-to-date availability.
Why Blossom Health Is Only Available in Certain States
People are often surprised that a video visit has geographic rules at all. The reason is that medical licensing in the United States is largely handled by individual state boards rather than a single national authority. Telehealth providers must follow the rules of the state where the patient is located.
Telehealth Licensing Rules by State
Health professionals generally must meet the licensure requirements of the state where they are located and be licensed or legally permitted to practice in the state where the patient is located. A psychiatrist licensed only in New York generally cannot treat a patient sitting in Ohio, unless a specific legal pathway allows it.
There are several ways clinicians can practice across state lines, including full licensure in additional states, multi-state licensure compacts, and telehealth-specific registrations. Each route has its own requirements, which is one reason telehealth platforms expand their availability over time rather than launching nationwide at once.
Adding a state involves more than obtaining a professional license. A clinician typically needs to satisfy that state board's education, examination, and background check requirements.They also have to maintain the license through renewals and continuing education. Insurance credentialing is a separate process and can add additional requirements before covered care becomes available in a state..
Can You Use Blossom Health If You Move or Travel?
Because telehealth rules generally depend on where you physically are during the session, moving away or traveling can matter. If you live in a covered state but are temporarily visiting a state where your provider is not licensed, that appointment may need to be rescheduled. The same can apply if you relocate permanently.
The practical step is simple. You can tell your care team about a planned move or an extended trip before your next appointment. That gives them time to check whether your provider is licensed or otherwise permitted to provide care where you will be located.
What Determines If Blossom Health Is Available in Your State
A state appearing on Blossom Health’s location list does not necessarily mean every patient in that state can use every plan or see every provider. Availability depends on factors such as provider licensure and insurance network coverage.
Provider Licensure in Your State
Blossom Health needs providers who are licensed or otherwise legally permitted to practice in your state. The platform works with psychiatrists and psychiatric mental health nurse practitioners, and its providers must complete the necessary credentialing before treating patients. As more providers join and add state licenses, coverage can widen.
Insurance Network Coverage by State
Insurance networks can also vary by state and plan. An insurer such as Aetna or Blue Cross Blue Shield may have different provider networks or coverage in Texas than in Massachusetts.
Being licensed somewhere does not automatically mean every plan there is in-network. This is why signup asks for your state as well as your plan.
State Rules That Affect Your Treatment Plan
Some treatments may be subject to state-specific rules beyond general licensure, particularly around certain prescriptions and monitoring requirements. Your provider can explain whether anything about your treatment plan is affected by where you live.
What Online Psychiatry Looks Like in Your State
Once licensure and insurance both line up, the general structure of care is usually the same regardless of which state you are in. However, the experience may vary depending on your provider, insurance plan, and treatment needs.
Your first appointment is usually an hour-long video session in which your provider reviews your background, medical history, symptoms, current medications, and goals. They can assess your needs, make a diagnosis where appropriate, build a treatment plan, and prescribe medication when clinically appropriate. Follow-up visits are usually shorter and focus on how that plan is working.
Usually, you don’t have to submit any medical or relevant documents before your first appointment. However, you may want to gather information about your current medications, past treatments, and insurance plan.
Blossom Health's guide to what a psychiatrist helps with walks through the conditions and treatments psychiatrists can address. Its comparison of therapists and psychiatrists can also help if you are unsure which type of mental health professional may be right for your needs.
Why State Availability Affects Access to Psychiatric Care
Where someone lives can affect how easily they can access psychiatric care. As of December 2025, federal workforce data suggests that about 137 million Americans are living in areas with a shortage of mental health professionals. This means that roughly 27% of the estimated need for providers is being met in those areas.
Telehealth can help expand this access by allowing clinicians in a well-served city to treat someone hours away. The American Psychiatric Association describes telepsychiatry as a way to improve access to specialty mental health care, including for people in rural or underserved areas.
Research also suggests that virtual behavioral health care can produce outcomes broadly comparable to in-person treatment across a range of conditions. Another review of telepsychiatry suggests similar outcomes between telepsychiatry and face-to-face assessments for many people. However, telehealth is not appropriate for every situation, and access can still be limited by provider licensure, network coverage, and state-specific requirements.
What to Do If Blossom Health Isn't Available in Your State
If Blossom Health is not currently available in your state, you still have other ways to find psychiatric care. A few options can help you identify providers who are licensed and available where you live:
Check the current Blossom Health list directly. The state roster is updated as providers are licensed, so the live list is more reliable than any summary of it.
Ask your primary care provider. A primary care clinician can perform an initial mental health screening and refer you to a psychiatrist. The National Institute of Mental Health (NIMH) provides additional information on finding mental health care.
Use a mental health provider directory. Public directories and professional organizations can help you find licensed mental health professionals in your area.
Check your insurer's provider directory. Your plan's behavioral health directory usually lists in-network psychiatrists practicing in your state, both virtually and in person.
How Blossom Health Can Help
Blossom Health connects people with board-certified, licensed psychiatric providers for virtual psychiatric care. The sign-up process usually begins with your state of residence and your insurance plan. Once you have provided this information, it takes about 5 minutes to confirm whether care is available where you are.
From there you can choose an appointment time and are matched with a provider who fits your needs, schedule, and insurance. You can see the current state list and get started here.
Medical Disclaimer
This article is for educational purposes only and does not constitute medical advice. The information provided should not replace consultation with a qualified healthcare provider. Individual responses to medications can vary significantly, and what applies to one person may not be the same for another.
Always consult with your doctor or pharmacist before making any decisions about medication changes, discontinuation, or interactions with other substances. If you’re experiencing concerning symptoms or side effects, please seek professional help from a healthcare provider.
In case of a medical emergency, contact your local emergency services immediately or call 911. For mental health emergencies, contact the National Suicide Prevention Lifeline at 988.
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