

So nice to meet you!
As a board certified psychiatric nurse practitioner, I believe good mental health is paramount for a stable and happy life. Congratulations on taking the first step in seeking help for your mental health! I’ve been practicing for 3 years with my main focus now on female clients aged 15-55 who are struggling with anxiety, depression and bipolar disorder.
I’m Karen Scoggins, a board-certified Psychiatric Mental Health Nurse Practitioner and founder of Roots and Reverie, LLC. I provide telehealth psychiatric care with a focus on medication management for anxiety, mood disorders, ADHD, and sleep concerns in children, teens, and adults. My approach is collaborative and supportive, helping clients feel both grounded and hopeful as they work toward their goals. I believe in creating a safe space where every person feels heard, respected, and empowered on their journey to wellness.
My clinical style is warm, structured, and collaborative. I emphasize clear communication and shared decision-making with my patients. I strive to create a safe and non-judgmental environment where people feel heard and respected.
I have an AGACNP background, which supports my ability to assess medical comorbidity and understand complex medical/psychiatric overlap. I am also DOT-certified, which reflects my knowledge of safety-sensitive considerations and careful medication risk assessment.
I am accepting new clients for tele-health appointments. I provide medication management for: anxiety, depression, bipolar, and/or ADHD. I have after-hour appointments and Saturday availability.
Margarita Rice is a double-board-certified psychiatric-mental health and family nurse practitioner. Her education and clinical experience give her a well-rounded perspective on physical and mental well-being. She treats mental health, metabolic health (wellness, weight loss, prediabetes), and hormone health (BHRT for men and women.
With two decades of nursing experience, I bring a wealth of knowledge and compassion to my practice. My career began with two years in geriatric care, where I developed a deep appreciation for the unique needs of older adults. I then spent six years in pediatric care, nurturing the health and well-being of children and their families. For the past twelve years, I have specialized in women’s services, focusing on empowering women through various stages of life.











Headway makes it easy to find support for your mental health — from finding the right provider, to understanding costs, to scheduling with ease.
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