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πŸ›‘οΈ Risk-Avoidant Architecture: We build static websites without patient-intake forms or third-party ad trackers. Read our Non-BAA Boundary →
Ironwood Practice Systems
Built Exclusively for North Carolina Private Practices

Tracker-Free, High-Performance Websites for Solo Clinicians

We build fast practice websites architected without patient-intake forms or third-party marketing pixels, with structured layouts for required board and billing disclosures.

Important Regulatory Boundary: Ironwood Labs LLC is a website development and technical maintenance firm. We do not provide clinical services, do not sign Business Associate Agreements (BAAs), and do not handle patient data. The audited base template contains no patient-intake forms or advertising pixels. Client-added integrations and clinic workflows can change the deployed data flow; clinicians remain responsible for their own legal and clinical compliance.
⚑ 99 Lighthouse Performance*
πŸ›‘οΈ Zero Advertising Tracking Pixels
πŸ“œ NCBLCMHC PDS & GFE Ready
πŸ”’ Cloudflare Edge Infrastructure

*Lighthouse lab performance score (v13.4.1) measured on out-of-the-box static deployment on September 1, 2026. External client embeds may degrade this score.

Verified Client Performance

Paper Moon Counseling (Raleigh, NC)

Case study of a solo therapy practice (Tracey Stracener, LCMHC-S) transitioning from WordPress to Ironwood's static edge architecture.

Disclosure: Paper Moon Counseling is an ongoing production client of Ironwood Labs LLC. Performance metrics verified via Google Search Console domain property export.

+40%

Organic Clicks

25 → 35 clicks (Equal 63-day periods: Jun 28 – Aug 29, 2026 vs. Apr 1 – Jun 2, 2026 via Google Search Console)

+39%

Search Impressions

522 → 725 impressions during the equal 63-day comparison period

4.8%

Average Search CTR

4.83% recent vs. 4.79% prior across the equal 63-day comparison period

21 NCAC

Board Disclosure

Public reference page formatted from clinician-approved PDS copy under 21 NCAC 53 .0204

Technical Architecture Deployed:

1. Modality-Specific Authority

Created distinct, clinical search pages for EMDR, Accelerated Resolution Therapy (ART), and OCD treatment rather than bundling disparate services onto a single generic page.

2. Schema.org Entity Verification

Wired clinician credentials directly to the NCBLCMHC board license verification portal and the federal CMS NPI registry using dual-typed JSON-LD structured data.

3. Zero-Plugin Static Delivery

Replaced vulnerable WordPress plugins with pre-rendered, immutable static HTML deployed directly across Cloudflare's global edge network.

Defense by Design

The 4 Pillars of Practice Protection

Generalist web agencies often install marketing plugins and tracking pixels that introduce regulatory and legal risk under FTC enforcement and state privacy statutes. We design static websites built without advertising trackers.

1

Zero Advertising Pixels & Tracker-Free Architecture

The Federal Trade Commission has actively enforced multi-million-dollar penalties against mental health and telehealth platforms for sharing consumer health queries with advertising networks (e.g., In the Matter of BetterHelp, Inc., FTC Docket C-4796, proposed order March 2023, final order July 2023, requiring $7.8M in consumer redress; FTC v. GoodRx Holdings, Inc., Feb 2023). Furthermore, state laws like the Washington My Health My Data Act connect consumer health data violations to Consumer Protection Act remedies (RCW 19.373.090; civil actions under RCW 19.86.090 requiring qualifying injury).

Our Stance: We do not install Meta Pixels, TikTok Pixels, or session-recording tools on clinical sites. The audited base template contains no patient-intake forms or advertising pixels. Client-added integrations and clinic workflows can change the deployed data flow.

2

North Carolina Board (NCBLCMHC) Disclosure Precision

Under 21 NCAC 53 .0204, the North Carolina Board requires Licensed Clinical Mental Health Counselors and Associates to provide explicit Professional Disclosure Statements (PDS) detailing credentials, degrees, and supervisor arrangements.

Our Stance: We can format a public reference page from clinician-approved PDS copy. Website publication does not replace delivery to each client, signed-copy retention, or Board submission.

3

CMS No Surprises Act & GFE Notice Formatting

45 CFR Β§ 149.610 requires providers to post clear information that a Good Faith Estimate is available and to issue written, patient-specific estimates when required. Section 149.620 defines the $400 dispute threshold.

Our Stance: Ironwood formats the public availability notice; clinicians remain responsible for patient-specific estimates, delivery timing, and records.

4

Native Semantic HTML (No Risky Overlay Widgets)

Digital accessibility under the Americans with Disabilities Act (ADA Title III) is an active area of healthcare website litigation. In 2025, the FTC announced a proposed consent order against accessiBe Inc. resolving allegations of deceptive marketing regarding automated widget capabilities (FTC Matter No. 222 3144).

Our Stance: We write native, accessible HTML with clear heading hierarchy, keyboard navigation, and high-contrast styling based on WCAG 2.1 Level AA principles. Read our Accessibility Statement →

Transparent Retainers

Built for Private Practice Economics

No long-term lock-in. Month-to-month service terms. Predictable monthly retainers that keep your practice site secure, fast, and up to date.

Tier 1

Solo Foundation

Complete edge hosting, statutory notice formatting, and tracker-free maintenance for solo clinicians.

$149 / month
  • βœ“ Global Cloudflare Edge Hosting & SSL
  • βœ“ Cookieless Privacy Analytics (No Tracking Pixels)
  • βœ“ NCBLCMHC Professional Disclosure (21 NCAC 53) Formatting
  • βœ“ CMS No Surprises Act Good Faith Estimate (GFE) Notice
  • βœ“ Unlimited Routine Content, Fee, & Link Edits (24–48 business hours SLA)
  • βœ“ Automated Pre-Deploy Git Snapshots & Local Rollback
Choose Solo Foundation
Most Popular
Tier 2

Practice Growth

For solo therapists actively filling caseloads and building organic search presence.

$299 / month
  • βœ“ Everything in Solo Foundation, plus:
  • βœ“ 2 Evidence-Based Clinical Articles / month (YMYL Cited Copy)
  • βœ“ Dedicated Modality Authority Pages (EMDR, Grief, OCD)
  • βœ“ Monthly Google Search Console Performance Report
  • βœ“ Instant IndexNow Search Submission (Bing & DuckDuckGo)
  • βœ“ Priority 24-Hour Edit Turnaround
Choose Practice Growth
Tier 3

Clinical Authority

For established practices, multi-clinician groups, or competitive metro areas.

$549 / month
  • βœ“ Everything in Practice Growth, plus:
  • βœ“ 4 Long-Form Modality Articles / month
  • βœ“ Google Business Profile (GBP) Local Pack Optimization
  • βœ“ Multi-Clinician Schema & Supervisor Network Mesh
  • βœ“ Quarterly Competitor Search Visibility Review
  • βœ“ Priority Same-Day Direct Developer Support
Choose Clinical Authority
Financial Perspective

The Solo Clinician's "Session Math"

Solo Foundation Rate
β‰ˆ 1 Therapy Hour / Month

Gross Fee Rate

$150 / hr

Illustrative assumption based on regional North Carolina out-of-network private practice session fees.

Annual Plan Cost

$1,788 / yr

Annual cost of the Solo Foundation plan ($149/month Γ— 12 months), covering hosting, maintenance, and updates.

Illustrative Breakeven

12 Sessions

Illustrative assumption: at $150 collected per session, 12 sessions equal $1,800 in gross feesβ€”approximately one year of the $149/month plan ($1,788), before taxes and expenses.

Market Cost Comparison

What Would This Cost If Self-Managed?

We separate fixed software subscriptions from ongoing webmaster labor so you can evaluate actual market costs:

Capability & Service Category Self-Managed Market Rate Ironwood Practice Systems
1. Fixed Software & Hosting Subscriptions (Hard Monthly Subscriptions)
Global Edge Hosting & CDN
Cloudflare Pages distribution with global edge caching
$0 – $20 / mo (Cloudflare Free tier to Pro) Included (Table stakes)
Privacy-Safe Cookieless Analytics
Plausible Analytics or Fathom (zero advertising cookies; no PHI collected)
$9 – $15 / mo (Plausible $9–$10/mo; Fathom $15/mo) Included
Uptime, SSL & Automated Backups
Uptime monitoring + immutable git/deployment snapshot history
$0 – $15 / mo (UptimeRobot $7–$9/mo; Backup tools) Included (Table stakes)
2. Webmaster Labor & Regulatory Maintenance (The Core Differentiator)
Unlimited Routine Content & Fee Edits
Bio tweaks, fee adjustments, new insurances, telehealth portal link updates (24–48 business hours SLA)
$75 – $179 / mo (WP maintenance retainers $159/mo; Freelance dev $75/hr) Included (Unlimited Routine)
Statutory Licensure & GFE Display Maintenance
Formatting mandatory NC Board supervisor disclosures (21 NCAC 53) & GFE billing updates
~$20 – $40 / mo (Annualized: 2–4 dev updates/yr at $75–$100/hr) Included
3. Specialized Clinical Content Creation (Practice Growth Tier Only)
2 Long-Form Clinical Modality Articles / mo
1,000-word cited articles on EMDR, Grief, OCD, or Modalities (E-E-A-T structured copy)
$700 – $1,400 / mo (EFA Medical/Health writing rate: $0.35–$0.70/word) Included in Growth ($299/mo)

Transparent Footnote of Pricing Sources & Assumptions:

1. Software Subscriptions: Cloudflare Pages provides a free tier ($0) and Pro ($20/mo). Plausible Analytics is $9/mo billed annually ($10/mo monthly). UptimeRobot Pro is $7–$9/mo. Traditional WordPress hosts like WP Engine run $24–$30/mo but are not needed for static edge sites.

2. Webmaster Maintenance: Market benchmarks derived from specialized WordPress maintenance retainers (e.g., WP Buffs "Protect" at $159/mo or GoWP at $179/mo) or 1–1.5 hours/month of freelance developer time at $75–$100/hr.

3. Clinical Content: Article pricing benchmarked against the Editorial Freelancers Association (EFA) health/medical writing rate survey ($0.35–$0.70/word). Two 1,000-word clinical articles represent $700–$1,400 in market value. (Excluded from the $149 Solo Foundation plan; included in $299 Practice Growth).

πŸ›‘οΈ

You Own Everything

We do not lock you into a proprietary builder. Upon cancellation, you receive a full export of your static HTML, CSS, images, and clinical Markdown files.

🀝

Month-to-Month Flexibility

No mandatory 12-month lock-in contracts. Solo practices evolve; cancel anytime with 30 days written notice.

🚫

Zero Surprise Plugin Bills

No surprise invoices for WordPress security patches, plugin renewals, or hosting overages. Your monthly retainer covers all agreed deliverables.

πŸ“ Based in North Carolina Β· Lead Developer: Joe B.

Ready to Modernize Your Practice Website?

Schedule a 15-minute technical review of your current practice website. We will examine your site's mobile responsiveness, Lighthouse performance, and NCBLCMHC disclosure formattingβ€”with zero obligation.