Welcome to Mid River Counseling
Reaching out for support is a meaningful (and sometimes difficult) decision. Whether you’re feeling overwhelmed by anxiety, navigating a major life transition, struggling with relationships, or simply feeling stuck, providers at Mid River Counseling are here to help.
People seek therapy for many different reasons — to find relief, gain clarity, heal from the past, or move forward with intention. Whatever brought you here, you’ve already taken the first step toward meaningful change — and you’ve come to the right place.
Mid River Counseling offers professional, compassionate therapy in a format that fits your life. With our convenient telehealth option, you can access care from the comfort and privacy of your own space — no commute, no waiting room, just focused time for you.
We’re here to walk with you through the hard stuff, to celebrate the progress, and to help you reconnect with your sense of strength, purpose, and possibility.
Welcome. And we are glad you are here.
Areas Of Focus
Take the First Step—Let’s Navigate This Together.

Dominick Agosti, LCSW
Dominick is a Licensed Clinical Social Worker with over 10 years of experience supporting individuals through a wide range of mental health challenges. He has provided therapy in diverse settings and brings a compassionate, client-centered approach to his work.
Dominick believes that meaningful change happens within the safety of a trusting therapeutic relationship. He works collaboratively with clients, drawing on their unique strengths, values, and lived experiences to foster resilience and personal growth. With a warm and empathetic presence, Dominick helps clients navigate difficult emotions and internal struggles with greater flexibility and self-compassion.
His goal is to empower individuals to take purposeful steps toward living a life that feels rich, fulfilling, and aligned with what matters most to them.
Pricing
Initial Evaluation $160
55 Minute Therapy Session $140
45 Minute Therapy Session $100
Insurance
Accepting Highmark, Capitol Blue Cross, GHP
Any insurance not listed is considered Out Of Network. Your insurance may reimburse you for some of the cost of mental health services with an Out Of Network Provider. Contact your insurance provider to learn about your coverage and benefits.