Cardiologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Chiropractor providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dentist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Dermatologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Family Physician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
OB-GYN providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Ophthalmologist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Orthopedic Surgeon providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Pediatrician providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Physical Therapist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Podiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Psychiatrist providers include doctors, nurses, nurse practitioners, and physician assistants. They often maintain long-term relationships with you and advise and treat you on a range of health related issues.
Briana Fesh, MS, LPC, is a licensed professional counselor (LPC) practicing at Pioneer Counseling and Consulting, which has locations in Canonsburg, Washington, and Bala Cynwyd, Pennsylvania. She is also an artist, writer, and dedicated helping professional with a unique blend of clinical expertise and creative perspective.
Bree holds a Bachelor of Science in photography with a specialization in photojournalism, a Bachelor of Arts in psychology, and a Master of Science in professional counseling. Her diverse academic background reflects her deep commitment to understanding both the human experience and the healing power of storytelling, creativity, and connection.
Clinically, Bree specializes in trauma-related disorders and co-occurring conditions, offering compassionate, evidence-based care to individuals navigating complex emotional challenges. In addition to trauma work, she also provides treatment for anxiety disorders, depressive disorders, and borderline personality disorder. She is certified in Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT) for PTSD, allowing her to integrate structured, goal-oriented modalities into her therapeutic work.
Known for her thoughtful approach and holistic understanding of mental health, Bree is passionate about helping clients grow, heal, and thrive.
Sara Obringer, PMHNP, is a public mental health nurse practitioner practicing at Pioneer Counseling and Consulting, which has locations in Canonsburg, Washington, and Bala Cynwyd, Pennsylvania.
From a young age, Sara had a deep desire to help others. That passion ultimately led to a career in nursing. She earned her Bachelor of Science in Nursing from Carlow University in 2019 and began her career in the ICU at the height of the COVID-19 pandemic. During this time, she developed a strong commitment not only to her patients but also to supporting their families through challenging times.
Driven to make an even greater impact, Sara pursued advanced training and earned her Master of Science in Nursing from Duquesne University, graduating as a psychiatric nurse practitioner in 2023. She now provides mental health care with a holistic and lifestyle-focused approach, recognizing the connection between mental and physical well-being. She works with individuals across the lifespan and treats a wide range of mental health conditions, always prioritizing collaboration in the treatment process to ensure each client receives personalized care.
Originally from a family farm in Southwestern Pennsylvania, Sara values balance in all aspects of life. In her free time, she enjoys spending time outdoors with her husband and their two dogs, traveling, and being with loved ones. She is committed to helping each client become the best version of themselves—mentally, emotionally, and beyond.
Erica Lenzner, PMHNP, is a public mental health nurse practitioner practicing at Pioneer Counseling and Consulting, which has locations in Canonsburg, Washington, and Bala Cynwyd, Pennsylvania. She has always had a strong passion for helping others, which naturally led to a career in nursing.
After earning her Master’s degree in Nursing Education in 2017, Erica continued her professional development by completing a Post-Master’s Certificate as a Family Nurse Practitioner at Duquesne University. While working in this role, she discovered a deep interest in mental health care and recognized the critical need for providers in this underserved area.
Motivated to make a greater impact, she returned to Duquesne University to earn a Post-Master’s Certificate as a Psychiatric Mental Health Nurse Practitioner. Her clinical experience spans a wide range of settings and populations—from pediatrics to geriatrics—allowing her to tailor care to meet each individual’s unique needs. She believes in working collaboratively with clients to determine the most effective path forward, whether that includes medication, therapy, or a combination of both.
Originally from a small farm in Southwestern Pennsylvania, Erica values time outdoors and enjoys hiking, walking, kayaking, and spending time with her beloved Yorkie, Jake. She also enjoys traveling and being with family. She believes in the importance of self-care and taking time for personal well-being.
Erica’s approach to mental health is holistic, emphasizing the connection between physical, emotional, and psychological wellness. She is dedicated to helping clients achieve balance and live healthier, more fulfilling lives.
Jamie Giovinali, LPC, CCTP, is a licensed professional counselor and a certified clinical trauma professional practicing at Pioneer Counseling and Consulting, which has locations in Canonsburg, Washington, and Bala Cynwyd, Pennsylvania.
Jamie has always been drawn to the field of counseling, with a deep commitment to supporting individuals as they explore their emotions, thoughts, and behaviors in order to make meaningful changes and find effective solutions. With a background as a pediatric infant mental health specialist and behavioral therapist, she has worked with individuals facing a wide range of challenges, including anxiety, depression, PTSD, domestic violence, relationship difficulties, and adverse life experiences.
Jamie’s clinical experience spans pediatric, adolescent, adult, and family trauma, which has further strengthened her dedication to helping individuals navigate the impact of trauma and adversity. She believes that learning to recognize and understand healthy emotions and thought patterns is a critical step toward developing healthier behaviors and promoting long-term healing.
Rooted in a psychodynamic framework, Jamie’s therapeutic approach is integrative and tailored to each client’s unique needs. She draws from a variety of evidence-based modalities, including play therapy, cognitive processing therapy, cognitive behavioral therapy (CBT), and emotion-focused therapy.
Above all, Jamie is honored to support clients on their journey, helping them connect with their strengths and discover a path to healing, resilience, and personal wellness.
Brian Kelly, MS, LPC, is a licensed professional counselor at Pioneer Counseling and Consulting, which has locations in Canonsburg, Washington, and Bala Cynwyd, Pennsylvania. He brings a rich and varied background to his counseling work, having provided care in inpatient facilities, college counseling centers, and outpatient private practice. These diverse environments have shaped his understanding of the human experience and strengthened his ability to support clients through a wide range of life challenges.
He specializes in working with adolescents, young adults, and adults in both individual and couples counseling. His areas of experience include anxiety, depression, ADHD, vocational concerns, trauma-informed therapy, body dysmorphia, and relationship issues. Through these areas of focus, he helps clients improve their quality of life, build resilience, and increase confidence in navigating everyday challenges.
In individual therapy, he uses an eclectic approach, with a strong foundation in Acceptance and Commitment Therapy (ACT). By blending various therapeutic techniques, he guides clients in developing psychological flexibility, emotional awareness, and a stronger sense of identity—helping them feel more connected to their authentic selves.
In his work with couples, he draws from the Gottman Method, using evidence-based strategies to help partners repair, rebuild, and reconnect. His goal is to help each couple understand their roles in the relationship and strengthen the foundations of love, trust, and communication.
At the heart of his approach is a deep belief in each person’s ability to grow. Many clients begin counseling unsure of their inner strength—and over time come to discover they are more capable than they realized. Brian is honored to walk alongside clients on their journeys, helping them become experts in their own lives and build a brighter, more empowered future.
Pioneer Counseling and Consulting offers exceptional mental health services to people of all ages. At our offices in Canonsburg, Washington, and Bala Cynwyd (near Philadelphia), Pennsylvania, our licensed professionals and their team focus on friendly, patient-focused care delivered from the heart.
Whether patients schedule an in-person appointment or connect through telehealth, they’ll feel welcome, heard, and respected.
We honor each person as an individual, listening to their concerns and creating a personalized treatment plan to meet their particular health needs and goals.
Our licensed therapists have helped many people with common problems like stress, low self-esteem, and anger management. We’re equally skilled in treating issues that are sensitive and challenging, like gender transitions and narcissistic abuse.
In addition to having access to a team with experience in diverse therapies proven to help people overcome mental health disorders, our providers keep up with innovative therapies that bring extraordinary symptom relief.
Patients can receive one of today’s most advanced treatments, Spravato®, a nasal spray that rapidly relieves treatment-resistant depression. It's also an effective treatment for major depressive disorder (MDD) with suicidal thoughts.
We look forward to meeting new patients, building ongoing relationships with current patients, and helping each person manage their challenges and enjoy a thriving life.
Call the nearest Pioneer Counseling and Consulting office or connect online to request an in-person or telehealth appointment today.
