Our team of licensed mental health professionals are dedicated to providing thoughtful, affirming care rooted in connection and community.
Fire Island Pines Psychotherapy is a space for those who have been silenced, marginalized, or made to feel small, and for anyone seeking care that honors their full humanity.
We believe healing happens in community, and our community is proudly queer and inclusive.
Our licensed, Queer, and TGNC-affirming therapists offer accessible care grounded in clinical expertise and a deep sense of belonging.
Whether you’re navigating identity, trauma, or transition, or simply seeking a space to slow down, reconnect, and feel less alone, we’re here to walk alongside you.
Fire Island Pines Psychotherapy | New York
Our
People
Come as you are. We’ll make space together.
Medical billing wizard by day, decoder of healthcare hieroglyphics by night. Armed with an uncanny ability to understand insurance companies, I turn medical codes into (almost) understandable language. Master of multitasking, lover of color-coded spreadsheets, and dedicated to making paperwork as painless as possible. When I’m not chasing claims or breaking down EOBs, you can find me daydreaming about a world without insurance denials, hanging with my family and dog, volunteering at my local dog rescue or passionately discussing the latest season of 90 Day Fiance!
Kristina Troyanovsky
Practice Billing Manger
she/her/hers
Kiera serves as the Operations & Client Care Coordinator at Fire Island Pines Psychotherapy, bringing a liberation-rooted, affirming approach to supporting the communities this practice serves. Kiera has long experienced Fire Island Pines as a place of happiness, joy, and liberation, a space where people are free to be fully themselves. That sense of ease and belonging deeply informs her work. From the very first point of contact, she is intentional about creating an experience that feels warm, respectful, and affirming. Kiera runs our admin email and supports scheduling, communication, and day-to-day operations with care and clarity, helping ensure that every interaction with the practice feels accessible, grounding, and reflective of the community-centered values at the heart of Fire Island Pines Psychotherapy. Outside of work, Kiera is caring for her newborn son and navigating the joys of early parenthood.
Kiera Marquez
Operations & Client Coordinator
she/her/hers
Luanne
Therapy Pup
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