A Medical Home for Behavioral Health and Primary Care



Steven Powell
Steven PowellMedical Director
Location: Central Austin Office
Carlos Tirado
Carlos TiradoFounder and CEO
Isela Werchan
Isela WerchanPsychiatrist
David Walsh
David WalshPsychiatric Nurse Practitioner
Jennifer Schaefer
Jennifer SchaeferPsychiatrist
Casey Coton
Casey CotonPsychiatrist
Lorie Kmetz
Lorie KmetzFamily Nurse Practitioner
Location: South Congress Office
Sally Reese
Sally ReeseFamily and Psychiatric Nurse Practitioner
Anabel Winiecki
Anabel WinieckiFamily Psychiatric Mental Health Nurse Practitioner
Becky Scaduto
Becky ScadutoPsychiatric Nurse Practitioner
Alex Dodson
Alex DodsonPsychiatric-Mental Health Nurse Practitioner
Caitlyn Herman
Caitlyn HermanTherapist
Samantha Hurlbut
Samantha HurlbutPsychiatric Nurse Practitioner
Leslie Guillory
Leslie GuilloryFamily Nurse Practitioner
Lindsey Sansing
Lindsey SansingPsychiatric Nurse Practitioner
Nathan Gardner
Nathan GardnerPsychiatric Nurse Practitioner


Sara Keith
Sara KeithOperations Manager
Kelsey Harmon
Kelsey HarmonCollaborative Care Liaison
Sara Vasquez
Sara VasquezFront Office Supervisor
Tiffany Jaime
Tiffany JaimePractice Manager
Amanda Skidmore
Amanda SkidmoreFront Office Lead
Val Varich
Val VarichMedical Assistant Lead
Rita Mitchell
Rita MitchellMedical Assistant
Courtney McEachern
Courtney McEachernMedical Assistant
Mara Cerecedo
Mara CerecedoFront Office Associate
Danielle Del AvellanoFront Office Associate
Kim SterlingFamily Nurse Practitioner
Auryana MalekNurse Practitioner

What Our Patients Say

It’s worth noting that the practice also treats mental health disorders which is why I use Carma. I have been to other doctors in town and have never received the level of compassion and care for my health that I do here.

Bryna Hoang
Dr. Powell is amazing, as well as the staff. I would highly recommend this place to anyone.
Kate Penshorn
Excellent mental health professionals in Austin!!! They truly care about their patients by offering first-class services!!
David B. Hutts

CARMAhealth took over our daughter’s care and now we have…a doc who truly understands psychiatry, MAT and recovery! Grateful and relieved. Bravo, CARMAhealth!

Dr. Lori Holleran-Steiker

We’re Here For You

From the front office to your provider, you’ll be met with compassionate care.