Providing Individual and Couples Counseling

About Karla Coughenour, MA, RDN, LDN, LPCA

About Karla


  • Licensed Professional Counselor Associate in the State of North Carolina.
  • Registered Dietitian/Nutritionist with the Commission on Dietetic Registration.
  • Licensed Dietitian/Nutritionist in North Carolina.


  • Masters of Arts Degree in Human Services/Marriage & Family Counseling from Liberty University in Lynchburg, Virginia.
  • Bachelor of Science Degree in Dietetics from Seton Hill College in Greensburg, Pennsylvania.
  • Completed Integrative Health Coach Training at Duke Integrative Medicine.

The Office

Karla's office is conveniently located in Kill Devil Hill right on the bypass.  There is adequate parking and is easy to find.  

The office is a casual, comfortable and safe place to explore the impact your past is having on your present and find a new way forward.  From the minute you walk in the door you are seen as a unique individual and treated with respect and positive regard.  

Payment & Insurance

Karla is in network with a number of insurance providers including MedCost, NC Medicaid, NC Health Choice and Optima. Karla is also a provider with the Vidant EAP Program. You are also welcome to use your Health Care Savings Account as well.   

If Karla is not in network with your insurance provider, she is happy to provide you with the paperwork to submit for reimbursement of your counseling services.  

If you are not using third party payer, payment is due at the start of each session.  MasterCard, Visa and Discover are all accepted, as well as, cash and checks.  


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Counseling Services

Individual Counseling

Individual counseling can be helpful for a person from adolescence through adulthood going through situational struggles, wanting to grow in self-awareness,  experiencing anxiety, panic, grief, loss, life transitions, relational difficulties or for those who experience persistent difficulties with their mood, such as depression and anxiety. Counseling is unique to each person who seeks help because each person presents their own histories, struggles and pain. 

Couples Counseling

Marriage and Couples counseling can help couples understand and resolve conflicts as well as strengthen their relationship. It gives couples tools to communicate better, negotiate differences, problem solve and disagree appropriately. Counseling can help resolve trust issues caused by betrayal, infidelity, lying or unfaithfulness.
Pre-marital counseling can help a couple develop a strong foundation so their marriage is fortified and strong. it can help couples learn about their relationship, their communication patterns, unspoken expectations as well as their relational strengths or weaknesses.

Karla also offers Marriage Intensives, for more information visit couples counseling

Specialized Treatment for Eating Disorders

Highly experienced eating disorder treatment available for clients who struggle with anorexia, bulimia, compulsive/binge eating, or just an unhealthy relationship with food and weight. Treatment plans are highly individualized based on your personal circumstances and will be developed in collaboration with you. Your plan may include regular weight checks, nutrition education, coaching, and counseling to help you move forward to freedom.

OBX Marriage Intensives

Contact Us

Send Message

We're Here for You

Please contact us with questions.

Karla Coughenour, MA, RDN, LDN, LPCA

1001 Croatan Hwy, Kill Devil Hills, NC 27948,

(252) 455-2805


By Appointment Only