Jennifer Livingston MSN, NP, PMHNP-BC Psychiatric nurse practitioner
Jennifer is an integral element of the Littleton Couples Counseling team and brings a deep understanding of the psychopharmacological aspects of maternal mental health and women’s issues, anxiety, depression, ADD/ADHD, anger, grief, and loss. She prioritizes communication, relationship-building, and collaboration between providers and patients and believes the patient is part of the care team. Jennifer believes patient-centered care is the most beneficial approach to providing quality care. She knows you— the patient— is the expert on your life and mental health goals, and your voice should always be heard as you are the most valuable member of your mental health care team.
Jennifer began her nursing career in 2005 here in Colorado. Her nursing career has included working in hospitals, participating in nursing leadership, and caring for patients in community settings. This rich history helped guide her toward her current role as a psychiatric mental health nurse practitioner (PMHNP-BC) where she has the privilege of helping patients decide which mental health medications may be most beneficial and getting to know who her patients are outside of our office.
Schedule with Jennifer in DTC
Her pragmatic and solutions-focused philosophy is that we work with you not on you. Jennifer utilizes your first session to get to know you, your goals, fears, uncertainties, and past relationships with medications. She provides education, answers questions, and encourages patients to advocate for themselves throughout their entire journey. Jennifer often says, “I don’t ever want patients to feel rushed to make a decision or pushed in a direction that is uncomfortable or feels unsure. It is not only my responsibility to help you to understand your options, but it is my privilege to do so.”
Jennifer currently accepts Oscar Health, United Healthcare, Oxford, Aetna, Anthem Blue Cross and Blue Shield Colorado, Cigna for medical management services.
Jennifer works with children, adolescents, teens, adults, and seniors to help with maternal mental health and women’s issues, anxiety, depression, ADD/ADHD, anger, grief, and loss in the communities of Denver, DTC, Cherry Hills Village, Cherry Creek, Littleton, Highlands Ranch, WashPark, Lakewood, Englewood, Parker, Castle Rock, Castle Pines, Evergreen, Morrison, Greenwood Village, Centennial, Thornton, Arvada, Golden, and surrounding areas.
We listen to understand your life goals. Schedule now and learn additional ways to improve you.
Make An AppointmentRecent blogs by Jennifer
Marriage & Couples Counseling, Sex Therapy Our Clinicians Make The Difference
Why Choose an Integrated Therapist?
As integrated therapists, we are present in the session and curious to what you’re experiencing. We focus on marriage counseling, couples counseling, sex therapy and foster a nonjudgmental, compassionate, and supportive environment where you can safely explore communication styles, develop connections, and learn to express your needs. We help you develop the tools to grow closer to your partner. Littleton Couples Counseling understands the nuances required for successful sex therapy, marriage counseling, and couples counseling.
Chris Wilhoite MS, LMFT-S, C-PST
Founder, Certified Psychosexual Therapist
Chris Wilhoite, founder of Littleton Couples Counseling, is an internationally-published researcher who specializes in personal growth and couples with ADHD. When she lost her husband to cancer in 2006, she promised herself she would do everything in her power to allow couples the opportunity to stay together and build a stronger relationships. Couples are made of individuals, and individuals have different needs. Chris is an extensively trained couples counselor, Certified Psychosexual Therapist (C-PST) with the International Association of Psychosexual Therapists and an AAMFT Clinical Fellow and Approved Supervisor in training. In 2025 she presented research findings on sexual side effects of psychotropic medications at the International Symposium on Sex Therapy (ISST) in Croatia. Chris presented research on the role of body image and sexual shame in women’s sexual dysfunction at the 2024 ISST. She will present at the 2026 conference as well. Chris is licensed in Colorado and Hawaii.
Tommy Underhill BA, TTCD, ASDI, ASDCS
Sex, Trauma, Adult ADHD & Adult Autism
As a person with AuDHD, Tommy gets it. He specializes in working with adults and executives with ADHD and autism in all types of relationships. His training in neurophysiological approaches for social, relational, and sexual issues provides the framework for coaching people around the world. He is experienced in healing trauma and religious sexual trauma. In addition to his clinical work, Tommy oversees the long-term and strategic management for Littleton Couple’s Counseling. His entrepreneurship and small business management and operations spans more than 30 years. He is an internationally-published researcher and founding member of the International Association of Psychosexual Therapists and Managing Editor of the International Journal of Psychosexual Therapy. Tommy regularly presents research on ADHD and couples at international sex therapists conferences.
Shannon Kennealey LCSW, MFT
Adults, Teens, Families
Shannon works with teens, individuals, and families to unlock their inner capacities for strength, self determination, health and happiness, performance, well-being, and meaningful relationships. She takes an integrated approach that pulls from a variety of theoretical frameworks including, attachment theory, narrative therapy, self psychology, emotionally focused theory, and spiritual psychology.
Jennifer Livingston MSN, NP, PMHNP-BC
Psychiatric nurse practitioner
Jennifer is an integral element of the Littleton Couples Counseling team and brings a deep understanding of the psychopharmacological aspects of maternal mental health and women’s issues, anxiety, depression, ADD/ADHD, anger, grief, and loss.
Chelsea Speegle DPT
Pelvic floor physical therapy
Dr. Chelsea Speegle founded Pelvic Symphony PT with a simple belief: the body works like a symphony. Every muscle, joint, and system plays its own part, and when they work together, everything functions the way it should. When something is off, her job is to find which instrument is out of tune.
Ava Cohen Ph.D., LCSW, CST
Relationships & Sex, LGBTQIA+
As a Certified Sex Therapist, Ava is a compassionate therapist who is licensed in Colorado and Wyoming. She uses several different therapeutic modalities including: Narrative Therapy, Solution Focused Therapy, Emotionally-Focused Therapy (EFT), Gottman Method, Art Therapy, Play Therapy, Family Systems and a client-centered, strengths-based approach. Ava is an AASECT Certified Sex Therapist and she holds a doctorate in sexology.
LaTanya Jones MSM, NIC, MSW, MED, C-PST
Certified Sex Therapist, Couple’s Clinician, Gambling, ASL
LaTanya Jones is the director of development, accreditation, and compliance at The School of Sex Therapy. She is currently completing her PhD in human sexuality, and is the executive officer for the International Association of Psychosexual Therapists (IAPST). She is a nationally certified sign language interpreter and has a passion for the intersection of disability, religion, and sexuality. She works with clients across the country via telehealth.
Zachary Ripp MD OB/Gyn
Gynecologist in residence
Dr. Ripp offers a patient-centric and educational approach to care. He creates an open, comfortable space where his patients feel free to discuss their feelings and health issues and feel supported. He advocates for people with vulvas and facilitates care based on their choices and needs. Dr. Ripp wants to help minimize his patients’ apprehension about visiting the OB/GYN and provide a safe, supportive environment.
Korra
Compassionate Therapy Dog
People will tell a dog things they would never feel comfortable telling another human.Korra brings a lifetime of experience helping people who live with anxiety and depression feel more comfortable in their body. She specializes in working with people who need a calming influence in their lives.
Mālie
Therapy Dog in Training
Mālie (may-lee-uh) in Hawaiian is to be calm or experience serenity and often helps us in the counseling room, just not quite in the way we expected. She is a bundle of loving energy and excels in helping ADHD/ADD people reach threshold and experience more peace and focus.