Tammy Lynn Botello, MS, LPC-S
Tammy Botello has been a professional counselor for over 15 years. She is the owner & founder of Step by Step Counseling Center. Her educational achievements include a Bachelor of Criminal Justice from University of Texas-SA and a Master of Science in Counseling & Guidance from Texas A & M-CC. She is bilingual in English and Spanish. She is the proud mother of 4 children, including a son, age 26, twin daughters, age 18 and a baby girl, age 11. Her experience includes working as an adult & juvenile probation officer, hospital social worker, geriatric outpatient treatment counselor and opened her private practice in 2004 in San Antonio, TX. Ms. Botello areas of specialty include family counseling, teens, adults and cases that involve legal issues and require court representation. Ms. Botello also specializes in Hardship Evaluations for Immigration purposes and works in conjunction with local attorneys in creating the best “waiver packet” for the client.


Joan Orosco
Licensed Counselor/ Marriage & Family Therapist
Ms. Orosco has over 20 years of counseling experienced, working with children, teens, families and couples. She also specializes in working with individuals and families going through the grief process. She has worked with children in the Foster Care System, and dealing with cases monitored by Child Protective Services. She has one son and volunteers at a church running a grief support group.


Scott Siegel, LPS-S
Family, Individual and Child Therapy
Mr. Scott Siegel is a Licensed Professional Counselor-Supervisor with experience in individual and child counseling. He was the owner and founder of his private practice in Austin, Texas. He is currently working full-time at Family Service Association as a Therapist. He has experience in Family, Individual and Child Therapy as well as numerous background in Psychotherapy.


Jackie Chavez, LPC, LPA
Psychological Assessment and Counseling
Jackie Chavez, LPC, LPA has over 8 years of clinical experience, which has given her the opportunity to work with diverse groups of individuals in outpatient, inpatient, residential, and private practice settings. Her experience with psychological assessment and counseling allows her to provide her patients the necessary tools towards their road of recovery. She strives to build a trusting relationship with her clients that fosters growth, change, and instills hope. She aims to empower clients to reach their full potential by teaching them skills that will assist them in overcoming the challenges in their everyday lives. She is a Licensed Professional Counselor (LPC) and a Licensed Psychological Associate (LPA). She’s currently in her third year of a PhD program in Clinical Psychology. Her speciality consists of Psychological Assessment and Counseling of Children, Adolescents, and Adults. She offers psychological assessment services for ADHD, Autism, Learning Disorder, Personalty disorders and a great scope of behavioral and emotional disorders in children, adolescents, and adults.


Yvette Lisa Ramirez, LPC
PTSD, Anxiety, Bipolar and Depression, Cognitive Behavioral Therapy
Yvette Lisa Ramirez, LPC is a Licensed Professional Counselor with my Master’s in Human Services with Specialization in Mental Health Counseling from Capella University. She obtained her Bachelor’s in Liberal Arts in Psychology with a Minor in Health Information Management from Texas State University. She is certified through the Texas Department of Health and Human Services in Cognitive Behavioral Therapy and currently training in Cognitive Processing Therapy. Cognitive Behavioral Therapy is changing and challenging thinking and core beliefs and behaviors to improve Depression, Anxiety, and other symptoms. Cognitive Processing Therapy focuses on Post Traumatic Stress Disorder (PTSD) and challenging beliefs and thoughts that have stemmed from a traumatic event. She works Full-time at the Center for Healthcare Services as the Assertive Community Team Clinic Administrator working with consumers recovering from major Depression, Bipolar disorder, Schizoaffective disorder, and Schizophrenia. She facilitate groups, such as, Addressing Trauma through Art and managing Stress and Anxiety. She takes a person centered approach with all her clients and believe that a trusting relationship will be the best way to help recovery.


Vielka Johnson, LPC
Therapeutic Foster Care Children, Family Domestic Violence, and Abuse

Vielka Johnson, LPC received her BA in Psychology in 1996 from the University of Colorado. In 1998 she moved to San Antonio, Texas and continued in receiving her Masters Degree in Counseling and in 2006 was licensed by the Texas State Board of Examiners and a Licensed Professional Counselor. She’s been fortunate enough to have worked with such a diverse population within our community. Her background is primarily is with children and adolescents ages 3 to 18; however, she has worked with young adults and adults up to the age of 65+.

She has worked in a variety of settings to include: community agencies, school settings and residential facilities. She also has experience in working with therapeutic foster care children, family domestic violence, and abuse; the mobile crisis unit and intervention. She is trained in Trauma Focus CBT. She incorporates different approaches to address the needs of the clients. She is deeply committed in assisting clients with identifying their strengths and weaknesses; learning new skills to achieve their goals and improve their lives.


Mia Perkins
Office Manager

Mia Perkins has over 5 years of experience in medical office management. As a prior military spouse, she have had the pleasure of meeting many people from all walks of life and having raised a child with Autism, she understands the unique challenges and benefits associated with counseling. Having finally settled in San Antonio, she look forward to sharing her expertise to help Step By Step Counseling Center deliver exceptional experiences to every patient.


Anastacio Ramirez
Head Receptionist

Anastacio Ramirez is the office head receptionist and has a certificate as a Medical Assistant from Southern Careers Institute. He is the person that will greet you in the front, schedule your follow up apps and answer all incoming calls.


If you have any questions