The Standard Begins Here

Compliance built by an operator who's still in the room.

DHCS licensing, Joint Commission, insurance contracting, auditing, HR, and operations for behavioral health organizations — led by a working COO, not a retired surveyor. Guided by faith and a commitment to excellence.

DHCS & Joint Commission CLIA Waivers Serving Greater Los Angeles
Active COO · not a desk consultant Seven services · one operator · zero hand-offs
Behavioral health consulting and complianceConsulting
Behavioral health business planning roadmapBusiness Planning
Operations and HR support for behavioral health teamsOperations & HR
DHCS LicensingJoint CommissionCLIA WaiversInsurance ContractingFacility FormationHR SupportMarketing DHCS LicensingJoint CommissionCLIA WaiversInsurance ContractingFacility FormationHR SupportMarketing

For every founder who's felt lost — we built the compliance map.

Built on Faith · Driven by Purpose

Our Mission

Level Up Compliance was born from the frustration of doing it all without a roadmap. We exist to help behavioral health organizations cut through the noise and build strong, sustainable systems for licensing, insurance, and accreditation.

No fluff, no guesswork — just clear, ethical guidance grounded in God-inspired principles and a commitment to excellence. We help people who've been there, so you never have to feel lost in the process.

IntegrityExcellenceServicePurpose
Solutions We Provide

One partner for every stage of your organization.

From your first license to full operations, we cover the work that keeps behavioral health organizations compliant, funded, and growing.

01

Consulting & Compliance

DHCS and Joint Commission certification, CLIA waivers, and renewals — full-service compliance support, step by step, from planning to long-term maintenance.

02

Insurance Contracting

We handle the full contracting process — from applications to payer approvals — so you can focus on serving clients while we manage the red tape.

03

Auditing

Mock audits and readiness reviews that find the gaps before a regulator does — so you walk into every inspection prepared and confident.

04

Business Planning

Turning your vision into a fully functioning organization — strategy, structure, and the right people, mapped out every step of the way.

05

HR Support

Staffing, policies, training records, and culture — the people side of operations handled, so your team is compliant and supported.

06

Marketing

Ethical, professional marketing that reflects your mission and reaches the clients and referral partners who need you most.

07

Medicare Part B Enrollment

Enrollment support for MFTs, LPCCs, and master’s-level counselors now eligible to bill Medicare — PECOS, CMS-855I, and taxonomy setup handled so you can serve more clients.

08

Rebrand & Ownership Transitions

Change-of-ownership filings, license transfers, accreditation continuity, and payer roster updates — handled so a name change or sale never puts your compliance status at risk.

09

Operational Support, Renewals & Templates

Day-to-day operations guidance, renewal and rebrand management, plus a curated template library — policy manuals, offer letters, job descriptions, and Joint Commission–ready documents so you never start from scratch.

Talk to Us About Your Needs
How We Work

A clear path from uncertain to fully operational.

No jargon, no surprises — a straightforward process built on the steps that actually get results.

1

Dream It

We start with your vision and learn exactly what you want to build.

2

Map It

A clear plan for licensing, structure, and compliance — your roadmap.

3

Achieve It

We do the work alongside you — applications, contracts, and systems.

4

Maintain It

Ongoing support keeps you compliant and ready as your organization grows.

Why Level Up

Partners who've been where you are.

We've navigated licensing, accreditation, and operations ourselves. That experience means practical guidance that fits how behavioral health organizations actually run.

  • Faith-driven and ethical

    Honest guidance grounded in God-inspired principles — we do right by you, every step.

  • End-to-end support

    From your first license to daily operations, one team covers it all — no juggling vendors.

  • Built for behavioral health

    We specialize in this field — DHCS, Joint Commission, CLIA — not generic business advice.

7
Service areas under one roof
A–Z
Support from vision to fully operational
4
LA-area regions served
100%
Focused on behavioral health
CB

Castle Brusa

Founder & CEO · Principal Consultant

Castle founded Level Up Compliance to help treatment providers navigate licensing, accreditation, and payer contracting — turning complex, often overwhelming processes into clear, actionable strategies. As a currently-serving COO, he brings present-day operational experience few consultants can match.

With over seven years in behavioral health operations and compliance — including personally leading a facility through the full Joint Commission accreditation process — he brings hands-on experience to every engagement, guided by integrity, transparency, and a commitment to long-term impact.

CADC II Certified Behavioral Health Operations Licensing & Accreditation Renewals & Rebranding
Proven In The Field

A track record built on real growth.

The strategies we bring to your organization were proven leading a behavioral health facility through two years of sustained growth:

115+
Clients supported by a multi-track system
Daily groups scaled from one to six, plus a night track
+2
In-network insurance contracts secured
Part B
Medicare Part B approval obtained

Built and scaled a multi-track system supporting in-person and telehealth programming simultaneously — sourcing and implementing the structure, staff, curriculum, and clinical tracks to sustain that growth, including a dedicated telehealth night track.

The result: a financially healthy, sustainable operation built to grow — the same foundation we help our clients build.

That experience also covers the parts most providers dread: managing DHCS and Joint Commission renewals across multiple facilities, and guiding a behavioral health organization through a complete rebrand — handling the DBA, certification and accreditation updates, and LegitScript transition so nothing lapsed along the way.

2024–PresentChief Operating OfficerTotality Treatment Center
2021–2024Director of OperationsNuView Treatment Center — led the full Joint Commission accreditation
2019–2021RA Supervisor & Compliance Team1Method LLC
Service Areas

Proudly serving the greater Los Angeles area.

San Gabriel Valley San Fernando Valley Los Angeles County Orange County
Featured Engagement

From DHCS-certified to Joint Commission accredited.

A look at the kind of multi-stage work behind every Level Up engagement — built on hands-on experience across multiple facilities.

Behavioral Health Outpatient

A multi-facility track record across licensing, accreditation, and growth.

Operations leadership across NuView Treatment Center and Totality Treatment Center, 2021–present.

115+
Clients supported
Daily groups scaled
+2
In-network contracts
Part B
Medicare approval

"The same work we lead inside a treatment center every day is the work we now bring to our clients — the structural, behind-the-scenes wins that decide whether an organization grows or stalls."

What was delivered

  • Personally led a facility through the complete Joint Commission accreditation process
  • Managed DHCS and Joint Commission renewals across multiple facilities
  • Guided a full organizational rebrand — DBA, certification updates, accreditation transfers, and LegitScript transition handled without lapse
  • Built and scaled a multi-track system supporting in-person and telehealth programming simultaneously
  • Sourced and implemented the staff, curriculum, and clinical tracks to sustain growth

Why it matters for you

These are the moments that quietly make or break a behavioral health organization — the renewal that almost lapsed, the accreditation that took longer than expected, the rebrand that risked payer status. Level Up is built around the engineer who's done the work, so you don't have to learn it the hard way.

Talk About Your Engagement
Common Questions

Answers before you ask.

Both. We help founders launch from the ground up — licensing, structure, and staffing — and we help existing organizations fix gaps, add insurance contracts, and grow. Wherever you are, we meet you there.

DHCS estimates roughly 120 days from a complete application, but realistically it runs 6–12 months once fire clearance, zoning, and Medi-Cal enrollment are factored in. Joint Commission accreditation typically takes several months of preparation before survey. In your free consultation we'll map a realistic timeline for your specific situation — no vague promises.

Every organization's needs are different, so we scope pricing to the work — whether that's a single licensing project or full operational support. We'll walk you through it clearly on your first call.

We serve behavioral health organizations across Greater Los Angeles — including the San Gabriel Valley, San Fernando Valley, Los Angeles County, and Orange County.

Yes. As of January 2024, Marriage & Family Therapists and Mental Health Counselors — including many master’s-level addiction counselors — can enroll as Medicare providers, opening a large new population to your services. We handle the PECOS and CMS-855I enrollment process for you.

Yes. DHCS licensing and certification fees increase 15% effective July 1, 2026. If you're planning to open or renew, the timing of your application matters — we can help you plan around it.

Most compliance consultants left operations years ago. Our founder is a currently-practicing COO — the strategies we bring you are being tested in a real facility right now, not remembered from a decade ago. You get hands-on, present-day experience, guided by faith and a real commitment to excellence.

California Watch

What's changing in California — and what it means for you.

Regulations move fast. We track them so your organization is never caught off guard. A few that matter right now:

Effective Jul 1, 2026

DHCS Fees Rising 15%

Licensing and certification fees increase across the board. If you're opening or renewing, application timing now affects your budget.

Plan ahead →
In Effect Now

SB 855 Parity Enforcement

California's strengthened mental health parity rules mean better-documented medical necessity can help you win insurance denials and appeals.

Get audit-ready →
Since Jan 2024

Medicare Part B Expansion

Roughly 400,000 master’s-level counselors nationwide can now bill Medicare — a major new revenue and access opportunity for your facility.

Enroll your team →

Free: DHCS Survey Readiness Checklist

The same checklist we use before a real survey — the items that most often trip up California facilities. Get it sent straight to your inbox.

No spam. Just the checklist and the occasional California compliance update.

Contact Us

Let's build your organization the right way.

Whether you're ready to book, have questions, or just need a starting point — schedule a call and we'll talk through what you need and how we can support your next steps.

We'll be in touch within one business day.