Registered Speech Language Pathologist · Virtual Across Ontario · No referral needed
Speech Therapy That Meets You Where You Are
Cognicare provide communication services and supports to teens and adults navigating various life circumstances, from difficulties returning to work or school post-concussion to managing communication after stroke to the impact of neurodevelopmental disorders on adult life.
Our approach is evidence-based and reflexive, ensuring care that reflects you as a whole person, across all the settings you may find yourself in. Now and in the future.
You do not need a referral to access our services. Begin with a consultation to determine your needs and the best path forward.
why choose cognicare
CASLPO-Registered
Regulated, evidence-based care, verifiable directly through Ontario's regulatory college
Founder-led care
Therapy with Mariya Kika, a CASLPO-registered SLP working in neurorehabilitation
Outpatient Neuro-rehabilitation Experience
Extensive experience rehabilitating clients back to work
Virtual Across Ontario
From Toronto to Thunder Bay, care that comes to you, with no commute or waiting room.
Our Services
functional neurological disorder (FND)
FND occurs when there is a disruption in the functioning of the nervous system and signals misfire. Testing and imaging often come back without any indications of structural differences.
Stroke & Aphasia
A stroke can affect the ability to speak, understand language, read, and/or write, without affecting intelligence.
Acquired Stuttering
Support for teens and adults whose stuttering emerged or changed later in life. It also includes support for cluttering, a related but distinct fluency challenge.
Speech disorders
Support for adults with motor speech disorders, including dysarthria and apraxia. These most often occur following stroke, brain injury, or a neurological diagnosis.
Brain Injury & Concussion
Concussion and brain injury can affect listening, memory, attention, word-finding, and fatigue, even when nothing outwardly looks different.
Professional Coaching
Support for adults working on presentation skills, self-advocacy, negotiation, or accent modification while in or entering the workforce. Coaching is built around your personal professional goals.
Social Communication & Executive Functioning
Support for individuals navigating social communication differences, including autism spectrum disorder. We work towards increased meaningful participation across settings.
Neurological Conditions
Support for adults managing cognitive-communication changes from Parkinson's, early dementia, Long COVID, or other neurological conditions. It includes targeting memory, word-finding, and staying organized in conversation.
Voice Therapy
Support for adults dealing with vocal fatigue, hoarseness, muscle tension dysphonia, or voice changes from professional use or injury. T
Dysphagia & Swallowing Therapy
Support for adults managing swallowing difficulty following hospitalization, surgery, stroke, or with a neurological condition. Assessment happens virtually, incorporating any existing swallow study results
who you’ll work with
Mariya is a registered speech-language pathologist based in Toronto. She is a member of the Canadian Concussion Network. Her approach treats communication within the context of recovery, cognition, and fatigue.
what does the process look like
Free consultation
15 minutes. No obligation. A chance to discuss your experiences and needs and ask any questions about speech therapy.
Assessment
A comprehensive interview, open dialogue, and objective testing to identify your strengths and goals. You'll receive a written summary and a customized treatment plan.
Treatment plan
Virtual speech therapy delivered straight into your home, targeting your personalized goals, with progress reviewed regularly.
Functional application
Strategies move from session into daily life through home programming. In-person community integration sessions, offered across the Greater Toronto Area, help you practice skills in the settings where they matter most.
Progress and taper
As you meet your goals, treatment frequency decreases to build your independence. You'll keep a personalized strategy toolkit and home program, and consultations remain available anytime.
why virtual speech therapy?
Online speech therapy offers the convenience of receiving personalized treatment straight into your home. It offers increased flexibility in your schedule, removes the commute time, and accommodates your abilities and energy.
With Cognicare:
No downloads or subscriptions required
One click access. You receive a personalized link to your session in your inbox
Sessions are safe, secure, and private
Frequently Asked Questions
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No, you don’t need a referral to start speech therapy.
Anyone can initiate speech therapy services at any time, without waiting for a referral or recommendation from another healthcare professional.
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Sessions take place over secure video call, with no commute or waiting room. Cognicare works with clients across Ontario, from Toronto to as far north as Thunder Bay.
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It starts with a free 15-minute consultation, no obligation to continue.
From there, a full assessment builds a clear picture of your goals, followed by a treatment plan built around your specific needs.
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Most major insurance and extended benefits plans include coverage for speech-language pathology.
Cognicare offers direct billing to over a dozen major insurance providers. Please review your own insurance plan to confirm what is covered.
If your insurer is not on the list, you will receive a detailed invoice to self-submit for reimbursement.
Clients without coverage can pay out of pocket, explore alternate funding, or apply to our Community Spot.
Find additional billing information on our Rates page.
You don't have to rebuild communication alone
Have a question first? Send a message
Or call 416-477-4428