Mind Matters, PLLC · Rochester, MN
Neuropsychologist La Crosse, WI
ADHD & Executive Function Coaching in La Crosse, WI
ADHD and executive function coaching for La Crosse area students, by secure telehealth across the river.
Across the River and Straight Up I-90
For families in La Crosse, the closest board-certified pediatric neuropsychology has rarely been in Wisconsin. Madison is two and a half hours east and Milwaukee further still, while Rochester is a single I-90 run west — across the Mississippi at La Crescent and up the bluffs, roughly 70 minutes door to door.
We see children, teens, and adults from across the coulee region: downtown La Crosse and the 54601 and 54603 neighborhoods, Onalaska, Holmen and 54650, plus Shelby, West Salem, and the Wisconsin side of the river generally. Testing happens in NW Rochester at 3777 40th Avenue NW, Suite 103, with free parking at the entrance.
Many La Crosse families already cross the river for specialty appointments. The difference here is a small private practice: the person who answers the phone is on the same team that sits with you at the feedback session.
Getting here
a US-14 / I-90 drive west across the Mississippi at La Crescent · ~~70 minutes
County
La Crosse County
School districts served
La Crosse School District · Aquinas Catholic Schools · Onalaska School District · Holmen School District
Near
Grandad Bluff · University of Wisconsin–La Crosse · Riverside Park
What Care Looks Like for La Crosse Area Families
Coaching for La Crosse area students runs by secure telehealth, because an hour of I-90 each way after school defeats the purpose. Sessions focus on the practical work of getting through a school week — capturing assignments, starting the hard task first, building routines that survive the transition between school and home — and none of it requires medication.
- Non-medication, evidence-based coaching for ages 6–21
- Practical attention, organization, time-management, and study skills
- Personalized routines that transfer between school and home
- Telehealth available — no extra drive after a long school day
Why La Crosse Families Choose Rochester Over Madison
Closer Than Madison
Rochester is about 70 minutes west on I-90 — a shorter trip than either Madison or Milwaukee for board-certified pediatric neuropsychology.
Weeks, Not Seasons
La Crosse families typically start within days to a few weeks rather than waiting out a 12- to 18-month specialty list.
Private Pay, Superbill Provided
We do not bill insurance directly. You receive an itemized superbill to submit to your Wisconsin plan for possible out-of-network reimbursement.
Questions We Hear From La Crosse Families
- Is coaching available across state lines?
- Yes. Coaching is not a licensed-diagnostic service, so La Crosse area students meet by secure telehealth on weekday late afternoons and evenings without crossing the river.
- What does coaching cost?
- Mind Matters is a private-pay practice; current coaching rates and session lengths are listed on the Get Started page. A 3% processing fee applies to credit card payments.
- Do you coordinate with Wisconsin teachers?
- With your written consent we can share strategies with classroom teachers or a 504 coordinator so the same system is used at school and at home. Extended school consultation may carry an additional charge.

Your Clinician
Dr. Mike Zaccariello, PhD, LP, ABPP
Dr. Zaccariello is a board-certified pediatric neuropsychologist and founder of Mind Matters, PLLC. He brings decades of clinical experience and a commitment to clarity, compassion, and partnership with families across SE Minnesota.
Meet Dr. ZaccarielloReady to Get Started?
Serving La Crosse, WI and all of SE Minnesota from our Rochester office.
Request an Appointment