The bookkeeping firm for private practices: therapists and counselors, dentists, optometrists, veterinarians, and specialists like them.
Therapists, optometrists and ophthalmologists, veterinarians, psychologists, dentists, speech-language pathologists, acupuncturists, dietitians, nurse practitioners, physical therapists, audiologists, and behavior analysts. Clinical private practices share the same accounting patterns: service revenue, S-Corp planning, reasonable owner comp, and the QBI phaseout. We handle them fluently, no matter the specialty.
As a QuickBooks Online certified team based in Greenville, North Carolina, we combine cloud-based bookkeeping tools with CPA oversight from our affiliated CPA firm, PizzelloCPA, PLLC, to keep your finances accurate, organized, and tax-ready so you can focus on running your practice, not reconciling your books.
Explore private practice bookkeepingEnhance your package with specialized services tailored to your business needs
1099 contractor tracking is bookkeepz, LLC work; the 1099 filings themselves are prepared and filed by PizzelloCPA, PLLC, our affiliated CPA firm, under a separate engagement.
Every tax service in this category (income tax preparation and filing, sales tax filing, payroll tax filing, and business personal property tax) is performed by PizzelloCPA, PLLC, our affiliated licensed CPA firm, under a separate engagement. bookkeepz, LLC provides the tax-ready books they work from.
"Andrew and his team bring a rare combination of technical tax knowledge and genuine partnership. They don't just keep the books. They help us make smarter financial decisions."
"I can't recommend Andrew Pizzello and bookkeepz enough! They handle both my personal and business accounting flawlessly, but more importantly, they're always available to offer support when things get challenging. We've been loyal clients for years and plan to stay that way!"
bookkeepz was started with a few premises in mind, which continue to guide us every day:
Prospective clients should be able to learn about our services, ask questions, and get started with minimal effort. We value your time and streamline every step of onboarding.
We minimize administrative requests so you can focus on your business. This means eliminating manual processes wherever possible, aligning with our commitment to efficiency.
Deliverables are consistently high-quality and on time. Every client receives the same level of service regardless of package. We demonstrate ethical behavior in all that we do.
"We are in this for the long haul, and we build on today to anticipate greater future returns for those we are fortunate enough to call our clients."
Andrew Pizzello, CPA
Co-Founder
We don't just use off-the-shelf software. We build our own. Our Client Portal, Financial Dashboard, and internal tools were designed specifically for how service-based private practices actually operate: recurring client work, trust accounts, owner comp, and tax planning. The result is faster turnaround, better accuracy, and real-time financial insight that most firms simply cannot offer.
Every client gets a dedicated bookkeeper, with CPA review available through our affiliated CPA firm, PizzelloCPA, PLLC. We respond within three hours during business hours. Whether you need help understanding your cash flow or preparing for tax season, you have a knowledgeable partner in your corner. CPA-reviewed books without paying CPA-firm rates for the bookkeeping itself.
Start with monthly categorization and reports. As your business grows, add advisory services, cash flow forecasting, and a live financial dashboard. Our packages scale with you, and nothing is one-size-fits-all.
We partner with our clients to provide bookkeeping service and support that goes far beyond data entry. Need your bookkeeper? We respond within three hours during business hours. Want real-time visibility into your finances? We built the tools for that from scratch. Looking for strategic guidance? Our virtual CFO services turn your numbers into a growth plan.
Everyone on our team stays hands-on. Nobody here is too senior to record a transaction or jump on a call to walk through your P&L. We learn your business first, then build a bookkeeping workflow tailored to how you actually operate.

Co-Founder
Andrew brings 16 years of diverse accounting experience spanning public practice, higher education, and corporate finance. A licensed CPA in North Carolina and Certified QuickBooks Online ProAdvisor, he spent over five years at a CPA firm in the Mountain West before serving in multiple roles at the University of Utah and rounding out his career at a national insurance company. Andrew holds a Master of Science in Accounting from East Texas A&M University. His breadth of experience across industries means he's seen and solved virtually every bookkeeping challenge a private practice can face.

Co-Founder
Christopher is an Intuit QuickBooks Certified Bookkeeper and the driving force behind our bookkeeping operations. He specializes in the engagements others avoid: complex clean-ups, catch-up projects, and untangling years of backlogged books. If technology can improve a process, Christopher will find a way to harness it. Currently completing his degree in Accounting and Financial Services, Christopher combines academic rigor with hands-on expertise to deliver consistently accurate and timely results for every client.
Our team maintains the highest standards of professional certification






Who we work with and how we support private practices.
What's included in each plan.
Cloud-based tools built by bookkeepz.
How to get started.
Let's discuss your business and find the perfect bookkeeping solution
We'll learn about your business, discuss your bookkeeping challenges, and answer your questions.
We'll recommend the package that fits your needs and budget. No pressure, just honest advice.
If it's a good fit, we'll outline a clear onboarding plan. If not, we'll point you in the right direction.
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