Little Otter

Little Otter

Telehealth pediatric mental health services

Overview

Little Otter Health provides online mental health care for children aged 0-14 and their families through telehealth, offering therapy, psychiatry, and couple’s counseling. Families access care from home, guided by a proprietary family screening tool that assesses needs and creates a tailored care plan, with coordinated services and progress toward remission goals. The approach centers on the family and uses an expert clinician to deliver personalized plans, aiming to improve both child and parental mental health and track outcomes. The goal is to make pediatric mental health care accessible at home and to improve outcomes through timely, comprehensive, and preventive care.

Significant Headcount Growth

About Little Otter

Simplify's Rating
Why Little Otter is rated
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C on Differentiation

Industries

Healthcare

Company Size

51-200

Company Stage

Early VC

Total Funding

$35.7M

Headquarters

San Francisco, California

Founded

2019

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Simplify's Take

What believers are saying

  • Hazel Health acquisition enables school-based mental health partnerships.
  • 75% parental anxiety reduction positions it for employer benefits expansion.
  • Clinically-validated ADHD treatments capture growing pediatric market share.

What critics are saying

  • Hazel Health layoffs cut Little Otter clinicians within 6-12 months.
  • Headspace Health erodes 50-70% revenue via AI personalization in 12-18 months.
  • CMS Medicaid cuts eliminate reimbursements in 10 states by Q2 2026.

What makes Little Otter unique

  • Little Otter delivers whole-family mental health care for children 0-18 via telehealth.
  • Proprietary screening tool creates personalized care plans with higher remission rates.
  • Co-founded by Dr. Helen Egger, ex-Duke Child Psychiatry Chief.

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Funding

Total Funding

$35.7M

Above

Industry Average

Funded Over

3 Rounds

Notable Investors:
Early VC funding comparison data is currently unavailable. We're working to provide this information soon!
Early VC Funding Comparison
Coming Soon

Benefits

Competitive salary

Equity

Health, dental, & medical

Remote-first working environment

Parental leave

PTO

Growth & Insights and Company News

Headcount

6 month growth

2%

1 year growth

9%

2 year growth

8%
Silicon Legal Strategy
Oct 15th, 2025
SLS Client Little Otter is Acquired by Hazel Health

SLS client Little Otter is acquired by Hazel Health. Silicon Legal represented Little Otter as they were acquired by Hazel Health. Little Otter is a digital mental health company that offers holistic, evidence-backed care for children 0-18 and their families.

Behavioral Health Business
Oct 14th, 2025
Hazel Health Acquires Little Otter, $86M Raised

Hazel Health has acquired youth mental health startup Little Otter, following its earlier acquisition of BeMe Health. Little Otter offers mental health services for children and families. Hazel Health also appointed Iyah Romm as CEO, though the timing is unclear. The company has raised at least $86 million, with a $51.5 million Series C1 round in 2022. Despite growth, Hazel Health laid off 11% of its staff to focus on automation and scaling services, ensuring no clinical roles were affected.

PR Newswire
Sep 16th, 2025
Little Otter Health Gains Funding to Expand Effective Mental Health Care for Children, Families

DURHAM, N.C., Sept. 15, 2025 /PRNewswire/ - Little Otter Health, a trailblazer in providing mental health care to the entire family, has landed significant growth funding from Decathlon Capital Partners.

FinSMEs
Feb 5th, 2025
Little Otter Raises $9.5M in Funding

Little Otter, a San Francisco, CA-based company which specializes in digital whole-family mental health care, raised $9.5M in funding

Business Wire
Jul 21st, 2023
Little Otter Raises $22M Series A to Combat the Mental Health Crisis Plaguing Today’s Youth

Little Otter, the first digital mental health company to provide tools and treatment for both children and their families, today announced the close o

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