You are renting your caseload
A directory profile fills chairs, and it also decides who sees you, in what order, next to which competitors. Raise your fee, add a specialty, open a second office, and the directory does not care. It is selling the same searcher to every clinician in your zip code.
The practices that get off that treadmill do it by owning the searches the directories handle badly. Not 'therapist near me', which the directories will always win, but 'EMDR therapist' plus a city, 'adult ADHD testing' plus a city, 'perinatal therapist who takes Cigna'. Those queries have less volume and far more intent, and one page can own each of them.
Keep the directory listing. Stop letting it be the whole plan.