The purpose of this study was to explore similarities and differences in how practicing school psychologists conceptualized culturally responsive consultation across varying consultation paradigms. We conducted a secondary analysis of interviews of 15 school psychologists nationwide. Three major consultation paradigms emerged: (1) structured problem-solving with a medical model lens, (2) structured problem-solving with an ecological lens and, (3) 'On-the-fly' consultation with limited use of a problem-solving framework. The participants who described a medical model approach described their conceptualization of cultural variables in a broad manner, and they did not respond to cultural variables in robust ways. The participants who described an eco-behavioral approach to consultation actively incorporated culturally related variables throughout their consultation process. The participants who described an on-the-fly approach varied in their consideration of and response to cultural variables. Implications for research and practice are discussed.