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Fees and FAQS

Fees for 2023 are:

Individual and Couples
50 minutes: $170 
110 minutes: $340 (For the first initial intake appointment)
*Extended sessions are also available upon request and are billed at $35 for every extra ten minutes.

Discernment Counseling
110 minutes: $360 (First initial intake appointment)
80 minutes: $260 (Subsequent sessions) 

For all new clients, either solo or as a couple, I start with a 110-minute initial intake session. This longer meeting allows me to get a detailed background history that will assist me in assessing what is going on and will help me understand how to provide the best treatment going forward. This session is also a great time for us to get to know each other. Every subsequent weekly session will last for 50 minutes. 

For discernment counseling, the initial session is 110 minutes and subsequent sessions are 80 minutes, with a maximum of five meetings total.

I have a limited number of discounted rate slots for clients who can’t afford my full fee. **Currently my discounted rate slots are full.

What is your cancellation policy?
If you need to cancel an appointment, I require at least 24 hours notice. If you do not show up for your scheduled therapy appointment, or do not give a 24 hour cancelation notice, you will be required to pay the full fee cost of the session. I highly encourage clients to reschedule in the same week vs. cancelling so our work won't be interrupted. 

Do you accept or bill insurance? 
I am an Out-of-Network provider and do not directly accept or bill insurance as it affords more flexibility, a higher level of confidentiality and security than going through one's insurance. Typically, relationship counseling is not covered by many insurance plans.

Individual therapy is usually covered out-of-network and the amount you might get reimbursed differs with each insurance plan. If you are planning to seek reimbursement, I encourage you to call your insurance provider before our first session to find out your rate. I am happy to give you the codes needed or even call your insurance for you.
When calling your insurance please ask, "What is my out of network benefit reimbursement for therapy." They will let you know if you have a deductible that needs to be met and what percentage they will reimburse. I have typically seen people reimbursed between 40%-80% but your rate could be less. 

For possible reimbursement from your insurance company, I will be happy to provide you with a document called a superbill. The superbill will contain identifying information about me, my practice, and the dates and fees and codes needed for the services I’ve provided. 

Can I use my HSA or FSA card?
Yes! You absolutely can use your HSA or FSA card for psychotherapy services, because I am a healthcare provider.

Where will we do therapy?
I offer sessions via Telehealth to anyone who resides in Washington State. Online therapy is more convenient and easier for clients due to their busy lives, families and careers. It is helpful for clients who live far away or have scheduling issues. 
For many clients, participating in therapy from home or their office has helped them feel comfortable opening up. Clients also report that not having to take the time to travel back and forth to a therapy office makes it easier to attend each week.
Online therapy is delivered using a secured HIPAA compliant platform that is easy to use called SimplePractice.

How do I schedule a session?
I offer a free 15-30 minute phone consultation so we can talk about what is going on and for you to ask any questions. After we talk and have decided to work together I will then schedule your intake and weekly session times.
To schedule a free 15-30 minute phone consultation, please reach out to me via email at, by phone (206) 414-9304, or fill out the form on my contact page.
I will respond within 24 hours or less. I look forward to connecting with you.

Surprise Billing? What are Good Faith Estimates?
In 2022, the No Surprises Act went into effect and requires all healthcare providers to be upfront about their pricing. You will never be sent a bill for anything you haven’t agreed to. All of the pricing is transparent and clearly laid out on my website and in my practice paperwork that you sign prior to the start of treatment. There’s no fine print either.

If you have any questions or concerns about your bill please reach out to me either by email or by phone 206-414-9304.
Good Faith Estimates:
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes  related costs like medical tests, prescription drugs, equipment, and hospital fees.
Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose for a Good Faith Estimate before you schedule an item or service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit

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