No, I’m an out‑of‑network provider across all insurance plans, which means you pay at the time of session. I can provide a monthly superbill you can submit to your insurance for potential reimbursement, depending on your out‑of‑network benefits.

Insurance panels for mental health providers usually pay only a fraction of the cost of care, and they require diagnostic coding that affects how flexibly treatment can be structured, which may reduce its effectiveness. Working out‑of‑network allows me to offer you the kind of treatment that best fits your needs without being hampered by the limits of documenting medical necessity.

A superbill is a detailed receipt from your therapist that lists your diagnosis, the dates of service, the services provided, and the fees you paid. You submit the superbill to your insurance company, which then reimburses you a portion of the fee based on your out‑of‑network mental health benefits. I can provide a monthly superbill, which you then submit to your insurance company.

Call the number on the back of your insurance card and ask these three questions:

1. “Do I have out‑of‑network benefits?”
2. “What is my out‑of‑network reimbursement rate for a Licensed Marriage and Family Therapist?”
3. “What is my out‑of‑network deductible for mental health services, and how much of it have I met this year?”

Many plans reimburse 50–80% of the session fee once the out‑of‑network deductible is met.

Under certain unusual circumstances I may offer a sliding scale or reduced fee. Feel free to inquire about this directly with me.

For in‑person sessions, payment is due at the time of the session. For telehealth, payment is due 15 minutes prior to the start of the session. For in‑person sessions, cash, Zelle, Venmo, and PayPal (extra fee charged) are accepted. For telehealth, all of those options are accepted except cash. After three months of regular sessions, checks may be considered as payment for in‑person sessions.

Sessions cancelled less than 24 hours in advance are billed at the full session rate. If you need to reschedule with more than 24 hours’ notice, I will do my best to find another time that works.

Yes, the minimum session is 50 minutes, but they generally run closer to 55 minutes in practice. Some specialty sessions, like an EMDR Intensive or KAP (Ketamine‑Assisted Psychotherapy), will run longer and have a different fee structure. These options will be explained to those who are interested.

At the beginning of treatment I highly recommend at least once per week, and in some cases may require it. In many cases an every‑other‑week format may be set up. This depends both on your availability and my assessment of the nature of the issues being addressed and treated. It is rare that I approve therapy for any schedule less than twice per month, especially at the outset. It would be different for clients who have been in therapy for quite some time, or prior clients who are coming back for a “check‑in.”

This is a complicated question, and the answer is different for everyone. It depends upon what your goals are, what your finances allow, how quickly you improve, and how you are feeling as treatment progresses. There are, of course, many variables that cannot be predicted, such as changes in your environment or life circumstances. All of these things contribute to your mental and emotional state and can either support or hinder your growth. Generally, the topic of ending treatment is discussed together, but you are of course free to end treatment at any time.