Yes, I offer sliding or low-cost counseling when you can’t afford the full fee. My sliding range varies and is typically discussed with an agreement form. Please connect with me directly to discuss the availability if you require a lower fee or payment plan option. As a military spouse-owned and operated practice, discounted rates are provided for First Responders, Active Duty military, and TRICARE members. Additionally, please inquire to see if you’d qualify for financial assistance via the partnering non-profits. We are committed to giving back to those who serve.

Yes, I accept private pay. The advantages of private pay include not having to submit a diagnosis or share any HIPAA-protected information with your insurance company. Many of these companies also try to dictate what kind of therapy and how much therapy you need. When you use out-of-pocket services, you have more flexibility in how you use your therapy sessions and it also allows me to provide the highest quality, most flexible care to meet your unique needs. You can read more about the advantages of private pay here in my FAQ section.

I am a Lyra Health provider. If you’d like to use these benefits, let’s do a meet-and-greet consultation. It is best to check with your employer and insurance as coverage status is liable to change. If you’re not sure, reach out to them as this may be a good benefit to you! 

Yup, I do offer OON billing with courtesy billing.

I can provide you with a Superbill, which is a fancy medical receipt. You can submit this receipt to your insurance company for possible reimbursement (which they will send directly to you). Doing this, however, also requires a formal diagnosis.

As a courtesy I use Thrizer for insurances I am not in-network with.  You may have out-of-network benefits, which means that they will support the cost of our services. Thrizer automatically handles this process so you can pay only what you truly owe for our sessions. 

We will first check to confirm you have out-of-network benefits. If so, I will use Thrizer so that you are only charged your co-payment for the appointment. This will also allow you to track your claims and receive reimbursement payments more quickly and easily.

To learn how Thrizer works, you can visit here.

If you are interested in billing insurance, you may use Thrizer to verify your benefits. To learn more, you can visit here.

You can also contact your insurance company directly to find out the reimbursement amount for “out-of-network” counseling.

I’d recommend asking these questions to your insurance provider to help determine your benefits:

• Does my health insurance plan include mental health/telehealth benefits?
• Do I have a deductible? If so, what is it, and have I met it yet?
• Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
• Do I need written approval from my primary care physician in order for services to be covered?

Common CPT Codes for billing:

• Intake: Psychiatric Diagnostic Evaluation CPT 90791
• 60-minute Individual Psychotherapy CPT 90837
• 45-minute Individual Psychotherapy CPT 90834
• 30-minute Individual Psychotherapy CPT 90832

I am a non-network TRICARE Certified Provider for those living in Virginia. Which means, a prior authorization or a referral may be required for your insurance type i.e. Prime. You also have the option to use the point-of-service (POS) option, which means you do not need a referral to begin services with me. You would need to meet your yearly deductible and then after your deductible is met, you will be responsible for 50% of TRICARE’s allowable amount.

For more information or help to better understand your costs with TRICARE, visit their website.

As a courtesy, I am happy to submit all claims on your behalf. Self-pay discounted rates are provided for Active Duty and TRICARE members.

Currently, my State Boards require that I only see individuals who are physically located in the states where I am licensed. While telehealth laws can be complex, it’s essential to consider whether driving to Virginia (VA) or Alaska (AK) for telehealth sessions is practical. While it’s technically possible, it may not be the most efficient or effective approach. If you’re seeking a therapist licensed in a specific state for telehealth sessions, I can provide referrals for your convenience.

I am in-network with Anthem BCBS.

I currently use a company called Headway to verify benefits and manage billing and admin work for Anthem BCBS.

To check your benefits, you can go here. You’ll see your cost/session ahead of time.

I am in-network with Aetna for Alaskans via Headway (who I do my billing with)

I am also an independent contractor offering televideo sessions with Chugach Counseling & Consulting that is based out of Eagle River, AK. I am in-network with BlueCross BlueShield, TriCare, and TriWest.

At this time, I am not accepting new clients at this location.

Please contact me or visit Chugach Counseling & Consulting if you have questions.

At this time, I am not accepting Medicaid and Medicare clients. 

Message-based therapy is where you communicate with your therapist via e-chat, online text messaging, or e-Journal. You exchange these messages online in a secured way via a client portal. These messages can be in live time or with a delay. After our initial televideo session, we discuss if this fits your therapeutic treatment.

All services are via a secured platform

Payment is due at the time of service. I accept major credit cards, including HSA/FSA cards and Care Credit, through my secure practice platform, Practice Better. Your payment details are stored securely either with a third-party billing service I contract for insurance or within the Practice Better client portal. Co-pays (if any) are processed on the day of service. For EMDR Intensives, financing options are available.

Therapy sessions are scheduled in advance at a time reserved exclusively for you. When a session is canceled without adequate notice, I am unable to fill this time slot by offering it to another current client, a client on the waitlist, or a client with a clinical emergency.

If you are unable to attend a session, please make sure you provide me, at least 24 hours, notice of the cancellation via email or text/message.

If you cancel your appointment prior to 24 hours, you will be rescheduled with no penalty.

Cancellations made without 24 hours’ notice but prior to the start of the session incur a $50 late-cancellation fee unless rescheduled within 5 business days.

No-shows or cancellations, especially if it becomes habitual, made after the start of the session incur a $100 fee.

**EMDR Intensives: Please provide a minimum of 72 hours’ notice. Cancellations occurring within this time frame, or failure to attend without notice, will result in a charge of $100 per hour for the duration of the session (3 blocks).

**Of course, we understand when emergencies come up. Cancellation fee can be waived in the event that is out of your control ie. a natural disaster, serious illness, or an emergency situation such as a car accident. If you are unsure of your circumstances, please contact me to discuss!

I meet with Alaska and Virginia clients between the hours of 10 AM-5 PM ET. I may not respond to messages or emails past 6 PM ET.

You may visit the FAQ section or contact me for any additional questions you may have. I look forward to hearing from you!