Appointments & Fees

I am available Tuesday through Saturday by appointment. If my schedule is full, I will do my best to offer referrals to trusted colleagues. Appointments are 50 minutes. I reserve regular weekly times for my clients and see this as a mutual commitment.

I offer a complimentary 15-minute introductory Zoom call for you to get a sense of me and ask any questions you may have. This also allows us to decide if it seems like a good fit.

I use a HIPAA-compliant electronic health record in my practice, not unlike what most of us use when we see our doctor. When we set up your initial appointment, you will receive a private link to my secure client portal via email (look for an email from support@sessionshealth.com). You can complete all intake paperwork, including electronic signatures, in the portal. For future reference, there is a link to the portal for established clients in the top right corner of this website.

At your first appointment, I will focus on assessing your concerns and beginning to develop a plan for addressing them. 

Fees

My session fee is $225. I accept Zelle (a bank-to-bank payment platform that has many member banks), checks, or cash (when in-person), due at the time of service. I am not set up to take credit cards.

As part of my commitment to social justice and accessibility, I do reserve some reduced rate appointment slots for clients who are an especially good fit for what I offer, and for whom my standard fee would be a significant barrier. At this time, the reduced fee appointments are fully committed, so for the time being, I am unable to offer additional sliding scale, but will update this page when that changes.
 

Insurance

I do not contract with insurance companies, so I am considered an out-of-network provider. I am also formally opted out of the Medicare system, which means I can work with Medicare beneficiaries only under a private contract (and Medicare cannot be billed). I choose to practice this way because the work I do is often depth- and relationship-oriented, and I want us to be able to address what is most meaningful for you — not what an insurance company defines as "medically necessary."

I can provide monthly superbills (insurance statements) through my client portal that you may submit to your (non-Medicare) insurance company for possible reimbursement, depending on your plan. Insurance requires a mental health diagnosis code for reimbursement and may request additional clinical information as part of that process. I diagnose and code in a way that accurately reflects your clinical presentation and the work we're doing, which is part of practicing ethically. This means that not all meaningful work will qualify for reimbursement under the insurance paradigm, which defines care far more narrowly than the kind of deep relational work we are doing here. In rare situations, if an insurance company later decides that the diagnosis or services did not meet its criteria for medical necessity, they can seek repayment from the client for the funds they previously issued.  This is uncommon, but I believe people should be aware of it when considering whether to seek reimbursement.

Because insurers operate from a medical model framework, reimbursement is tied to functional impairment and symptom reduction. They often do not cover treatment aimed primarily at deepening connection, intimacy, pleasure, relational healing, or meaningful experience. As a result, many plans will not reimburse for couple therapy when the focus is the relationship itself, or for some sex therapy diagnoses, though I occasionally see exceptions. Sometimes the medical model fits well with a person’s psychotherapy needs and sometimes it does not.

If you are considering submitting for out-of-network reimbursement, I recommend calling your insurance company to ask about coverage and reimbursement rates. I am happy to provide you the procedure code you may be asked for and often a provisional diagnosis code (accurate ones depend on a more thorough assessment). I offer this clarity up front so you have a realistic sense of what insurance typically reimburses — and what falls outside its model. When reimbursement isn't available, it is usually a limitation of the insurance system rather than a reflection of the value or legitimacy of the work we are doing together.