Information & Policies

Current clients can use this link to access the Client Portal.

Crisis & Emergency Support

My practice is outpatient and does not provide crisis or emergency services.

If you are in immediate danger or experiencing a mental health emergency, call 911 or go to the nearest emergency department. In the U.S., you can also call or text 988 to reach the Suicide & Crisis Lifeline.

For support related to a difficult psychedelic experience, you may also call or text the Fireside Project at 623-473-7433

Fees

Individual Psychotherapy
50 minutes: $260
75 minutes: $390

Couples & Relational Therapy
75 minutes: $400

Cannabis-Assisted Therapy
3-hour session: $780

Extended sessions are billed at my standard prorated rate.

Sliding Scale

A limited number of reduced-fee spaces are available for clients with financial need.

If my standard rate is a barrier, you are welcome to discuss this with me. Sliding-scale spaces are intended for clients who do not have the financial means to pay the full fee and are not simultaneously seeking insurance reimbursement.

Insurance & Private Pay

I am an out-of-network, private-pay provider and do not bill insurance or EAP programs directly. Payment is due at the time of service.

If your insurance plan includes out-of-network mental health benefits, I can provide a monthly superbill that you may submit for possible reimbursement.

Insurance plans vary, so I recommend confirming your benefits directly with your insurer before beginning care.

Out-of-Network Reimbursement

If you plan to use out-of-network benefits, you may want to ask your insurance company:

  • Do I have out-of-network outpatient mental health benefits?

  • What is my deductible, and has it been met?

  • What percentage or dollar amount is reimbursed after the deductible?

  • Are services provided by an LMFT covered?

  • Are telehealth sessions eligible for reimbursement?

  • Do I need a referral or preauthorization?

  • What documentation is required to submit a claim?

Common psychotherapy billing codes include 90791 for an intake and 90837 for psychotherapy sessions of 53 minutes or longer.

Your insurance company determines reimbursement, and I cannot guarantee that a claim will be covered.

Medicare

I am opted out of Medicare and do not bill Medicare.

Clients with Medicare who choose to work with me enter into a private contract and pay directly for services. Claims cannot be submitted to Medicare for reimbursement.

Getting Started

If we decide to work together, I will send intake and consent forms through the secure client portal. These must be completed before your first appointment.

Cancellation Policy

Appointments are reserved specifically for you. Please provide at least 48 hours’ notice if you need to cancel or reschedule.

Appointments cancelled or rescheduled with less than 48 hours’ notice may be charged the full session fee. Exceptions may be made for emergencies or serious illness at my discretion.

Repeated cancellations may affect whether I am able to continue holding a recurring appointment time.

Wellness & In-Person Sessions

If you are experiencing a contagious illness, including significant respiratory symptoms, fever, flu-like symptoms, or other symptoms that could place others at risk, your in-person session will be moved to telehealth until those symptoms have resolved.

Please let me know as soon as possible if you are unsure whether it is appropriate to attend in person. This policy helps protect clients, clinicians, and others who share the office.

Changes to In-Person Appointments

At times, an in-person appointment may need to move to telehealth because of weather, unsafe travel conditions, transportation difficulties, illness, or other circumstances that make meeting in person difficult or impractical for me.

I also occasionally travel to visit family or for professional commitments. When I am able to keep your regular appointment time while away, sessions will be held by telehealth and in-person appointments will resume once I return to Seattle.

Whenever possible, I will give you as much advance notice as I can. Unless otherwise discussed, the appointment will continue at the scheduled time by telehealth.

Telehealth

For telehealth appointments, you must be physically located in a state where I am legally authorized to practice.

Please join from a private location with a reliable internet connection whenever possible.

Confidentiality & Communication

I use secure systems for clinical records and sensitive communication whenever possible.

Standard email and text messaging are not fully secure, so I recommend limiting personal or clinical information sent through those methods. Please use the secure client portal for sensitive information whenever available.

Email, text, and social media should not be used for emergencies or urgent clinical concerns.

Additional Services

Clinical or administrative work requiring significant time outside of session, such as extended phone consultations, forms, letters, documentation, or record preparation, may be billed at my prorated session rate.

Whenever possible, I will let you know in advance if a request is likely to incur an additional fee.

Scope of Care

My practice is outpatient and is not designed to provide crisis stabilization, emergency services, intensive case management, or a higher level of psychiatric care.

I may recommend another provider or level of care if your needs fall outside the scope of my practice.

For couples therapy, I do not provide treatment for high-conflict separation or divorce matters involving custody disputes, litigation, or court-involved relational work. I also assess whether conjoint therapy is appropriate when ongoing coercion, intimidation, or violence makes open participation unsafe.

Good Faith Estimate

Under the No Surprises Act, clients who are uninsured or who choose not to use insurance have the right to receive a Good Faith Estimate of the expected cost of care.

You may request a Good Faith Estimate before scheduling or at any point during treatment.

Social Media & Professional Boundaries

I maintain professional boundaries with current and former clients on social media and do not accept personal friend or follow requests when doing so could create a dual relationship or compromise confidentiality.

My professional social media accounts are intended for general information and practice updates. They are not secure and should not be used to discuss your care or communicate urgent concerns.