Work With Me

Fees, Insurance, & Your Privacy

Standard Practice Rates

• $250 per session / Weekly HIPAA-compliant video sessions

• $275 per session / Weekly in-person sessions

• Premium Rate / Alternate-week sessions (Available exclusively for established clients, as noted above)
  
  Our Shared Impact: Clients who pay my standard fees enable me to structure my practice so that I can dedicate 25% of my caseload to individuals otherwise unable to access therapy. This is a core practice value for me—prioritising people over profit to ensure clinical care remains accessible to those who need it most. If you are looking for financial accessibility options, please see the Open Path Collective details below.

My Commitment to Your Self-Agency
I prioritise the utmost protection of your privacy and confidentiality. As such, clients who work with me either self-pay without using insurance or use their out-of-network insurance coverage. I am not an in-network provider for any commercial insurance companies, nor am I a provider for state Medicaid programs. This is a deliberate choice.

When using in-network coverage, insurance companies often demand highly detailed information about your history, symptoms, level of functioning, and clinical progress—all of which becomes part of your permanent health record. With in-network or state-funded coverage, third-party payers also assert control over what they will cover, for how long, and even what clinical approach a therapist must take. I care deeply about your right to privacy and self-agency, and so, I choose not to contract with these systems. Instead, I dedicate a significant portion of my practice to the Open Path Collective to offer financial accessibility entirely on our own terms, completely free from insurance intrusion.

The Federal Medicare Requirement

Federal law heavily regulates Medicare, which dictates that therapists who choose not to participate in the Medicare system cannot simply opt out by omission.
We are legally required to file a formal, bureaucratic federal Opt-Out Affidavit to ensure Medicare never intercepts, audits, or compromises the privacy of our clinical work.

I have formally executed this federal opt-out to protect the integrity of my practice, resulting in the following legal parameters:

• You will not be eligible for any Medicare reimbursement if you choose to work with me.

• Federal law strictly prohibits either of us from billing Medicare for our sessions.

• If you are currently enrolled in or eligible for Medicare, please notify me immediately prior to our first call. Per federal regulations, we must execute a mandatory, formal private pay contract for Medicare beneficiaries before initiating care to confirm you agree to pay out-of-pocket.

Important Billing Boundaries: Relational Therapy & Superbills
I specialise in relational work but operate strictly within a dyadic framework (working with two people at a time). This includes couples, adult parent-child dyads, or sibling pairings who wish to heal their connection. To maintain my clinical focus, I do not conduct multi-person or whole-family group sessions.

Please note my strict boundaries regarding insurance and relational therapy:

• No Pathologising for Coverage: For insurance companies to cover any relational work (couples or family dyads), they require one individual to be given a formal clinical diagnosis. This directly conflicts with my therapeutic values. I do not enter relationship therapy to pathologise a single person just to secure third-party funding. I believe forcing a relational system into an individual diagnostic model is counter-therapeutic.

• Couples Therapy: Real couples therapy is fundamentally not covered by out-of-network insurance. While some therapists bypass this by billing couples work under an individual's diagnosis, this constitutes insurance fraud.

• No Superbills Issued:‍ ‍I do not provide Superbills for couples, family, or dyadic sessions due to these systemic integrity boundaries. All relational therapy is strictly private pay.

Financial Accessibility: Open Path Collective

I am committed to making therapy accessible and have structured my practice and fee structure so that I can offer 25% of my practice to individuals in need of significantly reduced fees. I offer these reduced-fee spots through a psychotherapy collective called Open Path Collective. Open Path is a nationwide group of therapists who offer significantly reduced fee sessions between $40 - $70 for individual therapy sessions.

If you are interested in one of my reduced-fee spaces, visit my profile on the Open Path website. These reduced-fee spaces are highly utilised and often full; however, any current availability will be reflected directly on my Open Path profile. No matter your financial situation or insurance coverage, I hope you are able to find a therapist that is ideal for you.

Your Right to a Good Faith Estimate

Under the federal No Surprises Act, health care providers must give clients 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, including psychotherapy services. You can ask your health care provider for a Good Faith Estimate before you schedule a service. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.