Fees & Policies

Insurance companies are currently only offering reimbursement for a single 1 hour session per day. We can work together as long as you like, however please be aware that your insurance company will likely only reimburse for a single, 1 hour session each day.

If any individual session extends beyond 1 hour, it will be considered a new private session, the fee for which will need to be covered through other means of payment outside insurance.

For a 60 minute session that is paid at or before the time of service, with no professional notes required, the session will be billed at a rate of $100 per hour. Sessions are billed in 15 minute increments, and can be reduced or extended as needed.

Please keep in mind that you, the client, are ultimately responsible for your bill.

  • Initial pre-session discussion to see if we're a good fit (in-person or telephone / Skype / FaceTime interview)

    • $90 for 60 minutes

  • Standard 60 minute session with no professional diagnosis or notes, and payment at time of service

    • $120 per hour

    • $25 per additional 15 minutes

    • Also available via telephone, Skype, or FaceTime. Insurance companies may not cover this form of session, so it’s important to check first.

  • Insurance covered sessions are billed at the following rates

    • A 90832 is a Session 30 min long with a charge of $75

    • A 90834 is a Session 45 Min long with a charge of $125

    • A 90837 is a Session 60 Min long with a charge of $160

    • A 90791 is a Extended Evaluation Session of 60 minutes with a charge of $175

  • Travel to non-office visits will be billed at $25 per 15 minutes

Please note: additional fees apply for crisis intervention. Family therapy sessions are not covered by most insurance companies, so please check first. If you have any questions, please speak with counselor before proceeding.

Any session length can be arranged for, however, insurance companies will not typically cover a charge when it does not follow their coding and time frames. Collateral work with other agencies, school or family member will be a regular charge, unless a change or waiver of charges has been agreed upon.

Out of State & Remote Counseling

Some states require me to be licensed within the state, which may affect some clients outside Montana who wish to receive remote services (via telephone / Skype / FaceTime). If this is the case in your state, I can still provide consulting, education, guidance, and emotional support. However, professional licensed counseling may not be available. If you live outside Montana, let's discuss the available options together.

When a person is involved in long distance therapy, the support I can provide is limited due simply to the nature of available interactions through digital services. In-person support is always the most thorough, however digital / remote support can be quite effective for certain needs. Let's talk about what might work best for you depending on your needs, situation, and location.

Missed Appointments

Missed appointments that aren’t cancelled 48 hours before the session time will be billed directly to the client, and not covered by insurance. In certain circumstances, a one-time grace exception may be made at the therapist’s discretion.

Outstanding Bills

If a person has an outstanding balance for more than 30 days, a payment agreement or understanding will need to be reached in order for sessions to continue.

If an account is delinquent for more than 60 days, that account may be turned over to collections unless payment arrangements are made in advance.

I understand that financial situations can change, and I expect individuals to be responsible for making payment arrangements if financial situations change.

Termination of Therapy

You may leave therapy at any time you choose unless court ordered. If you decide to discontinue therapy, I request that you discuss your decision with me. If the situation calls for it, or you request, I will provide you with professional referrals. Therapy is usually terminated when a person concludes their work on issues that originally brought them into the counseling office.

However, a client may decide to do work with another counselor for any reason, including therapeutic rapport or that another counselor is offering an approach which they feel is more conducive to helping them reach their goals.

The concluding sessions can be a review that helps a client to better identify progress achieved in their counseling work, as well as areas in which to continue developing.