All are welcome here
Thanks for stopping by; I am currently full and not taking any new therapy clients at this time. Please email me to inquire about my availability for gender affirming surgery letters.
Services and Fees
"For a seed to achieve its greatest expression it must come completely undone. The shell cracks, its insides come out and everything changes. To someone who doesn't understand growth, it would look like complete destruction." Cynthia Occelli
Fees
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Initial Consultation via telehealth (20 minutes) FREE
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Intake (60 minutes) $180
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Individual Session (55 minutes) $165​
Limited reduced fee sessions available. This fee is based on income, affordability and availability.
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Insurance
I am currently in network with:
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First Choice Health Network
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Kaiser Permanente PPO
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Premera
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Lifewise
I am an out-of-network provider for all other insurances.
Your insurance provider may offer partial reimbursement for out-of-network services (typical out-of-network reimbursement is 50%-80% of the provider fee). I can provide invoices or monthly statements for you to submit to your insurance provider for reimbursement upon request.
If you are interested in out of network reimbursement, I suggest that you call your insurance carrier to verify out of network coverage. You will need to ask the following:
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Does my plan cover out of network providers?
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What is my out of network deductible and have I met it yet this year?
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What is the out of network reimbursement rate for the CPT code 90837?
Clinical Supervision
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Approved clinical supervisor
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$135/60 minutes
I supervise and mentor associate clinicians of all license types in gaining their hours for full licensure. If you are a Registered Counselor, an LMHC, or an MFT, check with your licensing agency for approval of supervision with an LICSW.
Supervision happens individually or may be conducted in groups of no more than 2.
Gender Affirming Care
I use an informed consent approach to accessing gender affirming care. I believe that all people deserve autonomy, the right to self-determination, and access to gender affirming health care without additional requirements that apply only to trans people.
If you are over the age of 18 and in need of a letter for access to gender affirming care or surgery, I can generally complete a letter in one session, with rare exceptions. There is not a requirement or expectation for ongoing therapy.
​The cost is the same rate as an intake session, and can be out of pocket or billed to your insurance. This includes copies of your letter and ongoing support should your letter need editing.