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Services, Fees, and Forms
Individual Therapy Family Counseling
Couples Therapy Grief & Bereavement Counseling
Premarital Counseling EMDR Treatment
- Cognitive Behavioral (CBT)
- Strategic Family Therapy
- Solution Focused Brief Therapy
Fees and Policies
Gender: Male and Female
Religious Orientation: Any
Age: Children (9+), Adolescents, Adults
Appointment and Fee Policy Form
Average Cost (per 60 min session):
Initial intake session, 60 minutes: $110.00
Individual counseling, 55 minutes: $100.00
Couples counseling, 60 minutes: $180.00
Family counseling, 60 minutes: $200.00
EMDR Treatment- 90 minutes: $190.00 per session
EFT Treatment - 90 minutes: $150.00 per session
Sliding Scale: Available
Accept Debit/Credit Cards: Yes (Visa, Mastercard, Discover, American Express)
Accept Checks: No
Accept Insurance: Yes
**Forms are now accepted with E-sign**
Instructions for E-Signing Forms HERE
Adult Intake Form
Adult Intake Form (CALVCB)
EAP Intake Form
Minor Intake Form
*TeleHealth Option* (Video Call Therapy)
Current Accepted Insurance:
- Aetna (Medi-Cal)
- Advocate EAP
- AllOne Health EAP
- Anthem Blue Cross (ABC)
- Behavioral Health Systems (BHS)
- Blue Shield of California
- ESI Group EAP
- Health Net
- Health Advantage
- LifeServices EAP
- Managed Health Network (MHN)
- Metropolitan EAP
- Sutter EAP
- Victim Compensation Program
- WellCall EAP
- Workplace Options EAP
I can provide you with a “super bill” at the end of the month that documents
the charges, payment, and diagnosis when necessary for PPO insurance
My services are often covered by mental health PPO insurance policies, most
likely your plan will cover therapy and you can see me as an “out-of-network”
provider. I do not personally submit the paperwork to your PPO; I will provide
you with a super bill at the end of the month, which you can submit to your
provider. A super bill is a standardized form that insurance companies
recognize. The insurance company then issues a reimbursement check to you.
It is up to your insurance company to determine if they will pay for services
provided by a Licensed Marriage and Family Therapist. Patients are responsible
for payment at the time of treatment.
You will have to check with your PPO to find out the type of coverage you carry
and the limits of your coverage. To determine if you have mental health
coverage, the first thing you should do is check with your insurance carrier.
Check your coverage carefully and find the answers to the following questions:
What are my mental health benefits? And what is the coverage amount per
How many therapy sessions does my plan cover?
How much does my insurance pay for an out-of-network provider?
Is approval required from my primary care physician?
Payment is due at time of session.
For sliding scale clients must provide proof of income such as last year's W-2
and other documentation of your financial situation we can discuss an
adjustment to your fee. Without proof of income and other supporting
documents the fee is $80.00 -$120.00 per 60-minute session.
If it becomes necessary to cancel a scheduled appointment, please notify me as
soon as possible. Please give at least 24-hour advance notice or you will be
billed for the appointment. Notice can be given by telephone.