Rates
How fees work.
This is a private pay practice, and I'm an out-of-network provider. Here is how payment, superbills and reimbursement actually work, and how to find out what your plan covers.
Individuals and couples, online in California and Massachusetts
Sessions and cancellations
Sessions are usually weekly, at least to begin with, because consistency is what makes this work hold. Payment’s due at the time of session, and I keep a card on file through a secure processor. If you need to cancel or reschedule, please give me 48 hours’ notice. If it’s less than 48 hours, or if you miss a session without letting me know, you’ll be charged the full session fee. Let me know as soon as possible if you need to change your appointment, and we’ll find a new time that works. Thanks for understanding!
Free 15-minute consultation
Everyone starts with a free consultation call—there’s no charge and no obligation. We’ll talk briefly about what brings you in, I’ll answer questions about how I work, and we’ll both get a feel for whether this is a good fit.
Fit matters more than anything written on a page. If I’m not the right person, I’ll say so on that call and point you somewhere more useful.
Out of network and superbills
I am an out-of-network provider, which means I don’t bill insurance directly. However, many clients with PPO insurance plans can get partial reimbursement for therapy sessions. I provide a monthly superbill—an itemized receipt with the codes your insurer needs—which you submit to your plan yourself.
Reimbursement is between you and your insurer, and the amount depends on your plan rather than on me. Before we begin, it’s worth calling the number on your card and asking four questions:
- Do I have out-of-network outpatient mental health benefits?
- What’s my out-of-network deductible, and how much of it have I met?
- What percentage of the session fee is reimbursed once it’s met?
- Is there a limit on the number of sessions per year?
A superbill does require a mental health diagnosis to be recorded. Some people would rather not have that sitting in an insurance file, and choosing to pay privately without submitting anything is an entirely reasonable decision.
Why this practice is private pay
When an insurer pays, the insurer has a say. That usually means a diagnosis attached to your record from the very first session, periodic reviews of whether your care is still considered medically necessary, and pressure toward shorter, protocol-shaped treatment.
Staying out of network keeps those decisions between us. The work can follow what’s actually happening in your life, at a depth and pace that suits you, and your therapy stays private. It also lets me keep a small caseload, which is the only honest way I know to give each person real attention.
I know this puts therapy out of reach for some people, and I’d rather say that directly than pretend otherwise. If cost is the barrier, tell me on the consultation call and I’ll point you toward lower-fee and sliding-scale directories in your state.