top of page

Fee for service

  • First intake session (parents only) - $200 (60mins)

  • Standard 1:1 child therapy/parent consultation sessions - $150 (45 mins)

  • Family therapy sessions - $180 (45 mins)

  • Additional services* - prorated at rate of a standard 1:1 45 min therapy session.


*Additional services include shorter sessions (30mins), telephone calls and e-mails beyond the scope of scheduling appointments, collateral professional contact by phone (eg, with social worker, attorney, school teacher etc.), off-site meetings (school-based observation etc.), reading of extensive documentation, and writing letters on behalf of client. 


Payment options

I accept private payment via cash, card and check. I do not accept any insurances at this time but you may be able to work with me as an out-of-network provider. This means that at each session you would pay my full fee upfront. If you wish, I am able to provide you with a superbill that you could use to possibly get reimbursed for a part of my fee. I also have the ability to work with families in need of reduced fee services based on income eligibility. If you would like this option, please feel free to ask me about this on our free consultation phone call.

In working with me as an Out Of Network provider, it is also important for you to read and understand your right to be protected against surprise medical billing. Click here to read this important notice.

As you decide on your method of payment, you may find the following information useful:

Questions to ask your insurance provider (prior to first appointment)

If you wish to submit a superbill to your insurance company for reimbursement, please check your policy carefully and ask the following questions of your provider:

  • Do I have mental health benefits?

  • What is my deductible and has it been met?

  • How many mental health sessions per calendar year does my insurance plan cover?

  • What is the coverage amount per therapy session?

  • Is approval required from my primary care physician?

  • How much does my plan cover for an out-of-network mental health provider?

  • How do I obtain reimbursement for therapy with an out-of-network provider?

Why doesn't Play It Out! PLLC accept Insurance?

Involving your insurance company in your mental/emotional health care is a personal decision. As part of my ethics, I believe that your decision to use health insurance for counseling services should be based on informed consent. There are pros and cons of choosing either option. The obvious benefit that insurance provides is financial cost. Health insurance companies make emotional/mental health care affordable for many people. Yet, many choose not to involve insurance companies in their emotional/mental health care. Here is why.


To have therapy services covered under insurance, insurance companies require that mental health treatment be “medically necessary.”

  • To be medically necessary, a mental health diagnosis must be made using the diagnostic criteria of the DSM-5 book of diagnoses, published by the American Psychiatric Association. This diagnosis describes the nature of the distress you are experiencing and becomes a part of your permanent medical records.

  • For continued justification of the mental health diagnosis and treatment provided, the insurance company will request to know a lot of information about you to cover your need. They can review your records at their discretion.

  • They may limit your benefit to a certain number of sessions, or a certain method of treatment.

  • Your diagnosis may lead to limitations in your future such as denial for quality life insurance or health insurance, or may be used against you in a possible legal custody situation in the future.

  • Many insurance companies do not cover couples/relational or family therapy.

  • Many insurance companies require a deductible to be met before they start covering for services, so you may be paying out of pocket initially anyway.


On the other hand, if you choose to pay out-of-pocket without Superbills, I can assure you the highest degree of privacy, flexibility and control that is allowed by Washington state law over your emotional health record. Your record will be exempt from insurance reporting and compliance audits. We will work collaboratively to decide how often to attend therapy and you decide what you want to focus on. You have the control, not the insurance company.

If you are undecided on which option is best suited to your need, I am happy to discuss this with you on our first free phone consultation.

back to top

Anchor 1
bottom of page