Services & Fees

How can you get started?  At this point, you have taken a big step to investigate your options. Choosing a therapist is a very important, and largely personal, decision. You are the only one who can choose who is right for you. To help you make this choice, we have a process for getting to know us before you schedule your first appointment.  

First, to help us learn what your needs are, and to help us assess if any of our therapists are a likely good fit for you, please visit Contact & Inquiries and submit a form inquiring about becoming a new client. We will contact you within two business days to share if we believe a therapist is a likely good match or to suggest alternative referrals elsewhere. If we believe one of us can help you, we will suggest a brief complementary phone consultation between you and the therapist to provide you with an opportunity to get a “feel” for what it might be like to work together in therapy. If, during that consultation, you and the therapist determine it is a good fit, you can schedule an initial intake. All therapists do their own scheduling directly with their clients. We find this streamlines the scheduling process for our clients. An intake appointment is typically about 55 minutes long and the purpose of the intake is for you to tell your therapist more about what is bothering you, your background, and your treatment goals. Your therapist may also ask you to complete some symptom measures. Sometimes this process takes more than one session.

After the intake, or during it, you and your therapist will discuss a plan for your therapy sessions. Therapy sessions may occur on a weekly, more than weekly, bi-weekly, or other basis, depending on your needs and schedule. Therapy sessions are about 55 minutes long. Research suggests that clients who practice new skills learned in CBT have better therapy outcomes than those who do not. To maximize your therapy outcomes, we will work together to plan “homework” to facilitate this practice. Also, we frequently employ symptom measures to check on how your symptoms are improving.

How do fees and payments work? We are out-of-network providers. This means you must make payment at the time of session. All major credit cards are accepted. Some clients choose to pay with health savings accounts card, which we also accept. You may choose to file for out-of-network reimbursement from your insurance company. The insurance company may pay for services or a percentage of services. We will cooperate with the insurance company in this process by writing any clinical reports they require but you will be responsible for finding out what is required. You may choose to investigate a company called Better that proposes to handle the administrative hassle of filing for out-of-network benefits on your behalf; we are not endorsing them, only providing information about the service.

You may choose not to use insurance and instead pay for services “out of pocket”. Clients who do this have an additional level of confidentiality and control over their own treatment because treatment decisions are made between the provider and the client without input from an insurance company. Clients who overcome their problems by participating in evidence-based treatment with out-of-network providers often believe these benefits are well-worth their investment of time, money, and effort.

We are not Medicare or Medicaid providers. This means clients with Medicare or Medicaid insurance would be expected to pay full payments at the time of sessions.

Currently, due to the COVID-19 pandemic, and to enhance convenience for our clients, most sessions are conducted via videoconferencing, HIPAA-compliant video telehealth. Also, some of our therapists work exclusively via telehealth. 

Fees for sessions:

  • Intake
    • With Leah Farrell-Carnahan, Ph.D., L.P. $275
    • With Julia Buch Wamstad, Psy.D., L.P. $275
    • With Nathan Marcuso, Ph.D., L.P., ABPP $275
    • With Heidi Wood, L.C.S.W. $250
    • With Ashley Lanier Pszczola, L.M.F.T. $250
  • 53-Minute Session individual therapy sessions 
    • With Leah Farrell-Carnahan, Ph.D., L.P. $200
    • With Julia Buch Wamstad, Psy.D., L.P. $200
    • With Nathan Marcuso, Ph.D., L.P., ABPP $200
    • With Heidi M. Wood, L.C.S.W.  $175
    • With Ashley Lanier Pszczola, L.M.F.T. $175
  • 53-Minute Session parent training
    • With Heidi M. Wood, L.C.S.W.  $175
  • 53-Minute Session couples or family therapy sessions 
    • With Leah Farrell-Carnahan, Ph.D., L.P.  $250
    • With Julia Buch Wamstad, Psy.D., L.P. $250
    • With Nathan Marcuso, Ph.D., L.P., ABPP $250
    • With Heidi Wood, L.C.S.W. $190
    • With Ashley Lanier Pszczola, L.M.F.T. $190
  • All other charges will be pro-rated according to session length and agreement
  • Fees for training offered in group settings will be separately discussed and agreed upon.

Prior to your intake appointment, you will be sent an invitation to our secure portal. You will be asked to download, print, complete, and upload intake forms at least 24 hours prior to your intake appointment.