Fees & Related Matters

I’m a preferred provider with the following insurance companies:

  • Aetna
  • Beacon Health Options
  • Cigna
  • First Choice Health
  • Kaiser
  • Optum
  • PacificSource
  • Premera
  • Regence
  • United Behavioral Health

If your services are covered by one of these companies, you’ll be expected to pay the co-pay or co-insurance, as determined by your personal policy, at the time of services.

It is your responsibility to verify insurance coverage in advance of starting services with me. Additionally, you are responsible for all fees not covered by your insurance plan, including any deductibles, denials, and late fees.

If you aren’t covered by one of the above insurance companies, I offer individual sessions and family meetings at the rate of $175 per session. You’ll be expected to pay this fee at the time of service.

This fee is subject to change. If it does, you’ll be given notice at least 30 days in advance.

Federal law requires that health care practitioners, including mental health counselors, provide a written Good Faith Estimate of the cost of treatment to all current and potential clients not using insurance to pay for services. This law is intended to provide transparency regarding expected medial expenses.

If you’re paying out-of-pocket for services from me, I will provide a written Good Faith Estimate at our first session. If you have questions about this, feel free to ask.

I require at least 48 hours notice for a cancelled appointment. If you cancel with less than 48 hours notice or don’t attend a scheduled session, you’ll be charged a Late Cancellation fee of $125. In the case of a legitimate emergency or illness, this fee will be waived.

If you’re more than 15 minutes late for a session, I’ll consider it a no show. The session won’t be held and you’ll be charged a Late Cancellation fee of $125. If you’re less than 15 minutes late we’ll hold the session, but end at the scheduled time.

I understand teens sometimes refuse to attend sessions. However, fees won’t be waived for this reason. I recommend parents attend the session anyway and we can use the time to explore strategies for increasing your teen’s willingness to engage.

Please note Insurance companies won’t pay any portion of fees resulting from cancellations, no shows, or late arrivals. These fees must be paid at least 24 hours before your next appointment. You can take care of this by calling Mindful Therapy Group at (425) 640-7009 or logging into your online Patient Portal.

I very much believe that counseling is most effective when it occurs in a consistent and predictable manner. With that in mind, if you frequently cancel or miss sessions — even with 48 hours notice — I’ll discontinue our recurring appointment so I can offer the time to someone able to attend more regularly.

If chronic illness, transportation obstacles, unpredictable schedules, or similar challenges mean you’re likely to frequently cancel or reschedule sessions, I’m probably not the right therapist for you or your teen. I encourage you to find a therapist with more scheduling flexibility than I can offer.

For currently active clients, I provide the following documentation without a fee:

    • A letter verifying attendance at the intake, including my initial diagnosis and treatment recommendations, if requested within seven days of your first appointment.
    • Monthly letters verifying attendance at sessions, if requested by the seventh day of the following month.
    • A brief discharge summary, if requested within seven days following our final session.
    • Letters in support of gender-affirming medical care.



Other documentation requests are billed at the rate of $165 per hour, prorated in 15-minute increments. Insurance companies won’t cover this fee.

Expect seven to ten days for me to provide any requested documents.

Case management services include phone calls or emails with you regarding anything except scheduling or billing. It also includes time I spend communicating with other helping professionals regarding your care, assisting you to complete forms, or similar support.

For currently active clients, I provide up to 15 minutes of case management and consultation per month without charge. This may not seem like much, but it is sufficient for most routine requests. After the first 15 minutes, these services are billed at the rate of $175 per hour, prorated in 15-minute increments. Insurance companies won’t cover this fee.

It is my intention to avoid any involvement in the court proceedings of clients or their families. This includes divorces, custody disputes, competency hearings, and all other legal matters.

I maintain this stance because I strongly believe it is impossible for me to be an effective therapist while also providing documentation for legal purposes, serving as a witness, or being involved in any other way with court proceedings.

With this in mind, I won’t agree to serve as a witness and I don’t provide assessments, evaluations, or documentation for court proceedings or in fulfillment of any legal requirement. This is true for current clients and their families, past clients and their families, and individuals who may be specifically seeking such services.

I’m not able to refuse a valid subpoena, but I can charge for my time. Should I be subpoenaed to appear in court on your behalf, the following fees will apply:

    • $400 per hour for time spent testifying, waiting in court, preparing, and traveling.

    • Reimbursement of any fees related to me consulting with my own lawyer.

    • Reimbursement of all travel costs and other expenses related to testifying or preparing to testify.

    • Any relevant documentation or case management fees, as stated elsewhere on this website.

Since I can’t be an effective therapist while also involved in a client or family’s legal matters, if I’m subpoenaed in any matter involving a current client, I will immediately discontinue counseling sessions.