Client Forms and Rates

Client Forms

For your convenience, new client forms are available online for you to print out and complete prior to your first visit. Or, please come 10-15 minutes early to complete in office.

Important Fee Information

Services may be covered in full or in part by your insurance plan. However, not everyone is comfortable going this route and may opt to pay out of pocket for their therapy services. If you opt to utilize insurance, please contact your health insurance provider to verify coverage, amount of sessions covered, deductible and copay or coinsurance amounts. I  currently accept cash, check, or major credit and debit cards.

 

Counseling sessions are typically 50-55 minutes.  You can request more time in advance. Please talk to me about fees for extended sessions. 

 

Typical Session fees

$120 / 50-55 minute session

$50 for missed appointments/late cancellations.

I accept BCBS and Humana insurance plans. When using insurance, here are some questions to ask your insurance provider prior to your appointment:

  • Do I have mental health benefits?

  • What is my copay?

  • Do I have a separate deductible for mental health and has it been met?

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

  • How much do you pay for an out-of-network provider?

  • Is there a limitation on how much you will pay per session?

  • Is primary care physician approval required?

  • Is there a reference number you can get from the representative in case you have issues with eligibility?
     

FYI, if you are under someone's insurance plan (spouse or parent), I will need their date of birth for billing.

 

I am also considered an out of network provider, if your plans offers this type of benefit. I will provide you with a receipt to submit to your insurance company for reimbursement. (Please inquire directly about your out of network benefits with your insurance company). ​

Address

New Vision Counseling, LLC
1955 S. Val Vista Dr. Ste. B-120
Mesa, AZ 85204

Contact

480-567-9795 (Phone)

480-567-9795 (Fax)

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