Natalie Thomson, MS, LCPC

Session Pricing


2-Day EFT Couples Intensive Session


1/2 Day “Mini” Couples Intensive Session*


75 Minute Couples Session


60 Minute Individual Session

*can only be booked by existing clients or clients who have already completed a 2-day intensive with me.

Couples Counseling

Payment Options

I accept cash, check, and credit card payments.  Fees are due at time of service, and I do not contract with insurance companies.  I can provide you with documentation of your sessions for you to submit to your insurance company, and they may reimburse you for part or all of the services.  Reimbursement varies greatly between insurance companies and plans.

It is your responsibility to check with your insurance provider about their reimbursement policies, but I can help provide you with a list of the questions you should ask them so that you can estimate how much they may reimburse you.  Keep in mind that insurance companies typically do not provide any benefits for couples counseling and they will not reimburse without a mental health diagnosis.​ 

Your Right to a Good Faith Estimate

As of January 1, 2022, health care providers are required to inform patients of their expected costs for treatment if the patient is uninsured or planning on using out of network benefits.

Because I do not take insurance, I will provide all new clients with a “Good Faith Estimate” of how much therapy services with me are likely to cost over the course of 12 months. While the new law is well-intentioned, it does not fit well with therapy practices and ethics, so I will be limited in my ability to provide accurate estimates of your costs, especially before I have met you and assessed your case. All of my clients see me at-will and are aware of my fees up front, therefore my clients are in charge of how much they spend with me. I will therefore provide estimates in the form of ranges, multiplying session cost by various therapy frequencies (weekly, biweekly, monthly) so you can see what it might cost you depending on how frequently we meet.

The U.S. Department of Health and Human Services (HHS) intends to create a dispute resolution process where health care recipients can dispute charges that are greater than $400 beyond the Good Faith Estimate they have been provided.

Health or Flex Savings Accounts

This can be an excellent way to pay for counseling, but you should verify what is considered an allowable expense through your HSA or FSA provider.  Depending on how your plan works, you might have to pay taxes on amounts you spent for non-medically necessary procedures if you are later audited, and each plan has different ways of defining what they allow you to pay for, tax-free, out of their accounts.  While I can certainly take these cards, to avoid surprises on your end later on, you should check whether counseling or couples counseling are considered authorized services through your specific HSA or FSA or whether you need a letter from a physician referring you to those services first.

Do I Take Insurance?

No, I am sorry, I do not take insurance.  Because I specialize in couples therapy, which is not covered under most insurance plans, I have elected not to be part of any insurance panels.

Some clients are confused by this because they’ve heard that other therapists will bill insurance for couples therapy.  For a longer explanation on the ethical issues behind using insurance for couples therapy, click here.  You are also welcome to call your insurance company and ask them directly.  Ask if they will reimburse for CPT Code 90847 using a diagnostic code of Z63.0 Problems in Relationship With Spouse or Partner.  That would be an accurate reflection of the treatment I will be providing, so I am happy to give that documentation to couples I work with, and you can send into your insurer after paying me directly.

Individual Clients

If you are seeing me for individual counseling, I will still not be able to bill your insurance directly, but I can provide you with the documents that you can send to your insurer for possible reimbursement. Every insurance company has its own regulations on session length, session coding, diagnoses covered, etc. so it is your responsibility to contact your insurer and determine whether and how much they would reimburse you for the sessions I provide and the diagnosis that I believe fits you.  I will need to meet with you at least once or twice before I can determine whether you meet the criteria for a mental health diagnosis, and I also need to be sure that the type of therapy I offer is a suitable treatment for your diagnosis.