Fees & Billing


Fees vary based on session length and type. Initial intake appointments are $160 for 90-minute sessions. Ongoing individual, couples, and family counseling services are available in 60 minute sessions for $120.  Extended sessions are available upon request.  Additionally, I am committed to making counseling affordable to those who seek it, and so I offer a limited number of sliding-scale appointments for those who need them.  Sliding-scale fees are determined at my discretion based on availability and on a case-by-case basis.  Please let me know if you are interested in discussing this option.  

Payment for sessions are due at the time of service.  I accept all major credit/debit cards, cash, check. 

Accepted Insurance Plans

  • Cigna Behavioral Health

  • Pacific Source/Reliant Behavioral Health

  • Providence Health Plan/Providence Preferred

  • Optum/United Behavioral Health/United HeathCare

  • MHN/Tricare West Region

  • Regence BlueCross BlueShield

Insurance plans vary widely in their reimbursement rates, therefore please check your benefits prior to your first appointment so your responsibility is clear. If I am not an in-network provider with your plan, out-of-network benefits will often cover a good portion of my services. The session fee, your co-pay and/or co-insurance is due at the time of service. Please contact me if you have any questions about using your insurance or the cost of coming to counseling.  

Cancellation Policy

Please be aware that I require a minimum of 24 hours notice of cancellation in order to avoid being charged a cancellation fee, with the exception of rare and emergent situations.  If you do not provide at least 24 hours notice of cancellation or do not show up for your scheduled appointment, you will be charged the full fee of the session.  


At this time, I have a waitlist for new clients. I cannot guarantee when my next available appointment will be but I am seeing a 2-3 month wait. Please email me at allison@heartandhealingcounseling.com to be added to the waitlist.