Fees & Payments

Counseling is an investment in your wellness, relationships, and future.

Individual Sessions

Standard Fee: $90 / 50-minute session

The fee must be paid at the beginning of each session using cash, check, or credit/debit card. I do not accept insurance.

A sliding-scale fee is available for limited time for clients who are in financial hardship.

Other Fees

Please see the Professional Disclosure Statement on the Forms page for additional fees.

Payment Methods

All fees must be paid in USA currency at the start of the session.

  • Cash
    • Exact amount is required (no change is available)
    • Bring it to session
    • Do not mail cash
  • Check
    • Made payable to Gresham Counseling
    • Bring it to session or
    • Mail it to Gresham Counseling and Therapy LLC, PO Box 865 Gresham, OR 97030 and notify me via phone or via secured messaging in your client portal.
  • Credit/Debit Cards
    • Cards accepted: Visa, MasterCard, American Express, Discover
    • Cards are charged in your client portal. You can log into your client portal to pay invoices, or if you have a card on file, you can ask to have it processed at the time of the session.

Please do not attempt to pay using medical payment services (such as through your insurance or HSA website).

I do not accept insurance. If you seek reimbursement from your insurance company, you will still be required to pay the full fee at the time of service, and reimbursement by your insurance company is not guaranteed. Please note, your insurance company may require copies of your counseling records.


Counseling is a service that requires counselors to invest a significant amount of time in each client. Counselor spend time with clients in session and work on client cases (e.g. notes, looking up topics, finding resources, etc.) outside of sessions. The results of counseling also require that client’s invest a significant amount of time and energy into attending sessions, practicing exercises and skills between sessions, and developing openness to change. Because client involvement is such a significant part of results, fees are paid to the counselor for the counselor’s services, not for the client’s results. Thus, no refunds shall be issued for a client’s dissatisfaction with results.

Pre-payment of services is not allowed to avoid the need to provide refunds for unused services.

Good Faith Estimate (GFE)

You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

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