Services and Fees

I’m Listening Counseling Services provides telehealth services. The following third-party services are used. Simple Practice for scheduling and out-of-network billing, Headway for insurance billing, Zoom for Healthcare for safe and reliable video sessions, and Signal for secure messaging. All of these services are secure and HIPAA compliant. Please note, emailing is not a secure form of communication, however you may agree to email communication understanding I will not be held responsible for possible sensitive information within the message(s).

For services, you will need an account with Simple Practice, Zoom and Signal (all are free services) and internet or data access. If your insurance is accepted, you will also need an account with Headway.

Services may be denied if there are inappropriate behaviors (you are not fully clothed, driving or repeated no shows). See client informed consent for full disclosure.

Individual Therapy 60 minutes $150

Family Therapy 60 minutes $200

90-minute and 120-minute sessions will be available for out-of-network payers upon request. In-network payers can request extra time, however you will have an out-of-pocket expense for the extra time. There will be a $50 charge for no shows.

Sliding scale available – email me for information

Session pricing includes messaging as outlined below under additional services.

I accept the following insurances:

Premera Blue Cross Washington

United Healthcare




Oscar Health

Some Blue Cross/Blue Shield plans are accepted. Contact me to see if yours is eligible.

If your insurance is not on this list, you will have to pay up front for services, and contact your insurance provider to ask about possible reimbursement for out-of-network coverage. I can provide a superbill to submit to your insurance provider if they require one.

Additional services, such as messaging, will be included in the hourly session fee. If a session has been cancelled or there was not a video session in a month, additional services will be charged at $25 per message. If you have been messaging and cancelled an upcoming appointment, you will be billed $25 per message. You will need at least one video session per month for additional services to be included in the hourly fee. Note that messaging communicating is supportive (such as appointment reminders, cancel and rescheduling and questions and/or comments between sessions) but not considered therapy.

Gender Affirming Letters

For gender affirming letters a minimum of four 60 minute sessions will be required. This is for individuals not wanting ongoing therapy.

Feel free to email with questions: or call (425) 202-5545