Our standard rate is $120 for a 50 minute individual session, which is generally considered a therapeutic hour. Our standard rate for couples therapy is $150

Yes, and it’s complicated. Chris and Steve both utilize Alma for their billing needs. Most insurances are credentialed with Alma, but occasionally we are unable to take someone’s insurance because of this. Anna currently takes United Healthcare including Community Plans, UMR and other Optum plans, Cigna, and Aetna. Anna is working on getting credentialed with Alma and will switch her formatting.

Talk to us. Accessibility is one of our core values. One of the great benefits of being in business for ourselves is that we have autonomy to address needs as we see fit. We cannot possibly see everyone at a reduce rate, but we do sometimes offer sliding scale services as needed.

If you are using insurance through one of the providers who bills with Alma, then Alma will collect your fees. All others will be required to have a credit card on file on their portal and we will use that to collect fees.

That is a great question, and I’m glad you asked. As previously mentioned, insurance companies require proof of medical necessity before they will pay for services. That means that they will access your diagnosis, basic progress notes (less detailed than therapy notes), and length and frequency of sessions. They might also limit the number of sessions that are approved or determine that your services don’t actually meet medical necessity criteria. Not everyone needs or wants to have a diagnosis, and some people would rather their insurance company not have so much access or control over their mental health care.

I’m so glad you asked! We also started a 501 (C)3 non-profit organization, the Salus Foundation to help us help the community and we would love to have you partner with us!

We do request that you cancel at least 24 hours in advance if you are unable to make a scheduled appointment. If it is less than 24 hours we reserve the right to charge you a late cancel fee. We may opt to waive the late cancel fee depending on the conversation we have with your history of attendance with us, but this is not guaranteed. Failure to show up or cancel the appointment will always result in a no show fee.

Before you get started, your therapist will send you a link to complete the intake paperwork including consent forms and basic questionnaires, as well as to complete your demographic profile. During your first session, you and your counselor will fully discuss your reasons for seeking counseling and your goals for counseling, as well as discuss what limits there are to your confidentiality. Beyond that, you are your therapy will talk as frequently as agreed upon to address your concerns and goals.

Yes. The things you say to your therapist are confidential. There are a few exceptions grounded in the law and protection of you and society as a whole.
1. We are mandated reporters. That means if you disclose abuse of a protected individual, we must report that.
2. We have a duty to prevent you from hurting yourself or others, so if we believe you are in serious danger of doing so, we must take steps to stop that from happening.
3. A judge can order us to testify in court or to turn over records
4. If you use insurance, they will access your records as a part of the agreement to pay for your services.
5. If you ask us to share records, we will do so with a signed Release of Information.

Only if we believe it is the only way to stop you from hurting yourself. We want you to be able to bring those thoughts to us. We want to help you move past those thoughts. We are not quick to hospitalize and would need to believe there was truly an imminent danger before we would do so.

Chris sees clients in Missouri and Vermont. Anna sees clients in Missouri and Kansas. Steve sees clients in Missouri. If you are from another state and specifically interested in seeing one of our therapists, please reach out and we will explore whether it is feasible to get licensed in your state. There is also a plan to incorporate a counseling compact. When that goes live we will plan to be a part of that so that we can see people in more states.