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Orange Flower
  • What insurances do you take?
    I am currently credentialed with Premera, Regence, Lifewise, Heritage, Global, and Cigna. BlueCross/BlueShield plans are typically administered in Washington by Premera or Regence.
  • Do you take state insurance, such as Molina?
    Not at this time.
  • What are your fees?
    Intake assessments are $140 effective 09/01/24. The rate per 50-55 minute session is $120. Phone calls up to 10 minutes are complimentary. Phone calls in excess of 10 minutes will be billed at the hourly rate. Paperwork, report writing, and any legal involvement including preparation, travel, testimony, and waiting time are billed to the client at the hourly rate. You may have the right to a Good Faith Estimate (GFE) of services. If you are uninsured or paying cash for services, please ensure that you receive a GFE in your intake paperwork.
  • Do you have a sliding fee scale?
    Yes, please share your needs with me
  • What payments do you take?
    Most people have a credit card on file that I run on the day of the session processed securely via Stripe. I also accept cash and personal checks made payable to Invitation Counseling. I reserve the right to limit payment types. NSF checks will incur a $25 fee.
  • Your website says you're full. Who do you recommend?
    My priority is quality over quantity. When I find I cannot accommodate appointments within two weeks, I place a hold on accepting new people. My earnest goal is to work myself out of a job--I hope to help people reach their goals and either graduate, decrease frequency of visits, or "pause" therapy from time to time. There are several other therapists including some under my clinical supervision whom I recommend: Jennifer Gannon, LMHC-A of Seattle Christian Counseling in Bellevue: (adults, teens, older adults, telehealth or in-person, not paneled with insurance) https://seattlechristiancounseling.com/counselors/jennifer-gannon Jen Cieslewicz, LMHC-A of A New Dawn Counseling in Camas: (women, telehealth, not paneled with insurance) https://www.newdawncamas.com/ Tani Barr, LMHC of Real Life Counseling in Vancouver (adults, telehealth or in-person, various insurances accepted) https://reallifecounseling.us/counselors/tani-barr-lmhc?hsLang=en Stara Willis, LMHC of Novaturient Counseling (16+, coaching, supervision, ADHD coaching, telehealth only) https://www.novaturientcounseling.com/
  • Do you offer online therapy?
    I offer online therapy five days a week. If you or I are not feeling well or in the event of inclement weather, we can typically switch to secure telehealth sessions.
  • Do you offer in-person therapy?
    I have office space on Mondays, Wednesdays, and Fridays. I provide telehealth on Tuesdays and Thursdays.
  • What is your cancellation policy?
    Please provide 24 hours’ notice of cancellation. The first cancellation with less than 24 hours’ notice or missed visit is $50. The second or subsequent late cancellations are charged at the full rate. Please inform me of any extenuating circumstances. When people miss sessions without sufficient notice, that impacts my family’s income (insurance does not pay for missed visits) and the time can often be filled by someone wanting to be seen sooner than their scheduled appointment.
  • Do you work with couples?
    Trust me, you'll want to find somebody else. I can talk to you about referrals.
  • Do you work with children and adolescents?
    Yes, on a case-by-case basis. I have a degree in elementary education and status as a child mental health specialist, but the majority of my clinical work has been with adults. Please talk with me about your needs. I am often effective in helping youth who struggle with anxiety, depression, trauma, and adjustment difficulties. I am not effective in working with youth who have significant conduct disorders, addiction, or eating disorders. If these are the things that you or your child are struggling with, I am happy to provide you with referrals
  • Do you provide supervision toward licensure?
    Yes! I am an approved supervisor in Washington state. I took a 30-hour training at Portland State University in 2011 and have been training and supervising therapists since that time. I can provide all 100 hours for clinicians seeking an LMHC, 60 hours for clinicians seeking an LICSW, and 100 hours for clinicians seeking LMFT. As there is so much additional responsibility in clinical supervision, spaces are limited.
  • Do you do presentations to groups or speaking engagements?
    Absolutely! am energized by my work and enjoy meeting with people to help them understand mental health better, know community resources, and grow connected. I can talk on just about anything related to mental health, but am particularly passionate about the connections between mental wellness and spirituality.
  • Are you a Christian counselor?
    Technically, I am a counselor who is a Christian. Christian/pastoral counselors receive specialized theological and/or pastoral training. I attended a Christian graduate counseling program, but am licensed through the Washington State Department of Health as a mental health counselor. I work comfortably with people in and outside of Christianity--all are welcomed. I am trained to diagnose, I adhere to the American Counseling Association’s Code of Ethics, and take continuing education courses to maintain my license. If you would like your Christian faith incorporated into sessions, I send a short questionnaire in advance so you can tell me if you want prayer in your sessions or not, and if you would like Scripture in your sessions or not. Many Christians come for counseling because of terrible things done to them by other Christians or anger with God. Because of this, I strive to demonstrate care, act gently, and create welcoming space for all. From my perspective, a Christian seeing a counselor who is a Christian has the following benefits: · Shared values, language, and framework for understanding the human condition · Prayer is welcomed · We have Scriptures to bring encouragement, focus, and guidance · We share hope and trust If you are specifically seeking a pastoral counselor, I recommend Andrea Woodward at A Soul Made Well.
  • I suffer from insomnia and need legal stuff to read. Do you have a Notice of Privacy Practices?
    I do! It's not super fun. To summarize: it is my responsibility to protect your health information except when there is a safety issue, an abuse reporting issue, or communcation with covered entities (like your doctor or your health insurance provider) regarding payment, treatment, or healthcare operations. Invitation Counseling 1339 Commerce Ave. Suite 310D Longview, WA 98632 NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY. I. MY PLEDGE REGARDING HEALTH INFORMATION: I understand that health information about you and your health care is personal. I am committed to protecting health information about you. I create a record of the care and services you receive from me. I need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which I may use and disclose health information about you. I also describe your rights to the health information I keep about you, and describe certain obligations I have regarding the use and disclosure of your health information. I am required by law to: · Make sure that protected health information (“PHI”) that identifies you is kept private. · Give you this notice of my legal duties and privacy practices with respect to health information. · Follow the terms of the notice that is currently in effect. · I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website. II. HOW I MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: The following categories describe different ways that I use and disclose health information. For each category of uses or disclosures I will explain what I mean and try to give some examples. Not every use or disclosure in a category will be listed. However, all of the ways I am permitted to use and disclose information will fall within one of the categories. For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. I may also disclose your protected health information for the treatment activities of any health care provider. This too can be done without your written authorization. For example, if a clinician were to consult with another licensed health care provider about your condition, we would be permitted to use and disclose your person health information, which is otherwise confidential, in order to assist the clinician in diagnosis and treatment of your mental health condition. Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another. Lawsuits and Disputes: If you are involved in a lawsuit, I may disclose health information in response to a court or administrative order. I may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested. III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION: 1. Psychotherapy Notes. I do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is: a. For my use in treating you. b. For my use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy. c. For my use in defending myself in legal proceedings instituted by you. d. For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA. e. Required by law and the use or disclosure is limited to the requirements of such law. f. Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes. g. Required by a coroner who is performing duties authorized by law. h. Required to help avert a serious threat to the health and safety of others. 2. Marketing Purposes. As a psychotherapist, I will not use or disclose your PHI for marketing purposes. 3. Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business. IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION. Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons: 1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law. 2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety. 3. For health oversight activities, including audits and investigations. 4. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so. 5. For law enforcement purposes, including reporting crimes occurring on my premises. 6. To coroners or medical examiners, when such individuals are performing duties authorized by law. 7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition. 8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions. 9. For workers’ compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers’ compensation laws. 10. Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer. V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT. Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations. VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI: 1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care. 2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full. 3. The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests. 4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. I will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and I may charge a reasonable, cost based fee for doing so. 5. The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost based fee for each additional request. 6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request. 7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it. EFFECTIVE DATE OF THIS NOTICE This notice went into effect on 10/01/2021
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