What nearly everyone asks

No. Spirit Counseling is out of network with insurance plans, so you pay for each session yourself. I give you an itemized receipt in case your plan reimburses part of it. I do not take Medicare or Medicaid, and I will gladly name colleagues who do.

It is called a superbill, and your plan may reimburse part of out-of-network care when you send it, though your plan decides whether it pays anything. I give you one each month, with the dates and kind of session. It carries a diagnosis code your insurer can see.

If you pay without insurance, you have the right to receive a written estimate of what your care will cost before you start. I give you one before the first session. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

You pay at the end of each session by card. I give your fee in writing before we start, and the fees page explains the receipt, the estimate and the cancellation notice.

Yes. Most health savings and flexible spending cards work for counseling. Check with your plan administrator if you are unsure.

It lasts 60 minutes. I explain how I work, the limits of confidentiality and the possible risks and benefits of counseling, and I listen. At the end we each decide whether to continue.

No. Faith is optional here, and you can change your mind at any point. Some people want prayer or a passage in the room; many want neither. I follow your lead.

Sessions run 50 minutes, or 80 for couples. We set the pace together and I do not promise a number of sessions.

I am licensed in Colorado, and my license is listed at the foot of every page. By video I see people who are in Colorado during the session. If you are elsewhere, I will help you find someone licensed there.

Call or text 988, any time. In an emergency, call 911. This site and my messages are not monitored around the clock.

What you share stays in the session. The law sets limits: if someone is at serious risk of harming themselves or another person, or if abuse of a child or an older adult is suspected, I may have to tell others. I explain this in writing before you start.

I see adults and couples. For a teenager, I will give you the names of colleagues who work with teens and explain how consent works in Colorado.

I ask for 24 hours' notice to change an appointment. Your written estimate states what happens if that is not possible.