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The future depends onwhat you do in the present
African American Couple

Rates & Insurance

Office hours based on each independent clinician.  Please click on their page to view their current office hours.  Evening and weekend appointments available upon request, by some clinicians.


Rates for Shelley A. Hanson, LPC, LMFT
$175 per 50-minute session

Rates for Elizabeth Rouffy, LPC, LMFT
$175 per 50-minute session

Rates for Cynthia Aerni, MS, LPC
$175 per 50-minute session
90 minute sessions available

Rates for Michelle Nelson Sinn, MA, LMFT
$150 per 50 minute session

Rates for Pamela McManus, MA, LMFT-Intern
$100 for 50 minute session

Rates for Sarah Knakal, MA, LMFT-Intern
$100 for 50 minute session


Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:

  • Do I have mental health benefits?
  • What is my deductible and has it been met?
  • How many sessions per calendar year does my plan cover?
  • How much does my plan cover for an out-of-network provider?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?

These counselors are not currently contracted with specific insurance agencies.  Counselors ask clients to pay at time of service, we will supply you with the appropriate receipts and coding so that you may seek reimbursement from your insurance company.


Reduced Fee
Reduced fee services are available on a limited basis and based upon need.  Please discuss this with your counselor/therapist.

Cash or check are both accepted.  Some of us are also set up for credit/debit cards. Please see payment page for more detail.
Payment due at time of services.

Cancellation Policy
If you do not show up for your scheduled appointment, and you have not notified your therapist at by 5:00 p.m. the previous day, you will be required to pay the full cost of the session as booked.

Questions?Please contact me  for further information (please list a specific therapist's name in the subject line, if you'd like to direct your question to anyone specifically).