This practice is currently self-pay, meaning you pay for each session at the time of service. We accept cash, all major credit cards, and Health Savings Account (HSA) and/or Flex Spending Account (FSA) card payment. 

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We do not accept insurance at this time, however we can give you a printout of billing to submit to your insurance toward your deductible.

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You have the right to receive a GOOD FAITH ESTIMATE under the new "No Surprise Act" law. Under the law, since we do not accept insurance directly, you will receive an estimated bill before beginning therapy or starting an assessment with us. You will receive it one day minimum before your scheduled service. If you receive a bill from us that is at least $400 above the good faith estimate, you can dispute the bill. Make sure the save the copy of your good faith estimate when we email you informed consent to you. Any questions, visit- www.cms.gov/nosurprises or call our office directly. Here are our rates up front below:

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The cost for a 50 minute session is:

Cara Gruhala, EdS, LPC, NCC, PMH-C - $120

Samantha Kates, PLPC, NCC - $100

Krista Gomez Gonzalez, PLPC, NCC - $105

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We do accept a certain number of clients on a sliding scale basis. If money is a concern, please let me know when you call and we will share our sliding scale criteria with you.

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Seeds of Change Counseling & Consulting, LLC opted out of network with Medicare effective 1/1/2024. Opting out means Seeds of Change Counseling & Consulting, LLC cannot be involved in any Medicare program; including original fee-for-service (traditional) Medicare, Medicare Managed Care Plans, Medicare+Choice Plan and Medicare Advantage Plan. Clients on Medicare are invited to sign a Medicare Private Pay Opt-Out Medical Services Contract at the start of their services. Seeds of Change Counseling & Consulting, LLC does not provide Superbills to clients on Medicare.