Our fully licensed therapists are contracted with Anthem BCBS, Aetna, Cigna, Sentara, and United Behavioral Health plans. Most of our fully licensed therapists also accept Medicaid plans, and all of our Residents in Counseling accept Medicaid plans. When you contact us, we will verify your insurance and try to match you with a therapist who meets your needs and accepts your insurance. Please inform us if you change your insurance so we can ensure your therapist can accept the new plan. While we cannot guarantee insurance payments due to plan differences, we will assist you throughout the process.

Our cash rates depend on the therapist's experience and are as follows: Fully Licensed LPC, LCSW, LMFT: Psychiatric Diagnostic Evaluation (90791) - $170, Psychotherapy (53 to 60 minutes, 90837) - $150, Family Psychotherapy with patient present (90847) - $150, Family Psychotherapy without patient present (90846) - $150, Interactive Complexity (90785) - $150, Late Cancellation (less than 48 hours notice, 00002) - $130, No-Show (no notice, 00001) - $150. Residents in Counseling and Supervisees in Clinical Social Work: Psychiatric Diagnostic Evaluation (90791) - $120, Psychotherapy (60 minutes, 90837) - $100, Family Psychotherapy with patient present (90847) - $100, Family Psychotherapy without patient present (90846) - $100, Interactive Complexity (90785) - $40, No-Show (no notice, 00001) - $100, Late Cancellation (less than 48 hours notice, 00002) - $80. Counselor In Training: Psychiatric Diagnostic Evaluation (90791) - $80, Psychotherapy (60 minutes, 90837) - $60, Family Psychotherapy with patient present (90847) - $60, Family Psychotherapy without patient present (90846) - $60, No-Show (no notice, 00001) - $60, Late Cancellation (less than 48 hours notice, 00002) - $40, Interactive Complexity (90785) - $40.

We are delighted that you have chosen to contact us and take this important step. When you call us or reach out via our website, our goal is to ensure your experience is positive and rewarding. The first step is to find a therapist who is a great match for you, not just in terms of experience and expertise, but also in how they approach your questions and discuss your experiences. Our front desk staff are knowledgeable about each therapist's approach and are happy to help you find the right therapist. Once you've selected your therapist, you will need to review and sign your intake documentation and schedule your first appointment. You can choose to meet in person or online, depending on your preference. The number of sessions you may need depends on you and your therapist, so always feel free to discuss your needs and any changes you are experiencing. If you feel that a different approach in therapy might be better for you, you can either speak with your therapist about switching to someone else or call our front desk, and we will be happy to help you find the right therapist. We believe that finding the right therapist is critical to your success, so please call us and let us know how we can help. We can be reached at (540) 354-0911.

If you are experiencing a mental health crisis—such as thoughts of self-harm or harm to others, feeling out of control, or being overwhelmed to the point of being unable to function safely—please seek immediate help. Our practice is not a crisis center and does not provide emergency or 24-hour services. However, 24/7 support is available from trained professionals who can help you stay safe and connect you to the right resources. Here are some steps you can take: Call or Text 988 – The Suicide & Crisis Lifeline offers free, confidential support 24/7. Go to your nearest emergency room or call 911 if you or someone else is in immediate danger. Contact a local crisis service in Virginia such as: Carilion Connect Urgent Mental Health Care: Call Carilion Clinic CONNECT at 540-981-8181 or toll-free at 800-284-8898 Blue Ridge Behavioral Health: 24-Hour Crisis Services: 540-981-9351 Once you are safe and stabilized, we would be honored to support your ongoing mental health journey through regular, non-emergency counseling sessions.