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Payment

Accepted Insurance Plans

Sessions are $95 per 45 minutes.

Code

Description

90791

​

90832

​

90834

​

90837

​

90839

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90840

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90846

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90847

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90889

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00003

​

0010

​

Cancellation Fee

​

99080

​

Legal Fees

​

G9001

​

96127

​

H2001

​

NSF

Family Psychotherapy without Patient Present, 50 minutes

Family Psychotherapy with Patient Present, 50 minutes

Report Writing / Write letter

Adult ADHD Assessment and Report

Marital Therapy

Medical Records

Court and Judicial Fee

Coordinate Care

Brief emotional Behavioral Assessment

Crisis Intervention/1 Person/out

of office

No Sufficient Fund Fee

Initial Diagnostic Evaluation

Psychotherapy, 16-37 minutes

Psychotherapy, 38-52 minutes

Psychotherapy ≥ 53 minutes (This fee is my hourly rate & used for all prorated calculations as indicated)

Psychotherapy for a Crisis (30-74 minutes)

Psychotherapy for a Crisis (add on code for each additional 30 mins)

Refer to the Intake/Registration forms for a full explanation

Price

$95

​

$95

​

$95

​

$130

​

$130

​

$95

​

$130

​

$95

​

$75

​

$375

​

$95

You are Responsible for the fee of the appointment missed

$35 - 50

Separate Fee Schedule- Refer to the Intake/Registration Forms

$50

​

$10

​

$50

​

$35

@staceyokitchens venmo

Venmo

paypal.me/staceyokitchens

PayPal

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