ABOUT ME

I believe in sharing my dominant identities as they influence my lens as a person and a therapist: I am a White, queer, gender queer person from the east coast. I use she/her pronouns. For those who are curious: Libra, Libra, Capricorn; Enneagram 8. I am committed to anti-racist work. I believe in approaches to healing that liberate us from - rather than reproduce - systemic harm, and in care networks that center transformative change. I want to live in a world without police and prisons, and I am realistic about the work it takes to get there.

I will support you to live a life that is aligned with your values and which helps you achieve your goals. Your wellness impacts the wellness of your social, political, professional, romantic, sexual, and family relationships. In this way, individual and small group (including families, couples, poly scenes and other groups) therapy supports broader change.

In addition to my work in mental health, I am a fierce and loyal partner, friend, and uncle. I am a garden and plant enthusiast. I have one beloved aging dog and one beloved - albeit surly - aging cat. I love playing and watching sports and like to think of myself as a jock for life.

 
Yarrow: boundaries, protection, love.

Yarrow: boundaries, protection, love.

MY TRAINING and PRACTICE

I hold a Master's of Science in Clinical Mental Health Counseling from Portland State University, and a Bachelor of Arts in Sociology from Wesleyan University.

I came of intellectual age when postmodernism dominated the zeitgeist. My philosophy of living and therapeutic practice is influenced heavily by anti-police and anti-prison politics, queer liberation and a passion for imagining new narratives of anticapitalist ways of life. I have completed formal training in Emotion Focused Therapy, Narrative Therapy, Narrative Exposure Therapy for Trauma, and CAMS Care Suicide Risk Assessment and Treatment.

I have 20 years of experience in public health and mental health, including 12 years of harm reduction and HIV prevention and care work. From 2016-2021, I worked as an emergency room clinician in a psychiatric emergency room. My therapy practice is eclectic/integrative. I incorporate aspects of attachment theory, psychodynamic theory, solution focused counseling, cognitive behavioral therapy, and dialectical behavioral therapy as clinically appropriate. I use Narrative Exposure Therapy to treat PTSD and trauma. About NET

FEES and SCHEDULE

 

My fee for 55 minute sessions of all kinds is $175.

My fee for 75 minute sessions is $200.

My fee for 90 minute sessions is $225.

Discounted appointment slots may be available.

Fees are due at the time of appointment.

INSURANCE

I am currently in network with AETNA and PacificSource. I can “super bill” for out of network benefits. This means you will pay for sessions at the time of the appointment, and then submit an invoice to your insurance plan to be reimbursed for some part of your payments to me. Please find out from your insurance company what they reimburse for “out-of-network” therapy. This will give you an idea of what you will receive back. Ask me about this!

AVAILABILITY

Monday - Thursday.

My wait list is closed as of 1/1/2024. Please check here for updates!

No Surprises Act

I am including the following information pursuant to the “No Surprises Act”:

This document was originally written by the Centers for Medicaid and Medicare (December 2021) and posted on their website. The No Surprises Law has already seen several revisions, so it is subject to change.

Centers for Medicare & Medicaid Services. (2021). Standard Notice and Consent Documents Under the No Surprises Act (For use by nonparticipating providers and nonparticipating emergency facilities beginning January 1, 2022). https://www.cms.gov/files/document/standard-notice-consent-forms-nonparticipating-providers-emergency-facilities-regarding-consumer.pdf

YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS

(OMB Control Number: 0938-1401)

When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.

What is “balance billing” (sometimes called “surprise billing”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs,     such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.

“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care - like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.

You are protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable  condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Certain services at an in-network hospital or ambulatory surgical center

When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections  not to be balance billed.

If you get other services at these in-network facilities, out-of-network providers can’t balance  bill you unless you give written consent and give up your protections.

You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.

When balance billing isn’t allowed, you also have the following protections:

You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.

Your health plan generally must:

Cover emergency services without requiring you to get approval for services in advance (prior authorization).

Cover emergency services by out-of-network providers.

Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.

Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.

If you believe you’ve been wrongly billed, you may contact: The Oregon Board of Licensed Professional Counselors and Therapists: (503) 378-5499 or lpct.board@mhra.oregon.gov

Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.

Visit https://www.oregon.gov/oblpct/pages/index.aspx for more information about your rights under the state of Oregon.