FAQs

I am an out-of-network provider for most insurance companies. As of 1/1/2025, I am in network with Premera and BCBS of WA. This means that I don’t bill your insurance directly (if you don't have Premera/BCBS). I will, however, provide you with a superbill (which is an insurance-specific receipt) for any services rendered. You can then submit this superbill to your insurance company — insurance companies will typically reimburse you for a portion of your expenses from therapy or testing. That said, different insurance companies reimburse at different rates, so you’ll need to contact your insurance company directly to better understand your out-of-network benefits for mental health services.

Our sessions take place using a secure, HIPAA-compliant platform that allows you to do therapy from the comfort of your own space. No commute, no waiting room. Just the support you need, when and where you need it. You will receive a link before each session that allows you to join the meeting room for our session.

I see clients Mondays-Thursdays between the hours of 8am-3:00pm with occasionally sessions on the evenings on weekends on a case-by-base basis.

In-person sessions are available on Tuesdays in the Bellingham Towers, located at 119 N. Commercial Street, Suite 905 C. Sessions are by appointment only and are offered between 7am-3pm on Tuesdays.

Therapy is an investment in you and the goals you are interested in. 15 minute phone consultation to determine fit – FREE Initial intake/assessment (required for all new clients) – $200 Individual session (50 minutes) – $180 Relational session (50 minutes) – $180 Coaching + shortened session (20 minutes or less) – $75.00 No-Show and Late Cancel fee – $180

Life happens, and there is no way to control that. If there is no communication prior to your missed session it is considered a no show. Transmute Therapy PLLC, maintains a strict 24-hour cancellation policy. Our policy is to bill all sessions that the client fail to show for when 24-hour notice has not been given. The following fees will be charged for a missed or late cancel appointment: No-Show $180 per missed session Late-Cancel $180 per missed session Recurrent missed appointments will harm the therapeutic relationship as well as progress being made toward your goals. Should attendance become a regular issue, we will discuss the best path moving forward. If you arrive more than 15 minutes late for a scheduled appointment, the appointment will be considered a ‘no-show’ and will need to be rescheduled.

We will spend time getting to know each other, discussing the history of what brings you to therapy, and the goals you’re hoping to achieve. We will discuss informed consent, confidentiality, and answer any questions you may have.

The process I utilize for our sessions provide as much confidentiality as I can - we use a HIPAA compliant server for our sessions, a HIPAA compliant phone service, email service, and documentation keeping service. However, there are limits to confidentiality, as well as circumstances that are beyond my control. As a mandated reporter, there are instances where I’m obligated by my professional code of ethics to disclose or report certain information; we will discuss this further in our first session together.

People seek therapy for many different reasons and benefit from therapy in many different ways. Life gets messy sometimes, that is a guarantee, and there are many times in ones life where therapy can be a significant benefit. Our therapist at Metanoia firmly believe that if there is something that you are wrestling with, then THAT is reason enough to determine that therapy is right for you, and you don’t have to do it alone. The answer to this question is different for each individual. Sometimes people seek therapy because they are feeling stuck, alone, or wanting to change. Other times, they just need someone to talk to who is willing to listen without judgment, ask thoughtful questions and offer supportive feedback. There's a common belief that if you go to therapy, it means there's something "wrong with you." Seeking therapy does not mean there's something wrong with you. Therapy is a safe, unbiased place for anyone who is wanting to change, heal, work on themselves, or process their experiences. I also recognize that talking to a complete stranger about your life and personal problems can be uncomfortable. As we get to know each other, I will do my best to make the therapy process as painless as possible by letting you lead the way with what you want to share.

The length of time you spend in therapy will depend on a number of factors, including what issues you are coming to therapy with, the time and effort you put in during and outside of therapy sessions, and your life circumstances. Many clients notice a significant improvement in 5-6 sessions, while for some people it takes a bit longer. A typical amount of time people spend in therapy can range from 3 months to a year. We will work collaboratively to decide what works best for you.

According to the “The No Surprises Act" (2022), patients who do not have insurance or who are not using insurance have the right to receive a “Good Faith Estimate” for the expected cost of treatment. Your therapist will collaborate with you to determine how many sessions you may need, based on your diagnosis and treatment goals. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

Many clients make the choice not to involve insurance companies in their mental health care for several reasons including: • Their counseling isn’t limited by a required diagnosis, treatment plan or session limits dictated by their health insurance company. •Many insurance plans don’t cover couples or family therapy. •Insurance companies require that a mental health diagnosis be made to obtain services, which becomes part of your permanent health care record. This may lead to limitations surrounding life insurance and health insurance eligibility later on. •The insurance company is able to review all of your records, resulting in less privacy surrounding your diagnosis and treatment. •You may be paying out-of-pocket anyway, depending on your plan and deductible. • Paying privately for therapy allows the most privacy, flexibility and control of your mental health care and records allowed by state and federal law. It allows you and your therapist to be in control of your treatment and session frequency.