Individual Psychotherapy

All services are currently offered online using a secure HIPAA compliant video platform. I only provide therapy via Telehealth at this time.  Individual Therapy appointments are typically 50 min. long. I offer integrative therapeutic approaches within a deeply honoring and collaborative space to support your therapeutic and healing goals. Our meetings will typically occur weekly or every other week and depend on your needs and my clinical judgement. Our time working together may involve only a few sessions, last several months to a year, or many years. The amount of time spent in therapy depends on your needs and personal goals. Please see Approaches to understand more about what I offer.

Please Note: I am only able to offer Telehealth therapy to people who live in AND are physically present in the state of Washington, per my license. 


I only accept private pay. I am not in network with and do not accept any insurance. You are responsible for any and all charges incurred in our work together. I will keep your credit card on file and it will be charged at the end of each session. I utilize two HIPAA compliant payment systems, Stripe by Simple Practice and Ivy Pay. My fees are as follows:

     Individual Psychotherapy session (50 min) - standard fee is $155/session

     Assessment & Diagnostic Evaluation (and Intake) (75 min) - fee is $185

     Individual Psychotherapy Extended session (75 min)* - standard/or reduced fee plus $30

     Individual Psychotherapy Extended session (90 min)* - standard/or reduced fee plus $50

     Additional Support: Short Session Psychotherapy (30 min) - fee is $85/session

     Crisis Psychotherapy & Supports (first 60 min) - fee is $170

     Crisis Psychotherapy add'l time (30min) +$40 for add'l crisis psychotherapy & supports

*Individual Psychotherapy Extended sessions are generally used for EMDR sessions, extended Expressive Arts Therapy sessions, assessment or complex treatment planning, by request and as clinically and therapeutically indicated.

Sliding Scale Reduced Rates

It is important to me to make some of my therapy services accessible to those that do not have access to insurance and have other factors that make it difficult to pay my full fee. I maintain a limited number of sliding scale reduced rate spots in my practice. I also offer two reduced fee spots via Open Path Psychotherapy Collective. Sliding scale reduced rate is an option ONLY for people who do not have access to insurance and qualify, including people who do not meet the clinical criteria for reimbursement through their insurance, have privacy or safety concerns regarding the use of insurance AND cannot pay my standard fee of $155 and are otherwise not able to access private therapy services for thier unique needs due to multiple barriers. If you would like more information about my sliding scale reduce rates, current availablity, and how to qualify, please contact me directly to discuss.

Out of Network Reimbursement

Depending on your provider some insurance companies will reimburse you for your psychotherapy services from therapists who are out of network (do not accept their insurance plan). I can provide you with a Superbill (a detailed receipt of services and must include a diagnosis) for an out-of-network provider insurance claim. Please contact your insurance provider to verify if and how your plan compensates you for psychotherapy services out of network. I recommend calling and asking your insurance provider the following questions to help determine your benefits:

  • Does my health insurance plan include mental/behavioral health services AND cover Out of Network (OON) providers?
  • What is the reimbursement rate for OON providers and the CPT code 90834-95 (the code for a standard Telehealth therapy session)?
  • How many sessions does my plan cover for OON mental/behavioral health providers? (Is it unlimited or is there a max?)
  • How long will it take to be reimbursed for my claims?
  • Do I have an OON deductible? If so, what is it and have I met it this year?
  • Will my OON sessions be applied to a separate OON deductible?
  • Is approval required from my primary care physician in order for mental/behavioral health services to be covered?

Other things to consider for submitting a Superbill for reimbursement

  • If you are submitting a Superbill to insurance you will be charged my standard fee of $155, due at the time of service.
  • I cannot offer reduce rates for people who have access to insurance. If you are unable to pay my standard fee of $155, I encourage you to find a provider that is in network with your insurance. (You may request a reduced fee in lieu of insurance reimbursement, however my ability to offer you a reduced fee will depend on availability).
  • Medicaid will NOT reimburse for out-of-network providers.
  • Please be aware that health insurance companies require that I diagnose you with a mental health condition before they will agree to pay a reimbursement. Many conditions for which people seek counseling do not qualify for reimbursement. If a mental health diagnosis is made it becomes a permanent record of your insurance. If a mental health diagnosis is appropriate in your case, I will inform you of the diagnosis and what that means for you.

Cancellation Policy

To cancel a scheduled session, a minimum of 24-hours in advance of your session is required. If prior and timely notification is not given, you will be charged $75 for the missed session.

Get Started

Free 20 minute consultation It is important to have an initial phone consultation before deciding to work together. I want to make sure you have an understanding of what I am and am not able to offer in terms of services, what to expect from therapy with me, to discuss your initial therapy goals, to answer any questions you may have and to ultimately help us both make a decision about best fit. Call or email to schedule your free 20 minute phone consultation.

New Client Intake - Initial session Our first session will be 75 minutes. The focus is on getting to know one another, identifying your therapeutic goals based on past and present concerns, and going over and completing paperwork, general assessment and diagnostic evaluation. You will be asked to complete and sign all intake documents prior to our meeting. We will also set up your payment process and discuss ongoing scheduling.

Appointment request Once you are an established client, you will be able to schedule your regular appointments through the Secure Client Portal. For extended therapy sessions, short therapy session, group therapy sessions, or all other appointments with me, you will need to contact me via phone or email to schedule. Please note if you do not schedule a standing time with me, available times are first come, first serve.

Good Faith Estimate

Under the No Surprises Act (H.R. 133 effective January 1, 2022) Section 2799B-6 of H.R. 133 health care providers and health care facilities are required to inform individuals receiving services who are not enrolled in an a insurance plan or receive coverage (uninsured individuals), or not part of a Federal Health Care program, or those not seeking to file a claim with their plan or coverage (self-pay individuals) to receive a “Good Faith Estimate” of expected charges. The notification must be given both orally and upon request or at the time of scheduling a health care service.

It is your right to receive a “Good Faith Estimate” to help you estimate expected charges they may be billed over at least the next 12 months from the start of scheduling services, for health care items and services you receive. This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.

It is not possible for a psychotherapist/clinical social worker to know in advance exactly how many psychotherapy sessions may be necessary or appropriate for a given person and their specific clinical needs. Your total cost of services will depend on the number and type of psychotherapy sessions you attend and any fees related to services with me including but not limited to late cancellation/no show and legal fees. Therefore, it is important to note the Good Faith Estimate may not include any unknown, unexpected, or additional costs related to your unexpected needs and/or clinical necessity that that may arise during treatment. Your total estimated cost could be more or less depending on scheduling requests, clinical necessity, complications or special circumstances including additional items or services that are recommended as part of your treatment that may be scheduled separately and therefore not reflected in this good faith estimate. The information that will be provided in the good faith estimate is only an estimate and actual items, services, or charges may differ from the good faith estimate. Any changes or increases to my business fees will be posted and you will be notified in writing and a new Good Faith Estimate will be created based on these changes at the time the changes go into effect.

This Good Faith Estimate does not require private pay clients to obtain or maintain psychotherapy or other services from Paloma Andazola-Reza, MSW, LICSW via Crisálida Healing & Transformation, PLLC. The Good Faith Estimate is not a contract or obligation to obtain services from Paloma Andazola-Reza, MSW, LICSW via Crisálida Healing & Transformation, PLLC. This Good Faith Estimate is also not a recommendation of treatment or a prediction that you need to attend or are limited to attending a specified number of visits. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.

Federal law not states if you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the charges and bill. If you are disputing a bill, you may contact your health care provider or facility listed and let them know the billed charges are higher than your Good Faith Estimate. You have the right to request your provider to update the bill to match the Good Faith Estimate, negotiate the bill, or inquire if there is financial assistance available.

You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will only have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit or call 800-985-3059.

You have the right to ensure your health care provider gives you a Good Faith Estimate within the following timeframes:

  • If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;
  • If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or
  • If the uninsured or self-pay client requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request.
  • A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.

Again, this is the public disclosure of the “Good Faith Estimate” for your awareness only. It does NOT involve you needing to make any type of commitment to services.