"Investing in yourself is the best investment you will ever make. It will not only improve your life, it will improve the lives of all those around you."

~ Robin Sharma


These are the critical things you need to know about Coeur Performance fees and practices.

Important Notice About the No Surprises Act (January 1, 2022)

Under the federal No Surprises Act, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service or at any time during treatment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate or how to dispute a bill, visit www.cms.gov/nosurprises.

For a copy of the Good Faith Estimate Notice, you can find it at this link.

Payment Methods

I accept payment by American Express, Discover, HSA/FSA cards, Mastercard, Paypal, VISA, and Zelle.  You will be billed for the services after your session via the card on file, as you will be enrolled in the practice’s autopay system.  Please notify me if any problems arise regarding your ability to make timely payments and/or if your card is canceled, stolen, or expired.


My practice is primarily an out-of-network provider.  If you carry insurance, please remember that my professional services are rendered and charged to you directly as the client and not to the insurance carrier.  I will be happy to provide you with a coded monthly medical statement (“superbill”) that you may submit to your insurance provider for reimbursement.  This document is available on the first day of the subsequent month by visiting your client portal and looking under “documents.”  It is your responsibility to determine specifically the mental health services covered by your insurance provider.

Because you are billed instead of insurance, there is no requirement for me to make a diagnosis of your condition.  My focus is on helping you achieve your goals, not meeting an insurance company’s expectations.

Standard Fees

I comply with “no-surprises” billing.  The following standard charges apply:

  • $300 for the 90-minute intake session
  • $225 per hour
  • $275 per hour scheduled during evening, weekend, or holiday hours

If your appointment exceeds the session time, you will be billed for the additional time in 15-minute increments.

I have limited spots available as a “sliding scale” for those with financial hardships.  If you currently hold a sliding scale spot, your reduced rate is honored, and the standard fee does not apply.

Cancelations and Late Arrivals

Appointments are made at a date and time agreed upon by you and me.  I will try to accommodate requests to change your appointment time when possible.  A minimum of 48 hours notice is required for rescheduling or canceling an appointment.

Your scheduled session will charge the full fee for any session missed without at least 48 hours of advanced notice.  Most insurance companies will not reimburse for missed sessions.

If you are late for a session, the session will still need to end at its scheduled time, and you will be billed for the entirety of the scheduled timeframe.

A Note About Fees

Fees are periodically reviewed and may be increased.  I am committed to ensuring that you have at least one month’s notice about any fee increases.  Patients typically experience a fee increase once a year.  If there is a three-month or greater absence from sessions, your rate when you return will be the same as that for new clients.

Please feel free to talk with me about the process and timing of fee changes.  Finances are an important conversation in our clinical space.