Private Pay and Insurance

Accepting the following Insurance

Call for a full list of available providers.

Don’t see your insurance? Not a problem!

We are able to provide services to those outside of the above listed providers as well as those who do not have insurance.

Please contact our office for further pricing.

Insurance Verification Worksheet

We are happy to submit the claims for your visits; however you should be aware that benefits for counseling can vary greatly among individuals. Here you will find a worksheet that will help you navigate the insurance verification process.

When calling your insurance company be sure to tell them that you are seeing a licensed professional counselor.
Our NPI (national provider identification) number is 1174196612.

1. Is Evergreen Counseling Services, LLC in network for my plan?

2. Do my benefits include outpatient counseling? (Procedure codes 90791 and 90837)

3. Are there any exclusions or limitations (such as limit to number of visits or limited telehealth services)? ______

4. Are my visits subject to a deductible? If yes, has my deductible been met for the year?______

5. Am I responsible for any copay or coinsurance for the visit?____________

6. Is there a different copay or coinsurance for telehealth services? ________