New Clients
*Fees listed are based on self-pay rates.

15-20 minute phone consultation---free (one time only)
This is an opportunity for me to understand your reasons for seeking therapy and it is a great time to address any initial questions or concerns you might have.

45-60 minute Intake & Assessment Appointment---$135.00
This appointment is for me to understand the reasons for which you are seeking therapy, gather information needed to provide appropriate diagnosis, formulate initial treatment goals, and to begin creating a mutually agreed upon treatment plan.   

Returning Clients
*Fees listed are based on self-pay rates.

45-60 minute individual therapy appointment--$125.00

45-60 minute parent guidance/consultation & family therapy appointments--$125.00

Additional Session Time (Provided as medically necessary to address mental health crises, For patients wishing to schedule sessions lasting longer than 45-60 minutes)--Pro-rated based on $125.00/hour rate

Coaching calls/Phone Based Support Between Sessions--Pro-rated based on $125.00/hour rate. 

Paperwork Completion--Pro-rated based on $125.00/hour rate.

Appointment Cancellations/Missed Appointments Fee--$125.00
*To avoid a charge for appointment cancellations I ask that clients provide 2 business days notice of the need to change or cancel an appointment.  For purposes of this policy, though my practice is open M-Th I will count notifications made on Fridays as a business day for which you may reach out to me and notify me of a need to change/cancel an appointment.  Clients are afforded one missed appointment per year of treatment for which I will waive this fee, after this, I must charge the appointment cancellation/missed appointment fee in full.  See Consent for Services and State Disclosure information on forms page and policies page for further information.

Care coordination Services--Free for routine care coordination with a physician or other allied healthcare professional.   For complex care coordination services, the pro-rated hourly rate $125.00 for such services may apply.  

Group Psychotherapy

​I am not offering group psychotherapy services at this time.  Fees associated with any group offerings available will be updated based on the nature of the group.

​Insurance

I currently accept Premera Blue Cross, LifeWise Health Plan of Washington, First Choice Health Network PPO and First Choice Health Network Employee Assistance Program (EAP) plans, Medicare (participating provider), Regence Blue Shield, Bridgespan, Blue Cross & Blue Shield EPO/PPO plans, & Group Health HMO/PPO plans (beginning 9/1/2015)(prior authorization requirements may apply).  I anticipate contracts with several other insurers shortly.  Continue to check my website for updates on current insurance plans accepted.  

As the provider, I reserve the right to verify insurance coverage prior to your appointment.   Please bring your insurance cards with you to the first appointment and alert me if you anticipate any changes in insurance coverage or have experienced a change in your insurance coverage.

Out-of-pocket expenses for each client may vary based on the insurance plan.  Co-pays and deductibles are due to me, the provider, at time services are rendered.  Reimbursement to me, the provider, from the insurance company may vary from plan-to-plan and such fees paid to me by a client's insurer are determined by the insurer in their contract with me. Please note, that prior authorization or a referral from a physician may be required for your insurance company or your particular plan.  It is important to be aware of your benefits and how they work with respect to receiving outpatient psychotherapy services.  I encourage you to contact your insurance company directly to obtain clarification about your benefits prior to making an appointment. To do this, contact the customer services department for your insurer.  This number can generally be found on the back of your insurance card. 
 
Not all psychotherapy services are covered by insurance plans at this time and therefore I encourage you to contact your insurance provider directly in order to obtain information and clarification of your insurance benefits.   If your insurance does not cover a particular service that I offer, you may still opt to make use of that service and pay the self-pay rates noted above.

Accepted Payment Methods

For any expenses due at time services are rendered, clients may pay with personal check made out to, "Nicole T. Shiraev, LICSW, PLLC" or clients may pay using VISA, MasterCard, American Express, Discover Card, HSA cards.