Contact & FAQs

“Your pain does not have to be equivalent to suffering.”

Please complete the form below or call the office. Response times during the holiday season may take longer.

For answers to frequently asked questions, scroll to middle of page.


What is therapy?

Therapy is the process of engagement with a counselor to resolve emotional distress, problematic behaviors and beliefs. Therapy addresses a vast array of mental health or substance use issues for those with difficulties resolving issues on their own. Therapy can appear difficult in the beginning, however taking the first step to seek counseling can result in breakthrough changes.

How long do sessions last?

Session range from 45 to 60 minutes. This is the standard length of a counseling session. If you are interested in a longer session (75 minutes) please contact me regarding availability and pricing.

How often will we meet?

Recommendations for sessions begin with meeting once a week. I find that it’s important to gain some momentum in the beginning by meeting weekly or progress can stall out. Once some or all of your goals are met, meeting less often will make sense. *case by case*
Does telehealth really work?

Telehealth is a virtual therapy that provides mental health, substance use and counseling services via internet or phone rather than in person. Telehealth allows a therapist the same ability to effectively address many matters online that are addressed face to face.

Is therapy confidential?

As a general rule, all therapy sessions conducted are confidential that remain between counselor and client. According to ACA, “Counselors protect the confidential information of prospective and current clients. Counselors disclose information only with appropriate consent or with sound legal or ethical justification.” The general requirement that counselors keep information confidential does not apply when disclosure is required to protect clients or identified others from serious and foreseeable harm or when legal requirements demand that confidential information must be revealed. This includes the following:
Suspected abuse to a child, dependent adult, or elderly in regards to domestic abuse
Suspected threat of severe bodily harm to another person
Suspected harm to oneself with a plan for suicide.
**In all cases, counselor is required to notify law authorities and make a report.**

How much does therapy cost? (Insurance and Fees)

Breakthrough Consultation
Complimentary 15 minute phone consultation

Discovering Your Pivotal Moment

Initial clinical sessions: $200
Psychotherapy 40-45 minute session: $140
Psychotherapy 46–60 minute session : $175

Discovering Your Pivotal Moment [Sliding Scale]
Pivotal Breakthrough Counseling Services offers a limited number of sliding scale slots available to client’s registered with Open Path Psychotherapy Collective.  Please visit Open Path Collective directly.

Insurance and Payment 
Pivotal Breakthrough Counseling Services accepts many private insurances (Aetna, Blue Cross and Blue Shield, Evernorth (formerly known as Cigna), Oscar, Oxford and United Healthcare), however many mental health benefits vary from plan to plan. It is your responsibility to know and confirm what your insurance benefits are, whether you are using in-network or out-of-network benefits, and any limitations to your coverage. Claims are submitted to your insurance; however if a claim is denied or rejected by your insurance company, the client is aware of the responsibility to pay the private or self-pay rate for services rendered through Pivotal Breakthrough Counseling Services, PLLC.

**For Blue Cross Blue Shield, we accept all PPO plans, Blue Advantage, Blue Select, Blue Care, Classic Blue, Blue Options, NC State Health Plan, Blue Federal, and Out of State BCBS PPO plans. Our practice is not in-network with: BCBS Blue Value, Blue Local, Blue Home, United, Tricare, Medicare and Medicaid.**

Remember, If using health insurance, insurance companies often require that you receive a mental health diagnosis in order to access benefits. This mental health diagnosis becomes a part of your permanent medical record. We will inform and discuss with you any relevant diagnosis. Please consider this information when determining whether private pay or filing with your insurance is the desired option for you.

We recommend asking your insurance provider these questions about your benefits:

  • Does my health insurance plan include mental health benefits?
  • Do I have a deductible? If so, what is it and have I met it yet?
  • Does my plan limit how many sessions I can have per calendar year? If so, what is the limit?
  • Do I need pre-authorization from my primary care physician for therapy to be covered?
  • What are the reimbursement rates for CPT codes 90791 (Diagnostic Evaluation), 90834 (Individual Therapy), 90847 (Family Therapy), and 90846 (Family Session Without Identified Client) when these services are provided by a licensed master’s level therapist, such as LCMHC(A), LCSW, or LMFT.

*Please verify your insurance coverage prior to your initial visit. If at any time your insurance coverage changes, please let us know as soon as possible in order to avoid billing discrepancies. We are happy to help!

No Surprises Act - Good Faith Estimate Notice
Under Section 2799B-6 of the Public Health Service Act, health care providers and health care facilities are required to inform individuals who are not enrolled in a plan or coverage or a Federal health care program, or not seeking to file a claim with their plan or coverage both orally and in writing of their ability, upon request or at the time of scheduling health care items and services, to receive a “Good Faith Estimate” of expected charges.
Telemental Health Sessions

Are you currently covering telehealth services?  Will this coverage continue after the pandemic?

I am currently covering telehealth services. Coverage is subject to change after the pandemic. Client’s should call their insurance provider to verify if telehealth will continue.


Pivotal Breakthrough Counseling Services accepts major credit cards as forms of payment for those who would like to utilize self-pay options.

What is your cancellation policy?

Appointments can be cancelled with 24-hour notice. If you cancel an appointment with less than 24-hours notice a $75 missed/late cancellation fee will be incurred.

(Please note we CANNOT bill insurance for a missed appointment, so responsibility of payment is on the client.)