Insurance and Fees

Breakthrough Consultation

  • Complimentary 15 minute phone consultation

Discovering Your Pivotal Moment

  • Individual Sessions: $75
  • Initial Clinical Intake $85

Discovering Your Pivotal Moment [Sliding Scale]

Pivotal Breakthrough Counseling Services offers a limited amount of sliding scale slots available to client’s registered with Open Path Psychotherapy Collective. Please visit Open Path Collective directly.


Pivotal Breakthrough Counseling Services is in-network providers with Blue Cross Blue Shield. This includes 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, Medicare and Medicaid. We also accept the [North Carolina State Health Plan] allowing teachers, state employees, retirees, and their dependents eligible for health coverage through the plan.

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 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.

*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!


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

Cancellation Policy

Appointments can be cancelled with 24-hour notice. If you cancel an appointment with less than 24-hours notice the full fee will be incurred.