Insurance / Cost

Do you take my Insurance?

We encourage you to check with your insurance provider before starting counseling to ensure that you will have mental health coverage for services at Northwest Counsel.

We are in-network with many insurance providers. We also bill out-of-network for many plans as a client courtesy.

Northwest Counsel bills the following insurance providers:

  • Aetna (out of network)
  • Anthem
  • Blue Cross/Blue Shield (not Premera)
  • Cigna
  • First Choice of WA
  • Health Net
  • Kaiser Permanente (formerly Group Health)
  • Kaiser Core 
  • Regence BlueShield
  • UMP
  • United (out of network)

If your insurance provider is not listed above, keep in mind, many insurance companies also reimburse for counseling sessions at partial or full rates for out-of-network providers as well. Please check with your counselor upon making your appointment for more specifics.

Please note: Northwest Counsel does not obtain insurance pre-authorizations at this time. If your insurance plan requires pre-authorization letters or codes to access mental health benefits (Kaiser Core, many Aetna plans, some Cigna plans, some Regence plans), please either bring these codes to your first appointment or provide this information to your counselor. If pre-authorization codes are not obtained by the time of initial appointment, payment in full at time of services will be required.

How much does it cost?

If you are not using insurance and are paying out of pocket:

  • Intake session (initial session at 45-52 minutes) – $170
  • Emergency or crisis session (45-52 minutes) – $180
  • Individual session (53-60 minutes)  – $160


Interested in Couples or Marriage Counseling?

Our highly trained therapists are honored to assist you in working through challenges within your relationship. However, health insurance companies do not reimburse for this type of service, so all couples therapy is provided as a cash only service. Couples and marriage therapy sessions run 45-52 minutes and are billed at $170 per hour, payable at time of service.


Which forms of payment are accepted? 

(NWC does charge a 2.81% processing fee for card payments. This fee can be avoided with other forms of payment.)

  • Insurance
  • Cash
  • Check
  • Credit/Debit cards
  • Out-of-network reimbursement

Are there additional reimbursement programs?

Yes! We partner with local churches. Check with your church leadership regarding this option.

We also partner with nonprofits including the Rainbow Center and Oasis mental health voucher programs.

We do occasionally offer sliding scale options for those who cannot afford the full cost of counseling.  Please ask your counselor and allow them the opportunity to work with you.