Pathways Counseling 

            LGBTQ+, Religions, Military, PTSD, High profile. Telehealth,

Cash Clients

NOT everyone should use insurance. I often get clients who know that if their insurance company or human resources department leaked that they were in counseling, that it could cause a problem. There have been people who lost the trust of boards, boss's, peers and clients when they caught wind that they were seeing a therapist. If this sounds like it is the case for you, you can and perhaps should, use cash or credit card to cover the cost of your sessions.

Initial assessment/first visit 250.00 (be prepared to spend 45-90 minutes if possible) 

Individual therapy session (45-60-minutes)   $150.00
Couples therapy session (45-75-minutes)   $180.00

Half hour check in/Individual Relaxation/Meditation refresher/training (30-minutes) $60.00
 Relaxation/Meditation and relaxation Group (50-minutes)   $20.00 Cash or Charge only

Video/telehealth: up to 25 minutes for $60.00, up to 55 minutes for $150..00

Don't forget to ask for information regarding Video Chat/phone sessions if needed. 

Fees are due at the  beginning of each session using the SQUARE, credit card or previously mailed and deposited cash or check.


I do not double-book or over book. The scheduled time is reserved for you; if you do not show or fail to cancel within 24 hours, you will be charged $50.00 for the time. I find that this greatly reduces late or no-shows so that I can schedule in someone else for the appointment and also 'weeds out' the patients who are not fully invested in treatment. For chronic no-shows that are still committed to coaching/therapy, I will accept a credit card information and permission to charge your account for missed appointments.


We accept these insurance companies

Anthem     BCBS of TN     Chestnut EAP     CIGNA     ComPsych     Magellan   TRIWEST-VCP

Aetna    HNFS    United Health Care-Live & Work Well    HealthAlliance   HealthLink     TRICARE/HUMANA          Wellpoint    Military Care   Military One Source  VA

Please call the 1-800 number on the back of your card for more information.  Services may be covered in full or in part or not at all by your health insurance or employee benefit plan. Co-pays and deductibles are paid before the session begins.

 when you call them, Ask:

  • Do I have mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?
  • Does my company have an EAP that will offer free sessions? How many?
  • Our first session will enable the client to get a feel for what counselling involves and how it may help them. It will also enable the client to ask any questions or raise any concerns they may have before making such a commitment. Provide a time to discuss the practicalities of counselling by looking at times, cancellations, fees, confidentiality and the general rules that both client and counselor must abide by. Enable the counselor to make an assessment of the client's presenting problems and difficulties and decide with the client the goals of counselling and areas to be worked on in future sessions. Ascertain the suitability of any client for either long-term or short-term counselling. People suffering with more serious mental health problems such as eating disorders or severe depression are more suitable for long-term counselling. More importantly, this initial session is designed for you to make an assessment of the counselor and to decide if you can work with them.  Attending an initial assessment does not mean that you are obliged to continue on to counselling sessions. If you feel at all uncomfortable about the counselor then it may be worth looking around until you have found a counselor you are genuinely happy with. All inquiries will be strictly confidential.

Other Services Offered

  • Refer clients to other resources or services in the community, such as support groups or inpatient/outpatient treatment facilities.
  • Partner with employers to help deliver the best outcomes for employees with "adjustment" issues.
  • Coordinate treatment with other professionals at client's request, such as attorneys, doctors, probation officers, psychiatrists and social workers.