Our Services
Paying for Therapy

Fees For Therapy
Individual initial Assessment:
-
Required for all new clients & returning clients after six months
-
$200.00 (60 minutes)
Individual Session (53 min.)
$175
Individual Session (45 min.)
$160
-
Couples' initial assessment/intake; required for all new couples & returning couples after six months:
-
$300.00 (60 minutes)
Couples Session (60 min.)
$250
Couples Session (90 min.):
$300
Payment Method
We accept all major credit cards, and Health Savings Account (HSA) payments can be processed through SimplePractice, a secure and HIPAA-compliant health record system. The credit card on file in SimplePractice will be used to process co-pays, out-of-pocket expenses, including fees for late cancellations (within 48 hours of the scheduled appointment) or no-shows, as well as full session fees for private-pay clients.
Payment is due at the time of service.
Late Cancellations & Missed Sessions
If you are unable to attend your scheduled appointment, please get in touch with your provider as soon as possible to cancel or reschedule. We kindly request a minimum of 48 hours' notice for any cancellations. Missed appointments or cancellations made with less than 48 hours’ notice will incur a $105 fee.
Please note that neither insurance nor FSA/HSA cover no-show or late cancellation fees.
INSURANCE


Medicaid & Medicare Accepted
We are not in the network with the following plans:
Blue Home w/ UNC Health Alliance
Blue Home
Blue Local
Blue Local (Atrium)

USING OUT OF NETWORK INSURANCE
If you wish to maintain the same level of control and privacy offered by private pay while utilizing your insurance benefits, you may choose to use your out-of-network coverage. We will provide a detailed receipt or superbill, along with the necessary documentation, for you to submit directly to your insurance provider for potential reimbursement. Coverage for services may vary depending on your health insurance plan or employee benefits. If you plan to seek reimbursement, please inform us in advance so we can ensure that all documentation meets the required standards.
Each insurance plan offers different benefits, so please check your specific coverage for details. You can inquire about your insurance by asking these questions:
-
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 session?
-
Is approval required from my primary care physician?

PRIVATE PAY
R3 Counseling & Coaching Services, PLLC is pleased to accept private pay for clients who wish to pay for their health services out-of-pocket. We are both a private pay and insurance practice, and most of our clients use their insurance for therapy services or utilize out-of-network benefits. Our out-of-pocket fees vary by service.
Here are some of the benefits that come with utilizing private pay:
-
You choose the clinician best suited to your needs rather than the insurance company telling you who to see.
-
No insurance equals less documentation. This results in more quality time to focus on care.
-
Mental health diagnosis is not mandatory and not submitted to your private health records.
-
No limit on number of sessions or time of your session.
-
You are guaranteed privacy and confidentiality.
-
Private pay clients can choose the focus, duration, and frequency of care. You are even allowed to select the length of sessions.
-
Insurance premiums and life insurance policies will not increase based on mental health diagnoses and treatments.
-
You will be able to stay with your provider even if your insurance plan coverage changes.

Documentation Services
Clinical documentation services may include, but are not limited to, Emotional Support Animal (ESA) letters, disability documentation, and FMLA or medical leave paperwork. These documents may be considered only after a client has become established in treatment.
A minimum of four (4) completed therapy sessions is required before any such documentation can be requested or issued. This ensures sufficient clinical history, assessment, and ongoing therapeutic engagement to support ethical and accurate documentation.
Documentation of this nature cannot be requested or issued during or immediately following an initial session.
The only exception to this policy is brief school or work excuse letters, which may be provided when appropriate to verify attendance.
All clinical documentation services are offered at an additional cost and are provided on a sliding-scale fee based on the type, complexity, and time required for the request. Fees will be discussed in advance, and documentation will only be completed after appropriate consent and payment arrangements are in place.
Please note that all documentation requests require a minimum turnaround time of seven (7) business days to allow clinical staff adequate time to complete these additional services thoughtfully and accurately. Expedited requests may not be available.
Our practice is committed to ethical, clinically appropriate documentation that supports client needs while maintaining professional standards, legal compliance, and confidentiality.
.png)








