Fees + Payment
Counseling should not begin with uncertainty about cost. Every Joshua Tree counselor’s fee is listed clearly on their profile, so you can consider both fit and affordability before requesting an appointment.
How Payment Works
Joshua Tree is a private-pay counseling practice. You choose your counselor, know the fee before scheduling, and pay Joshua Tree directly for each session.
Fees vary by counselor and service. Each counselor’s profile clearly lists their individual and couples session fees. Sessions with our counseling intern are offered at a reduced rate. All other counselors currently charge $100–$150 per session.
Joshua Tree accepts credit card payments only. A valid card must remain on file and is charged for scheduled services.
Clients receiving psychotherapy from a licensed counselor may request a superbill to submit to their insurance company. Reimbursement is determined by your individual plan and is not guaranteed. Superbills are not available for counseling interns or pastoral counseling.
Out-of-Network Benefits
Joshua Tree does not accept or bill health insurance. If you receive psychotherapy from a licensed counselor, you may request a superbill to submit to your insurance company for possible out-of-network reimbursement.
Your card on file is charged for the full session fee. Joshua Tree does not collect payment from or submit claims directly to your insurance company.
A superbill includes information your insurance company may require, including dates of service, fees, service codes, your counselor’s credentials, and a mental health diagnosis.
You manage the submission and reimbursement process directly with your insurance company. If approved, reimbursement is paid to you or may be applied toward your out-of-network deductible.
Please know: A superbill is documentation—not a guarantee of reimbursement. Insurance companies determine whether services qualify, how much they reimburse, and whether the amount applies toward a deductible. Superbills are not available for counseling interns or pastoral counseling.
Why Private Pay?
Private pay is not the right choice for everyone. For some clients, however, it offers greater choice, privacy, and flexibility throughout the counseling process.
You can choose the counselor whose experience, personality, and approach fit what you need rather than limiting your search to an insurance company’s provider network.
Joshua Tree does not send claims or treatment updates to an insurance company. If you request and submit a superbill, you decide to share the information it contains with your insurer.
You and your counselor can make decisions about the focus, frequency, and length of counseling without requiring authorization from an insurance company.
A note about privacy: Licensed counselors maintain clinical records as required by law and professional standards. A diagnosis is included when a superbill is requested for insurance reimbursement.
Good Faith Estimate Notice
This notice applies to people who do not have certain health care coverage or who have coverage but are not asking Joshua Tree to submit a claim for their counseling services.
Notice of Your Rights
Under federal law, health care providers must give patients who do not have certain types of health care coverage—or who are not using that coverage—an estimate of the expected charges for health care items and services before those services are provided.
You have the right to receive a Good Faith Estimate for the total expected cost of health care items or services when you request one or when you schedule those services.
Your Good Faith Estimate must be provided on paper or electronically in a form you can save and print.
Keep your Good Faith Estimate so you can compare it with any bills you receive later.
If a bill from a provider or facility is at least $400 more than the amount listed in that provider’s or facility’s Good Faith Estimate, you may dispute the charges.
If you schedule services at least three business days in advance, the estimate must be provided within one business day after scheduling.
If you schedule services at least ten business days in advance, the estimate must be provided within three business days after scheduling.
You may request an estimate before scheduling. It must be provided within three business days after your request.
Questions or additional information: Visit CMS Medical Bill Rights , email FederalPPDRQuestions@cms.hhs.gov , or call 1-800-985-3059 .
Your Next Step
Each counselor’s profile includes their specialties, approach, personality, location, session format, and fee. When someone feels like the right fit, you can request an appointment directly through our secure portal.