Sliding Scale Fees

All of my individual fees are based on a structured sliding scale that considers income, resources, and obligations. For organizational work, I use a sliding scale based on organizational operating budget. 

This approach is based on the idea of "from each according to their means, to each according to their needs." It allows me work with a broad range of people and organizations in an equitable way.

I'm indebted to the work of the Critical Therapy Institute, Ride Free Fearless Money, and my comades in the RISE Collective with developing my economic justice practices over the years. 

Because I am an out of network therapist, you may also be eligible for reimbursement for some portion of my fees. General guidelines are below, and I can help you determine what your coverage entitles you to. 

Therapy Logistics

I practice virtual therapy with patients anywhere in New York.

As of 2020, all of my services are offered virtually. For remote therapy ("teletherapy"), I utilize a fully encrypted HIPAA-compliant video platform for sessions.  I do not provide any in-person services at this time. I center disability justice and continue to take COVID precautions in my work and personal life.

If you are based outside of New York, I cannot provide therapy; I am only licensed to practice therapy in New York State. I am able to offer non-therapy services, such as leadership coaching and clinical consultations, to people anywhere in the world.
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Want to work together? 
Get in touch by emailing me at [email protected] or drop a note through my contact form. 

You can also check other New York therapists that I recommend on my referral network page.

Insurance and Therapy

Most private therapists in New York are out-of-network providers. This means that patients with "out of network" benefits are reimbursed by the insurance company after receiving services and submitting insurance claims. In other words, the patient pays the therapist, and then insurance repays the patient for some portion of the services afterward. Depending on your insurance plan, your reimbursement rate may work out to a similar amount as your in-network co-pay.

(If you are wondering why so few therapists are in-network, this article explains the barriers for accepting insurance as a private practitioner.)

If you are looking for a therapist that takes insurance directly (“in-network providers”), clinics are often the best bet. In-network providers are paid directly by your insurance company, and then the patient is responsible for any co-pay at the time of services. Because there is higher turnover at clinics, the quality of therapists and services may change more rapidly than at other practices. I recommend specific clinics on this list based on my previous work with them over the years, but cannot vouch for their current quality of care.

Determining your out-of-network benefits

If you are interested in working with an out-of-network therapist, it is helpful to determine your coverage before starting therapy. This will clarify your actual cost of therapy.

​To determine your coverage, call your insurance provider and ask the following coverage questions (the phone number can be found on the back of your insurance card):

• What is my Out-of-Network copay/reimbursement rate?
• What is my Out-of-Network deductible (if any)?
• Have I met any portion of the deductible this year?
• What is the coverage amount or maximum “allowed amount” per therapy session for the following CPT codes:
  • 90834, 45min psychotherapy
  • 90837, 60min psychotherapy
  • 90791, Diagnostic Evaluation
• ​Are there any session limits?
• Is pre-authorization required?