frequently asked questions

Sometimes getting started with counseling can be a bit overwhelming. Let us help simplify things as much as possible.

Get started by filling out an online form. We'll then give you a call to discuss your needs and make sure we're a good fit for your situation. If we are, we'll send you an invite to our Client Portal to get started.   ---   GO TO FORM
Most sessions last 45 minutes.
Log in to the Client Portal and use the weekly view to find a time that works for you. A request will be sent to us, we will accept or decline it and you will receive a confirmation email.
Log in to the Client Portal, locate your session under "Upcoming Sessions," click "Cancel Session" to remove it, then browse for a new time that works for you.
Log in to the Client Portal and locate your session under "Upcoming Sessions." If the appointment is over 24 hrs away, you can click "Cancel Session" and will not be charged.  If it less than 24 hrs prior, you will be charged for the session. Insurance typically does not cover these fees.
Cancellations more than 24 hrs prior to the appointment are understandable.  Cancellations less than 24 hrs in advance will be billed in full. No-Shows are billed in full. Extenuating circumstances may apply.


Private pay intake sessions are $245, individual sessions are $195, couples/family sessions are $230.
In-person sessions have an additional surcharge of $15.
If you plan to submit to insurance for reimbursement, contact your insurance directly to verify your Out of Network Benefits.
Credit/debit card is the preferred method; payment is run automatically nightly. Exact cash or checks may also be used. (fees for returned checks apply)
No we do not. We can provide a monthly statement that you can submit to your insurance company for out-of-network reimbursment. Please read this page to learn about the risks and benfits of involving third party payers.
This depends on which insurance you have, whether the provider is in or out of network, what benefits your PLAN offers for mental health and whether you've met your deductible or not. Please call your insurance carrier ahead of time to confirm your mental health benefits.
No, we do not accept Medicaid or Medicare.
No, we do not offer a sliding scale fee or reduced rates. We do allow for donors to setup third party assistance, such as churches, friend or anonymous donors.


Therapist Availability
Due to the needs of having elementary age children, Jeremy and Sarah have limited availability and generally follow the LPS school calendar for breaks and inclement weather cancellations. Jeremy generally offers sessions Tuesday-Thursday from 9-2. Sarah offers sessions on a limited basis when school is in session. Please visit her page for more details at smithcounseling.org/sarah.htm
Waitlist varies depending on many factors that are out of our control. Please complete an initial screener for a callback to discuss your needs and current waitlist status.

For clients specifically interested in marriage recovery work from Sex Addiction and Betrayal Trauma, please also consider enrolling in the online Marriage Recovery Course to jump-start your healing journey. It comes with zero waitlist and covers much of the initial work done in therapy, without many of the drawbacks. Visit marriagerecoverycourse.com for more details


Client Portal
Our practice uses an online system to manage scheduling, billing and intake paperwork. It makes things super simple, especially scheduling. Via your secure portal, you can view when we're available and reserve a time slot with a single click!
You are always welcome to call, text, email or discuss needed changes to scheduling during session.


Health Concerns
Yes, telehealth (online video sessions) are an option at any time. Please inform your therapist of your desire for online vs in-person sesions. Also read about the pros and cons of telehealth here.