Fees & Insurance
We’re here to help you navigate the investment of therapy! We know making therapy affordable and accessible is both a goal and a challenge for us all right now. Working with and understanding insurance can be everything from helpful to confusing to time consuming. Our team of administrative specialists is for you and with you, working hard to find solutions and benefits on your behalf.
Common Counseling Costs
Appointments:
- Initial assessment (90791): $210
- Individual sessions (90837): $200
- Family/couples sessions (90847): $200
We offer IMMEDIATE DISCOUNTS for those paying at the time of service. This includes clients who are not utilizing insurance and may be self-pay or private pay.
- Sessions with clinicians discounted to: $165
ACCepted InsuranCes
We accept a client’s PRIMARY insurance with the following insurance companies listed below. Review the details below to see which therapists are paneled with each insurance.
- Kaiser Permanente NW & WA
- Kaiser Medicare
- Pacific Source (commercial)
- Aetna
- Trillium OHP
- MODA
- Health Share (CareOregon) OHP
- Providence
We verify benefits prior to a confirmed appointment as a courtesy. Please note, we do not bill out-of-network for other insurances but we can provide you with superbills to submit for your reimbursement.
Detailed Insurance Information
Below is a list of insurances and programs we work with to increase access to mental health services. We have listed our in-network and out-of-network providers for each panel. All in-network providers and approved authorizations with a particular insurance use a contracted rate, specific to that panel. These rates are still subject to your deductible and copay.
As a courtesy to you, we will conduct a preliminary verification of coverage with your insurance plan. This is not a guarantee of coverage by insurance and clients are ultimately responsible for the fees incurred through services rendered, including when insurance denies a claim. Insurance policies can change often, quickly, and even without notice. We encourage clients to take initiative to stay informed and current about their benefits by contacting their insurance company directly and informing us ahead of time of any upcoming changes.
We have no influence over your insurance coverage.

KAISER PERMANENTE NW
Clinicians that are paneled as in-network providers with Kaiser Permanente at Second Growth Counseling include: Tony Grace, Shelley Gillespie, Shelby Clarke, Kelsey Papadatos, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Leticia Meza, Olivia Pennelle, and Elizabeth Armstrong, and Kelly Grace. Shelley Gillespie & Tony Grace are also able to accept Kaiser’s MediCARE.
Clinicians soon to be in-network: Jordan Knight, Kelli McIntosh, Mahalia Lind-Diamond.
We are in the process of becoming in-network providers with Kaiser Permanente Washington.
PACIFICSOURCE HEALTH PLANS (Commercial, not OHP)
Clinicians that are paneled as in-network providers with Trillium at Second Growth Counseling include: Tony Grace, Shelley Gillespie, Shelby Clarke, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Leticia Meza, Olivia Pennelle, and Elizabeth Armstrong, and Kelly Grace.
Clinicians soon to be in-network: Kelsey Papadatos, Jordan Knight, Milo Bissett, Kelli McIntosh, and Mahalia Lind-Diamond.

Aetna (Commercial)
Clinicians that are paneled as in-network providers with Aetna at Second Growth Counseling include: Tony Grace, Shelley Gillespie, Shelby Clarke, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Kelsey Papadatos, Leticia Meza, Olivia Pennelle, Milo Bissett, Mahalia Lind-Diamond, and Elizabeth Armstrong, and Kelly Grace.
Clinicians soon to be in-network: Jordan Knight, and Kelli McIntosh.
TRILLIUM OHP
Clinicians that are paneled as in-network providers with Trillium at Second Growth Counseling include: Tony Grace, Shelley Gillespie, Shelby Clarke, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Leticia Meza, Olivia Pennelle, and Elizabeth Armstrong, and Kelly Grace.
Clinicians soon to be in-network: Kelsey Papadatos, Jordan Knight, Milo Bissett, Kelli McIntosh, and Mahalia Lind-Diamond.
MODA
Clinicians that are paneled as in-network providers with Providence at Second Growth Counseling include: Tony Grace, Shelley Gillespie, Shelby Clarke, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Leticia Meza, Olivia Pennelle, Mahalia Lind-Diamond, and Elizabeth Armstrong, and Kelly Grace.
Clinicians soon to be in-network: Kelsey Papadatos, Jordan Knight, Milo Bissett, Kelli McIntosh, and Mahalia Lind-Diamond.
OHP HEALTH SHARE: CAREOREGON
We partner with Oregon Health Plans that contract CareOregon for their behavioral/mental health needs.
All our clinicians are able to serve CareOregon members: Tony Grace, Shelley Gillespie, Shelby Clarke, Kelsey Papadatos, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Leticia Meza, Olivia Pennelle, Jordan Knight, Mahalia Lind-Diamond, Kelli McIntosh, and Elizabeth Armstrong, and Kelly Grace.

PROVIDENCE
Clinicians that are paneled as in-network providers with Providence at Second Growth Counseling include: Tony Grace, Shelley Gillespie, Shelby Clarke, Kelsey Papadatos, Andrew Arehart, Avery Lewis, Mitchell Passadore, Riley Kastenhuber, Leticia Meza, Olivia Pennelle, Mahalia Lind-Diamond, and Elizabeth Armstrong, and Kelly Grace.
Clinicians soon to be in-network: Jordan Knight and Kelli McIntosh.
Additional Services
- Letter writing/form completion: done within clinical session(s) must be scheduled (only available to well-established clients)
- Case collaboration with care team providers: $50 per 15-min (connecting with prescribers, other providers, schools, case managers, etc.)
- Consultation: $50 per 15-min (advocacy, research, parental support, educational/informational, etc.)
- Legal involvement: $250 per hour with $1,000 deposit. (includes any activity associated with legal involvement including research, legal consultation, transportation, parking, waiting, testimony, etc.) Ethically, legal involvement may also result in terminating the counseling relationship as it changes the role of the therapist and therapeutic relationship.
Know your rights under the “No Surprises Act.”
Section 2799B-6 of the Public Health Service Act, also known as the “No Surprises Act,” aims to increase price transparency and reduce the likelihood that clients receive a “surprise” medical bill by requiring that providers inform clients of an expected charge for a service before the service is provided. This is referred to as a “Good Faith Estimate” which gives uninsured and self-pay clients an estimated projection of costs for services when scheduling care or when the client requests an estimate. This was specifically designed and helpful for receiving care through emergency services and facilities when clients have less autonomy to choose their providers. At Second Growth Counseling, you have the opportunity to learn about providers, what insurances they are in-network with, and the costs of out-of-network care, all before you start therapy. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call the Department of Health and Human Services: 1-800-985-3059.