Frequently Asked Questions

Fees

  • Current fees:

    • Initial 15-minute consultation call: FREE

    • 50-minute session: $200

    Fees are based on session time, not the number of people in the session, i.e., all 50-minute sessions are charged at $200 regardless of whether we are working with an individual, parents only, or youth with parent(s).

    You are entitled to a good faith estimate of how much your treatment will cost. Read about the No Surprises Act here.

  • We offer a limited number of sliding payment scale spots for clients with limited incomes or who are experiencing temporary financial hardship. If you are interested in this option and feel you qualify, please contact us to discuss eligibility.

  • We have a 48-hour cancellation policy. Once an appointment is scheduled, you will be charged for the full session fee if you arrive late, miss an appointment, or cancel within 48 hours. This is necessary because your appointment time is set aside exclusively for you and Riverstone cannot fill that slot without sufficient notice.

Insurance & Billing

  • We are not contracted with any insurance companies, but you may be eligible for some amount of reimbursement for out-of-network services from your insurance plan. We recommend that you check with your insurance about out-of-network benefits for therapy before getting started so you understand your coverage and avoid surprises.

  • We will not bill your insurance directly, but we will provide superbills that you can submit to your insurance for any out-of-network reimbursements.

  • Operating as a private‑pay provider allows Riverstone to offer more personalized care with fewer limitations. Some of the key benefits include:

    • No pressure to diagnose you or your child: Insurance reimbursement typically requires a formal diagnosis. This requirement can create pressure to assign diagnostic labels early in treatment and can sometimes lead to diagnoses being assigned to satisfy insurance criteria rather than to fully reflect a client’s experience.

    • Care is based on your needs rather than on insurance limits: Insurance plans often place restrictions on the number and frequency of therapy sessions. Private pay allows therapy to move at a pace that best supports you or your child.

    • Increased privacy and confidentiality: Billing insurance requires certain details about your child’s mental health to be shared with outside companies and stored as part of their medical record. Some families prefer private pay to better protect their child’s privacy.

    • More time focused on quality care: Without the administrative requirements of insurance billing, therapists can focus fully on providing high-quality, individualized support rather than managing paperwork and insurance regulations.

    Of course, if you would like to pursue out‑of‑network reimbursement through your insurance plan, we are happy to provide superbills upon request so you can submit them to your insurance company.

  • When you set up your account in our secure client portal, you will be asked to store a credit or debit card. We process charges on the day of service. 

  • Yes! All major credit and debit cards are accepted; this includes FSA and HSA cards.

Office & Telehealth

  • Our office is conveniently located in northeast Seattle across the street from University Village. We are in the West Building of Northcut Landing on the 2nd floor.

    4915 25th Ave NE, Suite 208W
    Seattle, WA 98105

  • Northcut Landing has an attached underground garage where you can park free for the first hour.

  • Yes, our office is ADA accessible with elevators that provide access from all levels, including the parking garage, to our office on the 2nd floor.

  • If requested and clinically appropriate, we are happy to conduct sessions via telehealth for older adolescents, young adults, and parents—please note that you must be in Washington State for us to provide this option.

    We strongly encourage children and younger adolescents to come into the office for in-person sessions. Please ask us if you have questions about this.