Initial Phone Consultation
15 minute phone call - FREE
A scheduled 15 minute initial phone conversation with a therapist to make sure that this decision is a good fit for your needs. You can ask one of our therapists any questions and get a sense of what it would be like to work with them in therapy.
Adult Psychotherapy
psychotherapy session with A Licensed clinical social worker
50 minute Session - $135
You will receive a comprehensive bio-psycho-social-spiritual assessment combined with continued evaluation followed by a diagnosis and treatment plan. The psychotherapy session uses specialized clinical knowledge and advanced clinical skills in assessment, diagnosis, and treatment of mental, emotional, and behavioral disorders, conditions and addictions, including severe mental illness and serious emotional disturbances in adults.
Clinical social workers are qualified and authorized to use the Diagnostic and Statistical Manual of Mental Disorders (DSM), the International Classification of Diseases (ICD), Current Procedural Terminology (CPT) Codes, and other diagnostic classification systems in assessment, diagnosis, treatment and other practice activities. The use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health.
Clinical social workers are qualified and authorized to use the Diagnostic and Statistical Manual of Mental Disorders (DSM), the International Classification of Diseases (ICD), Current Procedural Terminology (CPT) Codes, and other diagnostic classification systems in assessment, diagnosis, treatment and other practice activities. The use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health.
Psychotherapy session with an LMSW Associate UNDER SUPERVISION
50 minute Session - $100
An LMSW Associate is a master level social worker under the supervision of a licensed clinical social worker (LCSW).
You will receive a comprehensive bio-psycho-social-spiritual assessment combined with continued evaluation followed by a diagnosis and treatment planning in collaboration with the client. Applying social work theory, knowledge, methods, ethics, and the professional use of self to restore or enhance social, psychosocial, or bio-psychosocial functioning of persons who are adversely affected by social or psychosocial stress or health impairment. May include applying specialized knowledge and advanced practice skills in assessment, treatment, planning, implementation and evaluation, coaching, supportive counseling, information and referral to community resources.
You will receive a comprehensive bio-psycho-social-spiritual assessment combined with continued evaluation followed by a diagnosis and treatment planning in collaboration with the client. Applying social work theory, knowledge, methods, ethics, and the professional use of self to restore or enhance social, psychosocial, or bio-psychosocial functioning of persons who are adversely affected by social or psychosocial stress or health impairment. May include applying specialized knowledge and advanced practice skills in assessment, treatment, planning, implementation and evaluation, coaching, supportive counseling, information and referral to community resources.
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We offer discounts:
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We are "out-of-network providers" with most insurance plans. You can receive a billing statement at the end of your session from your therapist, that you can submit to your insurance for reimbursement, if you choose to use your out of network benefits. As social workers, we offer a percentage of our office visits to low-fee / no-fee paying clients to meet some of our community’s mental health needs, so if you have a need, please discuss this option with us. |
Forms of Payment
We accept Visa, Mastercard, Discover, American Express and Health Savings Account cards.
Teletherapy & In Person Sessions
We offer a choice of both teletherapy or in office sessions in our practice.
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As long as you live in Texas, you can use online therapy exclusively, while others may prefer the in-person experience in our office in San Marcos, TX.
In some cases, teletherapy can supplement in-person therapy, or vice versa. Each type has advantages and disadvantages. Ask us more about the differences between online counseling and in-person therapy. |
Teletherapy, also known as online therapy, e-therapy, e-counseling, or cyber-counseling, involves providing mental health services and support over the internet. Services can be offered through email, text messaging, video conferencing, online chat, messaging, or internet phone.
Teletherapy happens in real-time, such as in phone conversations and text messaging, or in a time-delayed format, such as through email messages. Research shows that online therapy can be just as effective as in-person therapy for various mental health conditions.2
Teletherapy happens in real-time, such as in phone conversations and text messaging, or in a time-delayed format, such as through email messages. Research shows that online therapy can be just as effective as in-person therapy for various mental health conditions.2
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There are several reasons why online counseling is so popular.
1. It provides an opportunity for people who live far away from a counselor to receive treatment. 2. it gives people access to counselors at any time of day or night. 3. it allows people to work through issues without having to leave home. 4. it helps people avoid the stigma associated with seeking professional help. 5. it enables people to seek help anonymously. 6. it allows people to choose how much contact they have with their counselor. 7. it makes it easier for people to find qualified counselors. |
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Your Rights and Protections Against Surprise Medical Bills
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When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. |
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an innetwork facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of network provider or facility, the most the provider or facility may bill you is your plan’s in network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
• Your health plan generally must:
If you believe you’ve been wrongly billed, you may contact [applicable contact information for entity responsible for enforcing the federal and/or state balance or surprise billing protection laws].
Visit No Surprises Act for more information about your rights under federal law.
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an innetwork facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of network provider or facility, the most the provider or facility may bill you is your plan’s in network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
• Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact [applicable contact information for entity responsible for enforcing the federal and/or state balance or surprise billing protection laws].
Visit No Surprises Act for more information about your rights under federal law.
Michele Frances Purvin, LCSW-S, LCDC, LLC & Associates
136 E San Antonio Street #104 San Marcos, Texas 78666-5509 Contact: 512-644-9036 Email: [email protected] 
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