Appointments

Click here to receive an estimate of out-of-network benefits.

Little House is not affiliated with any insurance panels and the full session fee is due at the time of service. Learn more below about how to make the most of your out-of-network benefits.

Courtesy billing is available! We can submit claims to your insurance company on your behalf so that any eligible reimbursement can be sent directly to you. While we’re happy to handle the paperwork, we cannot guarantee whether your insurance will reimburse you, how much they will reimburse, or when you will receive reimbursement. It's important to call your insurance company before starting services.

Prefer to submit claims yourself? We’re happy to provide a detailed invoice, called a superbill, that you can submit directly to your insurance company for potential reimbursement.

You may also have another option. If your plan does not include out-of-network benefits, you can ask your insurance company whether they offer a Single Case Agreement (SCA). An SCA is a one-time agreement between an insurance company and an out-of-network provider that may allow you to receive services using your in-network benefits.

If your insurance company approves an SCA, you will still pay the full session fee at the time of service. Your insurance company will then reimburse you according to the terms of the agreement. Because SCA terms vary by insurance company and individual plan, we recommend confirming the reimbursement amount, deductible, and claims process directly with your insurance company before beginning services.

Before your first session, we recommend calling the Member Services number on the back of your insurance card to ask about your out-of-network mental health benefits. Ask these questions:

• Do I have out-of-network mental health benefits?

• What is my deductible for out-of-network coverage?

• Have I met my deductible this year for out-of-network coverage?

• What percentage of each session will I expect to be reimbursed for? (CPT code 90837: individual sessions, 90846: family session without kiddo present, 90847: family session with kiddo present)

• What is the best way to submit claims for reimbursement? Should I submit claims myself or can Little House submit on my behalf?

• About how long does it take to be reimbursed?

• Is there a limit on the number of therapy sessions per year?

You will typically need to provide the following information to your health insurance plan to understand how much they will cover and how much you will pay for out of network services.

— Your member ID (found on your insurance card)

— License number of provider. Natalia’s license number is: LCMHC #S14528 and Courtney’s license number is: #11098

— NPI number of provider. Natalia’s NPI number is: 1316502388 and Courtney’s NPI number is: 1700275773 Our group NPI number is:
`043125537

—Provider business address. Our business address is 133 E King St. Hillsborough, NC 27278

—An ICD-10 code/diagnosis. Please note that insurance reimbursement requires a diagnosis. Unless your child was given a diagnosis prior to our work together, we often begin with ICD-10 code F43.20 for Adjustment disorder, unspecified.

Sustainable Rate:

• Individual Therapy (50-53 minutes): $165

• Parent/Caregiver Session (50 minutes, without child present): $175

• Family Session (50 minutes; parent/caregiver-child, sibling, or whole-family sessions): $185

• Parent/Caregiver Intake: $200

• Clinical Supervision REAT or LCMHCA with Natalia (60 minutes): $125

• Extended care coordination, consultations or meetings with members of your child's support team, preparation of treatment letters or other clinical documentation, and other requested clinical services outside of scheduled sessions are billed at $40 per 15-minute increment.

The Sustainable Rate reflects the full cost of providing therapy and helps support the long-term sustainability of Little House.

If you have access to insurance benefits that cover mental health care or funding through a grant or other program, we encourage you to consider the Sustainable Rate when possible. We also recognize that insurance coverage, grants, and other resources do not eliminate every financial barrier. If the Sustainable Rate would still create a barrier for your family, you are always welcome to reach out and explore another option.

Rates are reevaluated each January 1st to maintain the health of our practice.

We charge a cancellation fee equal to the cost of your session if you cancel less than 24 hours before your session.

These sessions are currently full. Please contact us to be added to a waitlist.

At Little House, we believe creative, affirming mental health care should be accessible to as many people as possible. Our tiered rates offer different ways to contribute toward the cost of care, allowing us to balance accessibility with the sustainability of the practice.

Community Rate

The Community Rate offers a reduced contribution toward the cost of care for families who may not be able to comfortably choose the Sustainable Rate.

Supported Rate

The Supported Rate offers our greatest reduction for individuals and families experiencing greater financial barriers to care.

Creating Pathways to Care

Our pricing model is rooted in the belief that accessibility and sustainability can exist together.

We want conversations about cost to feel open, comfortable, and without judgment. If the Sustainable Rate is outside of what feels manageable, you are welcome to reach out about Community or Supported Rate availability. We can talk together about which option may be the best fit for your circumstances.

Natalia and Courtney are both ESA+ providers.

If your child is eligible for the North Carolina ESA+ program, we highly recommend applying! ESA+ funds can be used to help cover eligible therapy services, which may make therapy fully covered for families with sufficient scholarship funds.

Learn more about the ESA+ program and eligibility through the North Carolina ESA+ Program.

The No Surprises Act was passed in December 2020, under Section 2799B-6 of the Public Health Service Act, with the aim of protecting consumers from receiving unexpected medical bills. The Good Faith Estimate provision of the No Surprises Act federally mandates that healthcare providers must give clients, who don't have insurance or who are not using insurance, an estimate of anticipated healthcare items and services, using what is called a “Good Faith Estimate.” This took effect on January 1, 2022. This new regulation is designed to provide transparency to patients regarding their expected medical expenses and to protect them from surprises when they receive their medical bills. It allows patients to understand how much their health care will cost before they receive services.

What is a Good Faith Estimate?

A Good Faith Estimate is an estimate of the total expected costs of non-emergency healthcare items or services. At Little House Arts Therapy, we offer Good Faith Estimates that project out 12 months in advance. Essentially, your estimate will give you a reasonable idea what to expect in terms of therapy costs for one whole year, based on current rates.

• Intends to offer predictability & transparency in how much clients will be charged for healthcare services prior to their appointment.

• Includes all regularly scheduled appointments (i.e. therapy sessions).

• Does NOT include no-shows, late cancellations, or other services related to crisis care, which by definition are unexpected and cannot be predicted for the purpose of compiling a Good Faith Estimate in advance.

• May also include consultations with client collateral contacts, fees related to paperwork requests, and other legal and administrative fees related to client care, when such items are scheduled in advance.

What are my rights as a client?

You have the right to receive a "Good Faith Estimate" explaining how much your healthcare will cost. Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your healthcare provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you have a right to dispute the bill. The federal government offers a dispute resolution process for this purpose.

Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call 800-985-3059.

Good Faith Estimate Disclaimers

The information provided in the Good Faith Estimate is only that: an estimate. Actual healthcare items, services, or charges may differ or change throughout the year, even for long-term established clients.

The Good Faith Estimate is not a contract, and does not bind, obligate, or require any client to obtain healthcare services or items from Little House Arts Therapy at any time.

There are no federal provisions allowing clients to waive their right to a Good Faith Estimate at this time. As such, Little House Arts Therapy is required by law to send all ongoing clients new Good Faith Estimates every 12 months; clients cannot opt-out, and are required to acknowledge receipt and understanding of each new Good Faith Estimate in order to comply with federal law so that we may continue working together.

We are an out-of-network practice because this allows us greater freedom to provide individualized, creative, and relationship-centered care. We are not required to share a diagnosis with an insurance company or ask an insurance company to determine whether a particular service, session, or treatment approach is “medically necessary.” This gives families greater privacy and allows us to make clinical decisions based on your needs and our professional judgment.

It also gives us the flexibility to work in ways that may not fit neatly within traditional insurance structures, including expressive arts therapy, play, somatic approaches, relational work, and other creative and individualized interventions.

Remaining out-of-network also allows us to spend more of our time doing what we are here to do: providing thoughtful care. Insurance participation can involve extensive claims management, authorizations, and additional administrative requirements, while reimbursement may not reflect the full time and cost involved in providing care. Maintaining an out-of-network practice helps us create a sustainable environment for our therapists, allowing them to have the time, resources, and capacity needed to do this work well and remain in this field for the long term.

We know that paying for therapy out of pocket is not possible for every family and we take that seriously. We offer different ways to make care more accessible, including Community and Sliding Scale rates when available. We can also provide documentation for families who have out-of-network benefits so you can seek reimbursement directly from your insurance company.

We believe meaningful therapy requires time, flexibility and room to follow each client’s unique path. Our practice model allows us to protect those things while creating opportunities for reduced-fee care within our community.