Marissa Massimini, LMFT

$250 per 50 minutes, $370 per 80 minutes

Cara McDowell, LMFT

$280 per 50 minutes, $420 per 80 minutes

Cristina Trette, LMFT

$350 per 50 minutes, $500 per 80 minutes

Cristina Trette is offering one sliding scale spot at $100 per 50 min for one couple that is able to meet via video for 12 weeks.. These sessions will be recorded for professional training purposes. This option is open to couples that are not experiencing high conflict, abuse, addiction, infidelity, seperation or divorce. Please note that Cristina only has morning and mid day options available. If you are interested, email Cristina at cristina@integrativecouplestherapy.com.

Initial Two Hour Appointment - $600

Subsequent 90 minute Appointments - $500

Up to 5 appointments only.

The fees for intensives, workshops, and events are listed on their corresponding pages.

No. We are a private pay therapy practice. Payment is due in full at the time of service. We keep a credit card on file and will charge your credit card after each appointment.

We accept credit cards, debit cards and health savings accounts. Your payment information will be saved on file in your secure and HIPAA compliant client portal. We will charge your card after each therapy appointment session and email you a receipt. We do not accept cash, Venmo, PayPal, Zelle or checks.

Submitting a superbill to your health insurance company, requires that a mental health diagnosis be assigned, and is included in your clinical record.

If the presenting problems you are working on in therapy do not meet the criteria for a diagnosable condition, then we will not assign a diagnosis, and insurance companies may determine that your sessions are not eligible for reimbursement.

Some people choose not to submit a superbill to their insurance company for the following reasons:

• Increased confidentiality. Your personal health information remains between you and your therapist rather than being shared with an insurance company.

• Limited coverage for relationship work. Most insurance plans do not cover traditional marriage counseling, premarital counseling, discernment counseling or couples therapy.

• Diagnosis requirements. Insurance companies require a mental health diagnosis in order to authorize or reimburse treatment.

• Greater flexibility in care. The direction, frequency, and length of treatment are determined by you and your therapist rather than by insurance guidelines.

GOOD FAITH ESTIMATE

Notice of Your Right to a Good Faith EstimateYou have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, healthcare providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.You have the right to receive a Good Faith Estimate for the total expected cost of your healthcare services, including psychotherapy services. You can ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. The Good Faith Estimate shows the costs of items and services that are reasonably expected for your healthcare needs for an item or service. The estimate is based on information known at the time the estimate is created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during the course of care. You could be charged more if special circumstances occur. In non-emergency circumstances, you will be provided with an updated Good Faith Estimate for any new expected charges.If you are billed for more than your Good Faith Estimate, you have the right to dispute the bill under federal law. Specifically, if you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. You may contact the healthcare provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute within 120 calendar days (about 4 months) of the date of the original bill.There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on the Good Faith Estimate. If the agency disagrees with you and agrees with the healthcare provider or facility, you will have to pay the higher amount.To learn more or to get a form to start the dispute resolution process, go to www.cms.gov/nosuprises or call HHS’ toll free number: 1-877-696-6775.Make sure to keep a copy of your Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises or call HHS’ toll free number: 1-877-696-6775.

Sierra Brasher, our Practice Manager, is able to answer your questions over phone, text, or email.

You can reach Sierra at info@integrativecouplestherapy.com and 760-640-0270.

Upon request, our therapists offer 15 complimentary consultations over phone or video.

If you are coming from out of town for workshops or intensives, Sierra lives locally in Encinitas and can answer any questions you may have about places to stay or activities.

You and your partner will attend the first couples therapy appointment together. You will discuss your relationship strengths, challenges, and goals for therapy. After the first appointment, your therapist may schedule individual appointments; one with you and one with your partner.

At your first appointment you will discuss what brings you to therapy and what you hope to get out of the therapeutic process. Your therapist will want to understand your relationship, family, mental health and goals for therapy.

Cancellation Policy: Appointments canceled with less than a 24 hour notice will be charged the full session fee. If your appointment falls on a Monday, please cancel by 5pm on Friday to avoid being charged the full session fee.

Most of our clients attend couples therapy or individual therapy on a weekly basis for 50 minutes or 80 minutes.

If you are attending discernment counseling, the first appointment lasts for two hours. Then you may attend up to four or five more appointments, each lasting 90 minutes in length.

It is best to bring this question to your therapist as there are many factors that influence session frequency and the length of therapy process. 

Generally we schedule new clients on a weekly basis in order to support early progress. Over time, some clients decrease frequency to biweekly or monthly sessions.

Our clients are able to end therapy at any time for any reason. Ideally, when ending therapy, you and your therapist will hold a final session to highlight progress, solidify learning, and provide referrals if indicated.

Discernment counseling is short term and lasts one to five sessions only.

Yes. Prior to your first appointment, you will login to your client portal to complete intake documents and payment information. If you are doing couples therapy or discernment counseling, your partner will login to their portal to complete documents as well. It is important that each partner complete their own documents. If your documents have not been completed at least 24 hours prior to your first visit, we will contact you with a friendly reminder and may reschedule your appointment to give you more time to complete the documents. Unfortunately, we cannot hold your first therapy intake appointment if you have not completed documents. We do not have a paper option at our office. All information is exchanged electrically through the client portal which is HIPAA compliant and secure. 

Yes, most of our clients attend therapy in person in Encinitas, California. Our address is 191 Calle Magdalena, Suite 295, Encinitas, CA 92024. We also offer telehealth/virtual therapy for clients physically located in California at the time of their appointment.

Our video sessions are hosted on Simple Practice, a HIPAA compliant, secure, and confidential telehealth platform. If we encounter connection problems we may use an alternative such as Google Meet or Zoom which are also HIPAA compliant and secure.

191 Calle Magdalena, Suite 295, Encinitas, CA 92024.

Contact Sierra at 760-640-0270 or info@integrativecouplestherapy.com

This appointment lasts for two hours and you and your spouse will attend together. Initially, Cristina will meet with the two of you together. Then, you will each take a turn meeting with Cristina one one one. At the end, the two of you return together to share what you learned from your one on one and to decide if you want to schedule another appointment.