Frequently Asked Questions
Allowing a professional to assist you with life's struggles is a sign of strength and courage and an important step towards creating a better life. You do not have to go through it alone. Our team of qualified, licensed professional counselors, nutrition counselors, dietitian nutritionists and eating disorder specialists will work with you through your challenges. We will help you find what you are looking for.
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No, we do not accept insurance. Insurance itself is a full time job and in order to use our full effort towards client care, our practice is not contracted with any insurance companies at this time. However, if you would like to use your insurance and file your own claims, our therapists can provide you with a Superbill (receipt with insurance codes) so you can receive reimbursement directly from the insurance company. Our therapists are considered as out-of-network providers. Please contact your insurance provider prior to your first session to see if our services would be reimbursed. When speaking to your insurance provider, let them know that you are seeking an out-of-network provider. Next, confirm whether your insurance provides coverage for mental health. If you are seeking nutrition services, this may fall under your medical coverage. It’s also important to note that your insurance may only cover an hourly maximum rate, you would be responsible for any fees that exceed that amount. If you find that your insurance does not cover our services, please do not hesitate to contact any of our therapists to determine if you qualify for a sliding scale rate. Below you will find a list of service fees for each of our providers.
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Counseling Services:
Brad Cullum, MA, LPC, NCC, EMDR—Initial (1.5 - 2 hrs): $250; Follow Up (50 mins): $160; Follow Up Couples: $175
Kathy Gissler, MA, LPC, NCC—Initial (50 mins): $155; Follow Up (50 mins): $155
Courtney Corniuk Scudder, MA, LMFT, EMDR—Initial (1.5 - 2 hrs): $255; Follow Up (50 mins): $155; Follow Up Couples: $175
Elizabeth Wilson, MA, LMFT—Initial (1 hr): $200; Follow Up (50 mins): $160; Follow Up Couples: $175
Cody Allen, MA, LPC—Initial (1.5 - 2 hrs): $255; Follow Up (50 mins): $155; Follow Up Couples: $175
Zachary Durham, MS, LPC—Initial (1.5-2 hrs): $250; Individuals Follow Up (50 mins): $155; Couples Follow Up (50 mins): $175
Esther Smith, MS, LPC, CCPT, NCC, EMDR—Initial (1.5-2 hrs): $225; Follow Up (50 mins): $155
Courtney Mitchell, MA, LPC-Associate, under the supervision of Kaylyn Hickey, DMIN, LPC-S, RPT-S—Initial (1 hr): $155; Follow Up (50 mins): $135
Crystal Oehlers, MEd, LPC-Associate, under the supervision of Jennifer Kruse, LPC-S # 67477—Initial (90 mins): $225; Follow Up (50 mins): $150
Nutrition Services:
Jennifer Vittitow, RD, LD, CEDS-S—Initial (1.5 hrs): $200; Follow Up (50 mins): $150; Grocery Store/Restaurant/Home Cooking Experience (2 hrs): $250
If cost of services is a concern please contact the individual therapists to discuss your individual needs. We are able to offer some reduced rates depending on availability.
If you anticipate becoming involved in a court case and your case requires our participation, you will be expected to pay for the professional’s time required even if another party compels the therapist to testify. (Further explained below in “Legal/Court Involvement”.)
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Please note we follow a strict 24 hr cancellation policy. In the event that you will be unable to keep an appointment, please provide notice, written or verbal, at least 24 hours in advance, if possible. Missed appointments or cancellations without 24-hour notice will be billed for the full session fee.
A late cancel or no-show appointment hurts at least three people: you, your therapist, and another client who could have potentially utilized your time slot. Therapy sessions are scheduled in advance and are a time reserved exclusively for our clients. When a session is cancelled without adequate notice, we are unable to fill this time slot by offering it to another current client, a client on the waitlist, or a client with a clinical emergency.
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As of January 1, 2022, state-licensed or certified health care providers need to give a Good Faith Estimate of healthcare charges to every new and continuing client who is either uninsured or is not planning to submit a claim to their insurance for the healthcare services they seek. As an out-of-network provider many of our clients will choose to not submit to their insurance provider therefore they are eligible to receive a Good Faith Estimate. The Good Faith Estimate is a part of the new patient paperwork completed at the time of scheduling the client’s initial session.
All of our services are pay-as-you-go, therefore you are only ever agreeing to the next appointment you schedule. If an appointment is cancelled within 24 hours or not attended without notice, you will be responsible for the full cost of the session. Most of our clients partner with one of our therapists for 6 sessions, but appropriate frequency is assessed during the initial session and reassessed at every follow up session.
For example, if you schedule a new client appointment with Brad Cullum, MA, LPC, NCC, EMDR the total investment would be estimated at $255. If you then continue seeing Brad weekly for a total of 5 more sessions, the total investment would be estimated at $875.00 (5 appointments at $155 per appointment). Payment is due at the time the service is provided and you will only ever be charged for an appointment at the time the appointment is conducted. We never charge for future appointments. Services can be discontinued at any given point as long as 24 hour notice is given for any scheduled appointment.
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If you anticipate becoming involved in a court case, we recommend that you discuss this fully with your therapist before you waive your right to confidentiality. If your case requires our participation, you will be expected to pay for the professional time required even if another party compels the therapist to testify.
If the therapist is asked or required to attend or testify at depositions, hearings and trials (even if you are not the person who sought their attendance or testimony) concerning your case, you agree to pay the therapist $3,000 per day (or any part thereof) because attendance or testifying at depositions, hearings and trials disrupts their daily schedule for other clients. If the therapist is asked or required to devote other non-session time to your case (even if you are not the person who asked or required them to do so), you agree to pay $310 per hour (prorated in 15-minute increments) for that non-session time, plus reasonable expenses and legal fees. “Non-session time” includes, but is not limited to, offsite visits, consultation with third parties, report writing and reading, travel time, and preparation for depositions, hearings and trials. Harvest Counseling & Wellness may require an advance deposit or payment for these fees and expenses, which will not be reimbursed by your insurance.
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Payment for services is made at each session unless other arrangements are made with your practitioner. We accept cash, check, credit and debit cards.
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▫️ Psychologists typically hold a doctoral degree (Ph.D., Psy.D., or Ed.D.) in psychology, which requires several years of graduate study and research. They receive extensive training in psychological assessment, therapy techniques, and research methodology. Psychologists primarily use psychotherapy or talk therapy as their main form of treatment. They work with individuals, couples, families, or groups to address various mental health issues and help clients develop coping strategies and achieve personal growth. Psychologists may also administer psychological assessments and tests to diagnose mental disorders.
▫️ Psychiatrists are medical doctors (M.D. or D.O.) who specialize in mental health. They undergo medical school education, followed by residency training in psychiatry, which focuses on the diagnosis, treatment, and prevention of mental disorders. Psychiatrists are authorized to prescribe medications to manage mental health conditions. As medical doctors, they have a broader scope of practice. They can diagnose and treat mental health disorders, but they can also assess physical health and consider how it may impact mental health. Psychiatrists are often involved in managing more severe mental illnesses such as schizophrenia, bipolar disorder, and severe depression.
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▫️ LPC (Licensed Professional Counselor) is someone who has a masters degree in the field of counseling, who has passed their counseling boards, has been licensed by the state, and has practiced under supervision for over 3,000 hours.
▫️ LPC Associate has all of the same qualifications as a LPC, including being licensed by the state, and they are under a period of supervision for 3,000 hours.
▫️ Masters Level Associate is someone who has completed all of their masters course work in counseling and is in a period of supervision to gain 300 hours of counseling experience to graduate and become licensed by the state.
▫️ Master Level Student Counselor is simply someone who is currently a student working toward their masters degree.
Note: The terms “Masters Level Associate” and “Master Level Student Counselor” may sometimes be interchangeably used. In either case, it’s important to note that they have not graduated with their masters degree in counseling and are not licensed.
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We believe there is beauty in discovering who you are as an individual. We strive to create an environment that is open and nurturing of all ethnicities, cultures, and spiritualities. We want to work with you to effectively thrive within your own framework and value system. We help you to get to the heart of the matter no matter what you believe.
It is common for clients to experience discomfort or increased anxiety during the therapeutic process. Confronting long-standing self-defeating beliefs can be difficult and may produce feelings of anger or resentment towards the therapist. Bringing these feelings up during your session, along with any other questions or concerns you may have, is a very beneficial and a natural part of the counseling process. Being able to maturely and respectfully do this is a milestone in your healing process.
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Every person’s experience is as unique and individual as that person is in their own life. Counseling, in particular, is a type of learning; about one's self, feelings and relationships. Clients who participate actively, attend sessions, complete homework and are open and honest with their counselor will experience the most benefit.
Counseling should not be considered a quick “fix”. Healing occurs with awareness, intention, and practice so that we can implement positive change. The timeframe varies from person to person.
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Yes, with exceptions. The law protects the relationship between a client and a counselor, and information cannot be disclosed without written permission. Exceptions to this law include:
▫️ Suspected child abuse or dependent adult or elder abuse, for which we are required by law to report this to the appropriate authorities immediately.
▫️ If a client is threatening serious bodily harm to another person, we must notify the police and inform the intended victim.
▫️ If a client intends to harm himself or herself, we will make every effort to enlist their cooperation in insuring their safety. If they do not cooperate, we will take further measures without their permission that are provided to me by law in order to ensure their safety.
▫️ If a court of law issues a legitimate subpoena for information stated on the subpoena.
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This depends upon the nature of the problem. Normally, we involve the parents in some capacity in every session when a child is in treatment. Although, most adolescents are treated more individually. Assessment may reveal that the young person needs to have a safe place to talk confidentially regarding particular issues. But, we still provide general feedback to the parents regarding progress and what we think they can do to offer support to their child. Under very few, if any circumstances, would we ever treat a child or adolescent and never give the parents any feedback or involve them in any way. In some cases, the counselor may also employ family therapy.
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The first step is—come in by yourself. The reason for this is that we have seen many occasions where one spouse begins to change and make improvements. In turn, this provides motivation for the other spouse to come in.