Traditional Therapy (in office/online):

$175 Initial Assessment (1 hour session)

Includes a one hour mental health assessment where we explore what is bringing you to treatment, gather information about past and current symptoms, review office policies, limits of confidentiality, consent, develop a diagnosis, and set treatment goals.

$135/hr Ongoing Therapy (50 minute session)

Standard rate for a regular therapy hour.

$200 Marathon sessions (90 minute session)

Clients who need more time than the traditional therapeutic hour (50 min) are welcome to schedule marathon sessions where we meet for 1.5 hours.

*Rates are subject to change. Advanced notice will be provided prior to any changes in fees or rates. Reduced rates are available on a limited basis

“TAKE THE REINS” 12-Week Equine Assisted Psychotherapy Program (Individual Therapy):

$150 Initial Assessment (1 hour)– Week 1

Includes a one-hour mental health assessment where we explore what is bringing you to treatment, gather information about past and current symptoms, review office policies, limits of confidentiality, consent, develop a diagnosis, and set treatment goals.

$150/hr ongoing services for 60 minute session– Weeks 2-12

**After clients complete the 12 week program, they have the option re-enroll to continue their progress at a deeper level or they can shift into traditional therapy services if needed.

Equine Assisted Psychotherapy Groups:

$75 per individual for each 90 minute session. (Rates may vary depending on group sizes)

Additional Paperwork Requests:

As a Licensed Marriage and Family Therapist with over seven years of experience serving at-risk youth, I am familiar with providing documentation of client’s progress for the Department of Social Services (DSS) and court hearings. I have experience in providing reports to the Fresno County DSS regarding client treatment progress and experience in collaborating with teams in providing Intensive Care Coordination (ICC) services for Katie A. Subclass Members.

Additionally, I hold a Pupil Personnel Services Credential and have experience in advocating for clients who need support in school settings to develop or amend a 504 plan or IEP. I am eager and willing to collaborate with existing educators and service providers at client’s request once proper releases to release/obtain information are completed.

Fees for additional reports:

Treatment summary letters/progress reports:

  • Progress reports or treatment summary letters can be written at request of the responsible party at the rate of $85 per document.


As of 2021, due to changes in California laws, Tailwinds Therapy no longer provides letters for emotional support animals (ESA Letters).

Fees for court appearances such as testimony or expert witness:

While therapists do their best to maintain our client’s confidentiality by remaining out of the courtroom whenever possible, there are times when it become necessary to participate in a court hearing either at a client or judge’s request.

Tailwinds Therapy maintains the scheduled fees to cover the potential costs of missed work to attend court on behalf of a client or case:

$1500 per diem rate for each court day and additional $135/hr rate for the time spent preparing documentation for court.

Paying for sessions:

Payments are due in full at the time services are rendered and can be paid using cash, check, or credit/debit.

At Tailwinds Therapy we use HIPAA compliant paperless systems for documentation of services and note taking. Within these systems we are able to accept debit/credit card payments in a secure manner through the client portal.

No Surprise Act and “Good Faith Estimates”:

Beginning January 1, 2022, the No Surprises Act (H.R. 133) will go into effect. The law includes new requirements for health care providers, facilities, health plans and insurers which are intended to prevent consumers (a.k.a. patients) from receiving unanticipated medical bills. 

Our fees are listed above, but in addition, you have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost.

Under the law, health care providers need to give patients 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 any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. 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 http://www.cms.gov/nosurprises.

Utilizing Insurance in a Private Pay Practice:

At this time, Tailwinds Therapy is a private pay service that does not bill insurance directly. If you would like to use your insurance we welcome you to contact your insurance provider prior to starting treatment to ask about your out of network benefits. If you do qualify for out-of-network benefits, your therapist can provide you will a super-bill at your request to present to your insurance to seek reimbursement. A super-bill is an itemized receipt for mental health services that includes a mental health diagnosis code and treatment code that your insurance will process to bill for services. At the time of your session you pay the full session fee using cash, check, or credit/debit and then you submit the super-bill to your insurance provider. Once they approve the claim they will send reimbursement based on what is available through your out-of-network benefits.

To learn more about the superbill process, check out our blog article about In Network Vs. Out of Network billing.

Health insurance varies greatly from plan-to-plan.

Please call your provider to learn about the extent and limits of your coverage for mental health if you plan to use out-of-network benefits.

Questions you should ask include:

  • What is my coverage for outpatient mental health?
  • What is the reimbursement rate for an out-of-network provider?
  • How many sessions are covered per calendar year?
  • What is my deductible and how much has been met?

To learn more about why we don’t bill insurance directly, click here and scroll down to the insurance tab.