Fees & Insurance


Please call for the current rate for sessions, for private (out of pocket) pay.  Payment collected at beginning of session.



Most Blue Cross & Blue Shield health insurances are accepted at Turning Leaf Counseling. Copay collected at begining of session.


-Services may be covered in full, or in part, by your health insurance or employee benefit plan.

-Please call your providers and check your coverage carefully by asking the following questions

  • Does my insurance cover out of network providers?
  • What is my deductible, and has it been met yet?
  • How many sessions per year does my health insurance cover? (usually can apply for more as needed)
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?

Full session cost paid at beginning of session.  Esther can provide letters of attendance and receipts, for out of network or employee benefit plans, or to those who are private paying, as you may submit these to your insurance company, and often they do offer reimbursements.  I always recommend you call your providers and find out the above information.  I'm happy to discuss this information and process with you, as insurance can be confusing.

Reduced Fee:

Reduced fee services are available on a limited basis.


Cash and check (made payable to Esther Merritt) are accepted for payment.

Cancellation Policy:

If you do not show up for your scheduled appointment, or you do not cancel 24 hours in advance of the appointment, you will be required to pay our fee of $75 for the appointment.  This fee is not covered by insurance, and will need to be paid at your next visit.  48 hour cancellation notice is appreciated,  24 is required.

Alan Smith

  • Individual Therapy
  • Family Therapy
  • Group Therapy (schedule/available groups coming soon)
  • Clinical Peer Consultation & Supervision
  • Animal Assisted Therapy


If you or someone you care about is experiencing a clinical emergency and need(s) immediate help, call 911, or go to your local Emergency Room.

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psychotherapy for adolescents | young adults | adults