Paying for Services



We are a private pay counseling practice so fees are paid in full at the time of service.

Payment is accepted in the form of cash, check, or credit card (Visa & MasterCard).  As a healthcare provider, we accept Health Savings Account (HSA) and Flexible Spending Account (FSA).


Depending on the clinician, our fee schedule is as follows:

Dr. Sarah F. Spiegelhoff, PhD, LMHC, NCC
$160 individual session
$185 family/couples/marriage session

Caroline Goldschein, LMHC, LPC, NCC
$125 individual session
$150 family/couples/marriage session


Please contact us for fees associated with speaking engagements, off-site services, and specific assessments.




Do you accept insurance?

We are committed to your privacy and confidentiality, and want you to have complete control over your health records. Submitting a mental health invoice for reimbursement carries a certain amount of risk to your confidentiality, privacy and future capacity to obtain health or life insurance.  Insurance companies are likely to audit records and limit the number of sessions covered when working with an in-network provider. These are the reasons why we do not directly bill your insurance.

We provide all clients with receipts and a coded visit bill (called superbills) which you may submit to your insurance company for out-of-network reimbursement if you choose. We encourage you to check with your insurance regarding the specifics of your policy.  Out-of-network benefits typically reimburse up to 80% of the therapy fee.


For more information and help with verifying your insurance benefits, click here.