Insurances I currently accept 

I am licensed in OR, WA, ID, FL, WI, and VT 

Pay with insurance



I use Simple Practice to keep client data safe and bill some plans. All clients will be sent forms from Simple Practice.

I currently use Alms to bill most commercial plans. If needed, I will direct you to Alma to enter insurance and credit card information. 

https://secure.helloalma.com/providers/carrie-coombs/

I am a preferred provider with Regence Blue Cross Blue Shield of OR and WA, and I'll verify these benefits independently before we start therapy. Please check your plan to see if you have a deductible and if it must be met before your insurance covers mental health care. 

Coming Soon

WA Medicaid plans 

Private pay rates 

Individual counseling  rates are based on the National Medicaid reimbursement rate for counseling services 

60 Min 205.00 USD

45 Min 166.00 USD

30 Min 112.00 UDS

Couples NVC Skills, 300.00 USD

Insurance Co-pay will depend on your insurance 

If you have a deductable, you will be responsible for your plan's maximum reimbursement rate until your deductable is met. 

All payments are due at the time of service. 

Sliding Scale for those uninsured: I will offer a reduced rate depending on your income. I will also point you toward getting free or low-cost health insurance. 

Cancellation Policy 

Cancellations with less than 24 hours notice will incur a $75.00 cancellation fee. Two no-shows will result in a discharge letter.