Nick Holt, LCSW
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West Los Angeles Out-of-Network Psychotherapy |
I don't accept insurance. That's a deliberate choice — not a limitation.
Working outside of insurance means no mandatory diagnoses on your record, no third-party involvement in your care, and no arbitrary limits on how long we work together. You get confidentiality, flexibility, and a therapist who answers to you — not to a billing department.
Why self-pay: Out-of-network therapy puts you in control. There's no requirement to carry a diagnosis, no utilization reviews, and no one other than you deciding when treatment is complete. For many people — especially those in professional roles where a mental health record could have implications — that privacy matters.
Superbills: If you have out-of-network benefits, I can provide a superbill for potential reimbursement through your insurance. Many PPO plans reimburse a significant portion of out-of-network therapy costs. Check your benefits before assuming it's out of reach.
Working outside of insurance means no mandatory diagnoses on your record, no third-party involvement in your care, and no arbitrary limits on how long we work together. You get confidentiality, flexibility, and a therapist who answers to you — not to a billing department.
Why self-pay: Out-of-network therapy puts you in control. There's no requirement to carry a diagnosis, no utilization reviews, and no one other than you deciding when treatment is complete. For many people — especially those in professional roles where a mental health record could have implications — that privacy matters.
Superbills: If you have out-of-network benefits, I can provide a superbill for potential reimbursement through your insurance. Many PPO plans reimburse a significant portion of out-of-network therapy costs. Check your benefits before assuming it's out of reach.
Where Do My Fees Come From?
As part of my philosophy of transparency and authenticity, I want you to better understand how I get to my rate. Your fees entail a number of considerations:
Therapeutic Best Practices:
All of the above are purposeful in ensuring you are receiving a high quality and consistent level of competence in our work together.
Other Costs Include:
Therapeutic Best Practices:
- Notes between sessions
- Research of your symptoms and situations
- De-identified consultation with other subject-matter experts related to your symptoms and situations
- Consultation with providers you identify and give permission to discuss your healthcare, legal and other issues
- Continuing Education Units (CEUs) and continuing training in Cognitive Behavioral Therapy and other important mental health topics
All of the above are purposeful in ensuring you are receiving a high quality and consistent level of competence in our work together.
Other Costs Include:
- Rent
- Insurance
- Los Angeles City Business Taxes
- Board of Behavioral Science (BBS) membership fees
- Academy of Cognitive and Behavioral Therapies (A-CBT) membership fees
- National Association of Social Workers (NASW) membership fees
- Better Business Bureau (BBB) membership fees
- Advertising fees
- Marketing fees
- Website and online updates
- Search Engine Optimization (SEO) costs
FAQs
Do you take insurance?
No. I'm an out-of-network, self-pay practice. That's a deliberate choice — it means no mandatory diagnoses on your record, no third-party involvement in your care, and no arbitrary limits on treatment.
Why don't you accept insurance?
Working outside insurance protects your privacy and keeps decisions about your care between you and me rather than a billing department. For people in professional roles where a mental health record could have implications, that privacy matters.
Can I get reimbursed?
If you have out-of-network (PPO) benefits, I can provide a superbill you can submit to your insurer for potential reimbursement. Many PPO plans reimburse a significant portion of out-of-network therapy costs — it's worth checking your benefits.
Do you offer reduced fees?
I keep a limited number of reduced-fee slots for clients who need them. If cost is a barrier, reach out — it's worth a conversation.
No. I'm an out-of-network, self-pay practice. That's a deliberate choice — it means no mandatory diagnoses on your record, no third-party involvement in your care, and no arbitrary limits on treatment.
Why don't you accept insurance?
Working outside insurance protects your privacy and keeps decisions about your care between you and me rather than a billing department. For people in professional roles where a mental health record could have implications, that privacy matters.
Can I get reimbursed?
If you have out-of-network (PPO) benefits, I can provide a superbill you can submit to your insurer for potential reimbursement. Many PPO plans reimburse a significant portion of out-of-network therapy costs — it's worth checking your benefits.
Do you offer reduced fees?
I keep a limited number of reduced-fee slots for clients who need them. If cost is a barrier, reach out — it's worth a conversation.
Ready to Take the Next Step?
Please email me today to schedule your free consultation.
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address |
2001 S. Barrington Avenue
Los Angeles, CA 90025 |