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 Therapy (ACT) 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
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 |