Casey MacGregor-Toshima, PhD, LCSW

What is the first step?​
We should speak first to see if I would be a good match for your needs. I offer a free phone consultation where we can discuss your current concerns, prior experience with therapy and any other issues. If amenable, we can plan a time for an initial session. 

What is your rate? 
My rate for an individual session is $250. With couples, my rate is $350 for a 90 minute session. Unless there is a crisis, I typically met with couples every two weeks for 90 minutes. Longer sessions for couples are much more meaningful, backed by research and experience. It also allows busy couples to find the time to meet.

I can occasionally offer a sliding scale, if there is a financial hardship.

Do we meet weekly?
Typically, yes, for individual work. But I believe in a pragmatic approach that builds around what you need. Sometimes, you may need two sessions in a week, and sometimes, it may make sense to come every two weeks. With couples, I typically meet every two weeks unless there is a crisis.

​Can you prescribe medication?
No, I cannot prescribe medication. I do not hold a medical license. The “doctor” in my name corresponds with my PhD.

Do you take insurance?
I do not take insurance, but I can provide a "superbill" for out-of-network mental health benefits. A "superbill" functions as a receipt that is submitted to health insurance plans for reimbursement.  

Do you see children? 
My clients are adults individuals and couples. I do not see children or families.
 
Information about the Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.
If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.