We provide individualized, inclusive therapy for all, with a highly experienced team of evidence-based, trauma-informed, HAES®-aligned therapists in Virginia and throughout the country.
First and foremost, ALL BODIES ARE WELCOME
- LGBTQ+ affirming care
- Trauma-informed care
- Neurodiversity affirming care
- Health at Every Size® & fat-positive care
- Safe space for BIPOC individuals
- Any religious affiliation (or no religious affiliation)
- Children, adolescents, and adults

Therapy Services For
What to Expect
The first step is to reach out to us, to schedule a free consultation call. This is about 15 minutes where you and your potential therapist will get to know each other. This process helps you and your potential therapist preliminarily assess your needs and determine if it is a good therapeutic fit.
After the consultation call, you and your therapist will schedule an initial assessment, which takes anywhere between 75-90 minutes. The therapist will complete a biopsychosocial assessment with you. There will be questions about your identity, family, general mental health, eating disorder symptoms/behaviors (if applicable), and more. After gathering all of this information, the therapist will be able to come up with a preliminary treatment plan and provide recommendations for your care that the therapist deems ethically and clinically appropriate. If our client is a child or adolescent we typically do an initial assessment with the parent/caregiver as well.
Once these two steps are complete, therapy sessions begin! Therapy sessions are about 50 minutes. However, you and your therapist may decide to meet for a shorter or longer session time.
Ways to Work With Our Therapists
Individual Therapy
Parent Support Sessions
Therapeutic Meal Support Sessions
Exposure and Response Prevention Sessions
Understanding the Cost of Therapy
Out-of-Network Benefits, Insurance Reimbursement, and Payment Options
At Coastal Collaborative Care, we operate as an out-of-network practice so we can provide thoughtful, individualized care without session limits or insurance-driven restrictions. Many clients use their out-of-network benefits, and we provide monthly superbills for potential reimbursement. Sliding-scale options are available on a case-by-case basis. We also partner with Mentaya to help you check benefits and submit superbills with ease. If you’re new to OON therapy, feel free to explore our blog post or FAQ below to learn more.

Please note: Our therapist, Jennifer Forbes, is a TRICARE non-participating certified provider, meaning she is approved by TRICARE but does not bill TRICARE directly. Clients pay upfront and may submit claims to TRICARE for potential reimbursement.
Out-of-Network FAQ
A quick guide to using insurance, superbills, and reimbursement at Coastal Collaborative Care.
What does “out-of-network” mean?
Out-of-network (OON) simply means we do not bill insurance directly. Clients pay for sessions at the time of service and may be able to request reimbursement from their insurance plan.
For a deeper explanation, read our blog: What Is an Out-of-Network Therapist?
Can I use my insurance benefits?
Maybe, often, yes—many PPO plans offer out-of-network coverage.
We partner with Mentaya to help you check benefits and estimate potential reimbursement before you start therapy.
How do I check my OON benefits?
If you don’t want to use Mentaya, you can call and ask your insurance:
- Do I have OON mental health benefits?
- What is my OON deductible?
- What is the allowed amount for CPT codes 90791, 90837, and 90834?
- What percentage of the allowed amount is reimbursed?
- Is prior authorization required?
We can review this together during your consultation call.
What is a superbill?
A superbill is an itemized receipt (including the date of service, CPT code, fee, diagnosis, and your therapist’s credentials) that you can submit to your insurance company for possible reimbursement. A superbill is only useful if your plan includes out-of-network (OON) benefits—if you don’t have OON coverage, submitting one will not result in reimbursement. We provide superbills monthly or upon request.
Does a superbill guarantee reimbursement?
No, submitting a superbill will not result in reimbursement. For those with OON benefits, reimbursement is determined by your individual insurance plan. Many clients receive 40–80% back once their deductible is met, but every plan is different.
What if I don’t have OON benefits?
You still have options:
- sliding-scale availability
- every other week, or step-down scheduling
- requesting an OON exception from your insurance
- paying with HSA/FSA funds
- referrals to in-network providers if preferred
We can work with you to figure out a plan that feels sustainable, supportive, and aligned with your treatment needs.
Still have questions?
During your free consultation call, we can review your benefits, discuss costs, and answer any questions. Learn more in our blog: What Is an Out-of-Network Therapist?

