Frequently Asked Questions


  • We proudly serve families in all regions of NC and have 4 conveniently located offices: central Raleigh, Durham, and Wilmington. Can’t make it to an office? We also offer telehealth sessions.

    1042 Washington Street- Raleigh, NC 27605

    111 Salem Towne Court- Apex, NC 27502

    3622 Lyckan Parkway, Suite 4003 - Durham, NC 27707

    201 N Front Street, Suite 815 - Wilmington, NC

  • Birch Therapy, PLLC is not currently affiliated with any insurance panels and requires payment at the time of service. Session rates vary according to clinicians’ license and experience level, ranging from $100-$200. Please call for details.

    Benefits of Self-Pay
    When an individual self-pays for therapy as opposed to utilizing insurance, both confidentiality and treatment decisions remain solely between you and your therapist. Insurance plans require a diagnosis and additional clinical details to reimburse services and reserve the right to audit your records. Some plans may limit the number or frequency of sessions that are covered rather than allowing these decisions to remain between you and the treating clinician. Furthermore, your entire therapeutic experience including diagnosis is made available to future insurance companies. When utilizing health insurance to pay for therapy you are relinquishing confidentiality, treatment decisions, length of therapy and other pertinent decisions to your insurance company.

    Reimbursement Options
    If you wish to use health insurance, you may be able to use your out-of-network insurance benefits to offset the cost of services. If you wish, we will provide a Superbill in exchange for your payment which you can then submit to your insurance company to request reimbursement for some or all of the session fee. Some insurance companies allow clients to apply psychotherapy fees to their yearly out-of-pocket deductible. To determine if you have out-of-network benefits, check your company’s website or call the telephone number on the back of your insurance card. Some employers allow the use of flexible spending accounts, medical savings accounts, or health reimbursement arrangements; call your employer’s human resources or benefits department for more information.

    No Surprises Act
    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost. Under the law, health care providers need to offer clients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees. For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.

  • We meet with clients Monday through Friday and offer after school and after work hours to best meet the needs of our clients. You can view each therapist’s schedule through our online booking platform here.

    We do require 24-hours notice for cancellations in order to avoid the late cancellation/no-show fee to provide as much notice for waitlist clients.

  • Please check out our resource page for updated books & podcasts, or follow us on Instagram for the latest from Birch Therapy clinicians.

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