fees & payment

Individual Counseling

                     Initial Session           $200       60- 75 mins

                     follow up sessions  $180       55 mins

Couples and Family Counseling

                     Initial Session          $200        75-90 mins

                     follow up sessions  $180       55 mins

                     follow up sessions  $200       75 mins


Fees are due at time of session.

Cash, check and Credit/debit cards accepted

Sliding scale offered, please ask me.

Using insurance benefits-

I am in network and can bill directly for you for 

Pacific Source

Regence BCBS



Please check with your insurance company right away to confirm if you have a co-pay due at time of service, or if you have a deductible to pay before your mental health benefits kick in.


If I am not paneled with your insurance carrier at this time, you still may be eligible to access out-of-network benefits for my services. Please check directly with you insurance carrier about what they will pay for out of network mental health counseling. Usually it is a percentage of the fee charged, and you would be responsible for the remainder of the fee.   If you wish to access your out-of-network benefits, I am able to provide you with invoices that you may use to bill your insurance carrier.  I also offer a sliding scale in the hopes that this can help more people access quality counseling services. Please inquire about my sliding scale fees if you would like to explore that option.  


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Tracy Trefethen, LPC  503-908-4779   tracytrefethen@gmail.com   516 SE Morrison St. Suite 710, Portland, OR 97215