Cordillera Counseling Services
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Cordillera Counseling Services
  • Home
  • Services
  • Resources
  • Tahmineh and How I Work
  • FAQ
  • Contact
  • Client Portal

FREQUENTLY ASKED QUESTIONS

Still have questions? Please reach out.

Yesterday I was clever, so I wanted to change the world. Today I am wise, so I am changing myself.


Attributed to Rumi

 Cordillera Counseling Services offers individual therapy, both virtually and in person. 


The consultation gives us a chance to see whether we might be a good fit for one another. I’ll ask a few general questions about what is bringing you to therapy and what you are looking for, and I’ll make sure I can reasonably meet your clinical and scheduling needs.


You’re also welcome to ask questions about my experience, training, approach to therapy, or anything else that would help you decide whether you feel comfortable moving forward.


 Your first session gives us time to begin getting to know one another. I’ll ask about what is bringing you to therapy, relevant history, what has and has not been helpful before, and what you hope might be different.


We will also begin identifying goals for our work together, but there is no expectation that we figure everything out in one session. You are welcome to ask questions, share concerns, or let me know if there is anything you want me to understand about how you work best.


 Individual psychotherapy sessions are typically 53 to 60 minutes. 


Current fees:

  • Initial session: $230
  • Individual psychotherapy session: $200

 Session length may vary based on clinical needs and what we have agreed upon together. Fees for sessions of a different length may also vary and will be discussed in advance. 


 Cordillera Counseling Services is an out-of-network, private-pay practice and does not bill insurance companies directly.

If your insurance plan includes out-of-network benefits, you may be eligible for partial reimbursement. Upon request, we can provide a superbill containing the information your insurance company may require for you to submit a claim.

Because coverage and reimbursement vary by plan, we encourage you to contact your insurance company directly to understand your out-of-network benefits, deductible, reimbursement rate, and any requirements for submitting claims. Reimbursement is not guaranteed.



 When contacting your insurance company, you may want to ask:


• Does my plan include out-of-network benefits for outpatient mental health services?


• Do I need prior authorization or a referral for out-of-network psychotherapy?


• What is my out-of-network deductible, and how much of it has already been met?


• After my deductible is met, what percentage of the allowed amount does my plan reimburse?


• What is the allowed amount or maximum reimbursable amount for the following CPT codes?


90791 — Psychiatric diagnostic evaluation
90832 — Individual psychotherapy, 30 minutes  Offered only as an additional brief session when clinically appropriate; not offered as a standard standalone appointment.
90837 — Individual psychotherapy, 60 minutes
90846 — Family psychotherapy without the client present
90847 — Family psychotherapy with the client present


• Is there a limit on the number of psychotherapy sessions covered each year?


• Are telehealth sessions covered at the same out-of-network rate as in-person sessions?


• How do I submit a superbill or out-of-network claim?


• Is there a deadline for submitting claims?


Coverage varies by insurance plan. Cordillera Counseling Services cannot guarantee reimbursement, and clients are responsible for understanding their individual insurance benefits.



If you do not have insurance or do not plan to use insurance to pay for services, you generally have the right to receive a Good Faith Estimate of expected charges when you request one or when services are scheduled at least three business days in advance.

If a bill is at least $400 more than your Good Faith Estimate, you may be eligible to dispute the bill.

For more information, visit CMS.gov or contact the No Surprises Help Desk at 1-800-985-3059.



 Cordillera Counseling Services is an outpatient psychotherapy practice. We do not provide crisis stabilization, intensive case management, medication management, medically supervised withdrawal, or other intensive or emergency services.


Some people may need additional services or a more intensive treatment setting, either instead of or alongside individual therapy. We consider this individually based on your current needs, available supports, and whether our practice can safely and appropriately provide the level of care you need.


If a different or additional level of care would be more appropriate, I will talk that through with you and help identify relevant resources when possible. 



  • Privacy Notice

Tahmineh Shadkhoo, LCPC | Md License No. LC9504

Copyright © 2026 Cordillera Counseling Services LLC - All Rights Reserved.

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