Frequently asked questions

Got questions? I’ve got answers.

Here are some of the most common questions I get about therapy. If you don’t see your question listed below please contact me.

  • I am located in Fresno, California

  • With online therapy I can provide services to anyone who resides in California (this is the state I am licensed in). We will connect through a confidential, secure and HIPPA compliant EHR platform. It is advised you are in a confidential space where you can be vulnerable and open to expressing yourself. I will also ask for your location at the time of our services for safety reasons (So I know where to send help if there is an emergency).

    You will need an email address and a device such as; your cellphone, tablet, or computer to engage in sessions.

  • I do offer in-person sessions in Fresno, California (Tuesdays, Thursdays or Fridays between 8:15am-3:30pm) by appointment.

  • My fees are $130 a session for individuals.

    *There is a $100 fee if you no show/cancel appointment in less than 24 hours.

  • I am an Out of Network provider with all insurances which means I DO NOT bill any insurances. I would be happy to provide you with a monthly Superbill which you can use to submit to your insurance for a possible partial or full reimbursement.

    I recommend that you contact your insurance company to make sure they cover out of network services and to ask how you can submit for reimbursement.

    Some insurances may not reimburse for out of network or they may want you to reach your deductible first. Do not be afraid to ask your insurance questions :).

  • Before your first full length session you will be asked for a credit card to keep on file in our secure payment system. I accept all major credit and debit cards cards. At the end of each session your card will be charged.

    Other options include paying cash or check.

    A credit card is to be kept on file even if you opt to pay cash or check.

  • Don’t be nervous! The first session is spent getting to know you.

    During the first session my main goal is to get to know who you are, your history, what brought you to therapy, and most importantly—what are your goals for therapy.

    We will also review/discuss informed consent, confidentiality, and answer any questions you may have as well as plan our next visit :).

  • You can contact me at (559) 681-5710 or email me at Alejandrajimenez@therapyconale.com. If I am unavailable, I will call you back within 1-2 business days.

    You will have a FREE 20 minute consultation to briefly understand your reasons for seeking therapy and your goals for treatment. We will determine if I’m the right fit for you.

    During this call you can also ask me any questions you may have.

    If we are a good fit, we will coordinate availability and get you scheduled. I will collect some information from you to create a portal for you where you will have access to consent, confidentiality and policy forms.

    If I’m not the right fit for you, I will do my best to provide you with referrals to other providers or services that may work for you.

  • I meet with clients weekly and biweekly at minimum. Each session lasts 45-60 minutes. This consistency allows us to make legitimate progress toward your goals.

    Everyone is different. Some people are in therapy for a few months and others for a year or more. They want to dive in and do deeper work and may want to commit to longer periods of time.

    Some people come for a “tune up” type of experience. They only want/need a handful of sessions and feel ready to move on.

    In the end, we will have open communication throughout the process so you know what the next step is.

  • You are entitled to receive a Good Faith Estimate of your potential charges for psychotherapy services provided to you. While it is not possible for a psychotherapist to know, in advance, how many psychotherapy sessions may be necessary or appropriate for a given person, this form provides an estimate of the cost of services provided. Your total cost of services will depend upon the number of psychotherapy sessions you attend, your individual circumstances, and the type and amount of services that are provided to you. This estimate is not a contract and does not obligate you to obtain any services from the provider(s) listed, nor does it include any services rendered to you that are not identified here. This good faith estimate is valid for 12 months.

    The Good Faith Estimate is not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of psychotherapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with your therapist. You are entitled to disagree with any recommendations made to you concerning your treatment and you may discontinue treatment at any time.

    The fee for a 50-minute psychotherapy visit (in person or via telehealth) is $130. Most clients will attend one psychotherapy visit per week, but the frequency of psychotherapy visits that are appropriate in your case may be more or less than once per week, depending upon your needs or desires.

    You have a right to initiate a dispute resolution process with U.S Department of Health and Human Services (HHS) if the actual amount charged to you substantially exceeds the estimated charges stated in your Good Faith Estimate (which means $400 or more beyond the estimated charges). If you choose to utilize this dispute option, you will be required to submit your claim within 120 calendar days from the date of your first bill. There is a $25 fee to utilize HHS dispute process. If the agency reviewing your claims agrees with you, you will have to pay the price of the good faith estimate. If the agency disagrees with you and agrees with your health care provider, you will be required to pay the full amount.

    Please visit www.cms.gov/nosurprises for more information.

  • Life happens, and I understand we cannot always control that.

    There is a 24-hour cancellation policy. If you do not communicate before the 24 hours you may be charged. The following fees will be charged for a missed or late cancel an appointment.

    No Show—$100.00 per missed session

    1st Late Cancel—Fee will be waived

    Subsequent Late Cancellations—$100.00 per missed session

    Should attendance become a regular issue, your therapist will assist and discuss with you the best therapeutic path moving forward. Consistency is important in order to maintain

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