A phone consultation is optional before beginning services. This is a 15 minute phone call that allows you the time to ask questions that may be important to you before commiting to an intake appointment. It can help clients decide if the therapist is a good match for their needs. The consultation is not a time where therapy will be conducted or to be utilized for crisis interventions. Please contact the Arizona Crisis Response Network at 480-546-7151 or 911 for emergencies and crises.

The Healing Peace Counseling requires a $50.00 deposit to begin therapy services. This deposit will be collected at the time intake forms are completed to reserve your scheduled intake appointment.

If you utilize insurance, this deposit will be a credit on file applied accordingly to your patient responsibility once your claim has processed for your intake session and will remain a credit on file to be applied to future sessions. For example, if you have a $10.00 copay, the $50.00 credit will be applied to your first 5 sessions. After the credit has depleted, then the card on file will begin being utilized for your copay.

If you utilize private pay, this deposit will be a credit on file applied accordingly to your patient responsibility for your intake session. An intake session is $150.00 with a $50.00 deposit applied, the remaining $100.00 will be due at the time you attend the session.

In the event you no show or late cancel to your intake appointment there is a $100.00 Late Cancel/ No Show Fee. Your $50.00 deposit will be applied to the $100.00 fee and additional $50.00 will be collected at that time to fulfill the patient responsibility of the Late Cancel/No Show Fee.

In the event that you choose to not move forward with The Healing Peace Counseling services prior to your scheduled intake appointment and have provided 24 hour notice to the Healing Peace Counseling, the $50.00 deposit will be refunded to you. If the notice is under 24 hours prior to your intake appointment, the deposit is NOT refundable and you are responsible for the full Late Cancel/No Show fee of $100.00

It depends! Cash pay clients will pay $150 for the intake, $125 per session, and $140 per family/couple session. Some clients using insurance pay as little as $0-$20 per session. If you have a deductible to meet, the session cost will likely be higher. Check your specific benefits to get a better idea of your coverage. Please contact your insurance provider to learn about your copay or deductible, as it is your responsibility to be aware of your benefits. We will charge the card on file once the claim has processed.

Yes! We accept Aetna, Blue Cross Blue Shield from all states, and Cigna. When verifying whether or not we are in network, please use TAX ID 883868201 under Briah Tarapacki.

You can learn about the mental health services your insurance covers by checking out your plan’s benefits, or the Summary of Benefits and Coverage (SBC). Your insurance provider may have mailed you a copy of your SBC when you first enrolled, but if you’ve lost it, you can find a digital version on their website.  The SBC will outline the information you need to know about how much you have to pay for your plan and the cost of any services.  When contacting your insurance, please use TAX ID 883868201 under Briah Tarapacki for questions about rates.

Some important health insurance terms related to your benefits that you should know are:

Premium: Your premium is the amount you pay every month to keep your insurance. If your insurance is through your employer, they may cover some of the cost. If you have an individual private plan, you’re required to pay the whole premium. In some cases, depending on your income, you may qualify for tax credits to make your premium cost lower.

Deductible: The deductible refers to how much money you have to pay before insurance kicks in. Once you meet the deductible, your insurance starts paying for services covered by your policy — including mental health services. Note: your deductible resets at the beginning of each plan year which often but not always coincides with January 1st. 

Copayments: Copayments, or copays, refer to set prices you have to pay for different types of services. These will be your costs after you meet your deductible. You’ll likely have different copay amounts for primary care, specialists, and mental health services.

Coinsurance: Coinsurance is when your insurance covers a percentage of the cost of a service. Rather than a set copay across the board, your insurance might cover 80% of the cost of the visit, for example. Like copays, this will typically only be the case after you’ve met your deductible.

Out-of-pocket costs: The out-of-pocket limit is the maximum amount of money you can spend within your coverage period. For example, if your limit is $8,000 and you spend this much on services throughout the year, your insurance will cover 100% of the costs after that.

In-Network vs. Out-of-Network: In-network refers to healthcare providers that have contractually agreed to work with an insurance company to offer patients discounted rates. Whereas out-of-network healthcare facilities don’t have a contract with an insurance provider and therefore won’t offer you a discounted rate, so you’ll have to pay the full costs for any services you require.

Once you’re familiar with these terms, take a look at your benefits and find where it mentions mental health benefits. Here, your plan information will tell you how much your copayment or coinsurance is for mental health services.  Don’t forget to take note of your deductible first if your mental health benefits are subject to it and work out how much you’ve already spent. Then you’ll know whether you will just pay your copay amount right off the bat, or more. You may also want to call up your insurance company to make sure that you’re clear on exactly what your plan covers and how much you’ll need to pay out of pocket. Checking with an insurance customer service agent will ensure that the policy information you have is accurate and up to date. Plus, they can answer any questions you have about the information printed on your health insurance card.

What specific mental health services are covered by my plan?

What is the copay or coinsurance for therapy? 

What’s my deductible, and how much of it have I already spent?

Is reimbursement possible for healthcare providers outside the network?

For your convenience, The Healing Peace Counseling offers optional reminder texts to notify you of your appointments. If you do not arrive for your scheduled therapy appointment, and/or you have not notified your therapist or our office at least 24 hours in advance to cancel/reschedule your appointment, you will be required to pay the Late Cancel/No Show fee of $100. Insurance does not cover late cancellations or no show appointments.

No, we do not give recommendations or write letters in support of Emotional Support Animals. We will encourage you to follow up with your PCP for this type of documentation.

No, we do not give recommendations regarding ability to work or complete any disability documentation. We will encourage you to follow up with your PCP for this type of documentation.

No, we do not give recommendations regarding a client’s ability to complete school. We will encourage you to follow up with your PCP for this type of documentation.

We are mandated to release records to the court or testify if subpoenaed, however we do not offer court mandated treatment

NO LETTER/COURT CLAUSE

• Non-Involvement in Litigation: The Client’s guardian(s) agree not to call the clinician to testify in court, provide evaluations, or disclose clinical records for use in legal proceedings like divorce or custody disputes.

• Scope of Practice Limitations: The Healing Peace Counseling is not trained as a forensic expert or custody evaluator and that making such recommendations would be unethical as it is beyond the scope of The Healing Peace Counseling’s clinical practice.

• Refusal of Letter Requests: The Healing Peace Counseling will not write letters or documentation expressing opinions on parental fitness or custody arrangements.

• Prohibition of Subpoenas: The client’s guardian(s) and their attorney will not attempt to subpoena the therapist or their records for their custody disputes.

• Financial Penalties for Compelled Testimony: In the event the client’s guardian(s) subponenas a contracted clinician with The Healing Peace Counseling resulting in the clinician being legally forced to appear in court, the client’s guardian will be required to pay The Healing Peace Counseling an hourly rate of $250 per hour and retainers for travel, preparation, and attendance

I UNDERSTAND THE HEALING PEACE COUNSELING WILL NOT TESTIFY IN COURT, PROVIDE LETTERS/DOCUMENTATION REGARDING CUSTODY, OR MAKE CUSTODY RECOMMENDATIONS OF ANY KIND.

This disclaimer serves to help protect your privacy and establish clear boundaries around The Healing Peace Counseling’s social media and online presence. Interaction on social media does NOT equate to a therapeutic relationship. All posts associated with The Healing Peace Counseling and by clinicians associated with the practice are not substitution for professional counseling or therapy. They are strictly for educational and promotional purposes only.

By visiting any social media page affiliated with The Healing Peace Counseling (including Instagram, Tik Tok, Twitter, LinkedIn, YouTube, and Facebook) you acknowledge, understand, and agree with the following social media policy and disclaimer:

All social media platforms are utilized as a source for educational purposes on mental health, psychology, or general information about therapy. The intention of social media is NOT to diagnose, provide therapeutic interventions, be a replacement for therapy, crisis interventions, provide advice, engage in direct communication, or any other purpose outside of educational purposes.

Therapists associated with The Healing Peace Counseling are expected to not respond to comments, direct messages, or any other form of social media contact from current or former clients in order to protect their confidentiality. In order to honor professional boundaries and not engage in dual-relationship, previous and current clients will not be followed or friended on social media by therapists associated with The Healing Peace Counseling on all social media platforms.

If you choose to engage on social media sites you are choosing to do so with the understanding that your actions (follows, likes, comments, shares, etc.) may be viewed by others and you are soley responsible for risking confidentiality and privacy. Any communication on these platforms (likes, comments, follow, shares, etc.) does not constitute a therapeutic relationship and is not implied to be professional mental health, medical, legal, or other advice.

The Healing Peace Counseling LLC assumes no liability for diagnosis, treatment, decisions, or actions made in reliance upon information contained on social media pages.

If you are in a crisis, please call 911 or visit your nearest emergency department. If you’re not in immediate danger, but would like someone to speak with, you can utilize the following crisis resources listed below (these resources are not owned by The Healing Peace Counseling):

• Warm line: 602-347-1100

• Crisis line: 480-546-7151 or 988 (those with AZ area code) 

• Textline: 4HOPE to 44673

• Suicide Prevention: 800-273-8255

• Teen Lifeline: 602-248-8336

NOTICE OF PRIVACY PRACTICES

THIS NOTICE DESCRIBES HOW HEALTH INFORMATION MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

I. THE HEALING PEACE COUNSELING PLEDGE REGARDING HEALTH INFORMATION:

The Healing Peace Counseling understands that health information about you and your health care is personal. The Healing Peace Counseling is committed to protecting health information about you. Clinicians create a record of the care and services you receive. Clinicians need this record to provide you with quality care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by this mental health care practice. This notice will tell you about the ways in which The Healing Peace Counseling may use and disclose health information about you. This consent also describes your rights to the health information The Healing Peace Counseling keeps about you, and describe certain obligations The Healing Peace Counseling have regarding the use and disclosure of your health information. Clinicians and The Healing Peace Counseling are required by law to:

• Make sure that protected health information (“PHI”) that identifies you is kept private.

• Give you this notice of The Healing Peace Counseling’s legal duties and privacy practices with respect to health information.

• Follow the terms of the notice that is currently in effect.

• The practice can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in the office, and on The Healing Peace Counseling website.

II. HOW THE PRACTICE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU: The following categories describe different ways that The Healing Peace Counseling use and disclose health information. Not every use or disclosure in a category will be listed. However, all of the ways The Healing Peace Counseling are permitted to use and disclose information will fall within one of the categories.

For Treatment Payment, or Health Care Operations: Federal privacy rules (regulations) allow health care providers who have direct treatment relationship with the patient/client to use or disclose the patient/client’s personal health information without the patient’s written authorization, to carry out the health care provider’s own treatment, payment or health care operations. The Healing Peace Counseling clinicians may also disclose your protected health information within the clinical practice to appropriately assess, diagnose, and establish effective treatment plan for therapeutic services.

Disclosures for treatment purposes are not limited to the minimum necessary standard. Because therapists and other health care providers need access to the full record and/or full and complete information in order to provide quality care. The word “treatment” includes, among other things, the coordination and management of health care providers with a third party, consultations between health care providers and referrals of a patient for health care from one health care provider to another.

Lawsuits and Disputes: If you are involved in a lawsuit, The Healing Peace Counseling may disclose health information in response to a court or administrative order. The practice may also disclose health information about your child in response to a subpoena, discovery request, or other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or to obtain an order protecting the information requested.

III. CERTAIN USES AND DISCLOSURES REQUIRE YOUR AUTHORIZATION:

1. Psychotherapy Notes. Clinicians do keep “psychotherapy notes” as that term is defined in 45 CFR § 164.501, and any use or disclosure of such notes requires your Authorization unless the use or disclosure is:

   a.For therapeutic use in treating you

   b.For clinician’s use in training or supervising mental health practitioners to help them improve their skills in group, joint, family, or individual counseling or therapy.

   c.For the Practice’s use in defending itself in legal proceedings instituted by you.

   d.For use by the Secretary of Health and Human Services to investigate my compliance with HIPAA.

   e.Required by law and the use or disclosure is limited to the requirements of such law.

   f.Required by law for certain health oversight activities pertaining to the originator of the psychotherapy notes.

   g.Required by a coroner who is performing duties authorized by law.

   h.Required to help avert a serious threat to the health and safety of others.

   i. For compliance with insurance companies

2. Marketing Purposes. As a general mental health outpatient private practice, The Healing Peace Counseling and all independent contracted clinicians will not use or disclose your PHI for marketing purposes.

3. Sale of PHI. As a general mental health outpatient private practice, The Healing Peace Counseling and all independent contracted clinicians will not sell your PHI in the regular course of my business.

IV. CERTAIN USES AND DISCLOSURES DO NOT REQUIRE YOUR AUTHORIZATION.

Subject to certain limitations in the law, The Healing Peace Counseling can use and disclose your PHI without your Authorization for the following reasons:

1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.

2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.

3. For health oversight activities, including audits and investigations.

4. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.

5. For law enforcement purposes, including reporting crimes occurring on my premises.

6. To coroners or medical examiners, when such individuals are performing duties authorized by law.

7. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.

8. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter-intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.

9. For workers’ compensation purposes. Although my preference is to obtain an Authorization from you, the Practice may provide your PHI in order to comply with workers’ compensation laws.

10. Appointment reminders and health related benefits or services. The Practice may use and disclose your PHI to contact you to remind you that you have an appointment with The Healing Peace Counseling.

V. CERTAIN USES AND DISCLOSURES REQUIRE YOU TO HAVE THE OPPORTUNITY TO OBJECT.

1. Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.

VI. YOU HAVE THE FOLLOWING RIGHTS WITH RESPECT TO YOUR PHI:

1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask the Practice not to use or disclose certain PHI for treatment, payment, or health care operations purposes. The Practice is not required to agree to your request, and the Practice may say “no” if I believe it would affect your health care.

2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.

3. The Right to Choose How The Healing Peace Counseling Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and the Practicewill agree to all reasonable requests.

4. The Right to See and Get Copies of Your PHI. Other than “psychotherapy notes,” you have the right to get an electronic or paper copy of your medical record and other information that I have about you. The Practice will provide you with a copy of your record, or a summary of it, if you agree to receive a summary, within 30 days of receiving your written request, and the Practice may charge a reasonable, cost based fee for doing so.

5. The Right to Get a List of the Disclosures The Healing Peace Counseling Have Made.You have the right to request a list of instances in which the Practice have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. The Practice will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list the Practice will give you will include disclosures made in the last six years unless you request a shorter time. The Practice will provide the list to you at no charge, but if you make more than one request in the same year, the Practice will charge you a reasonable cost based fee for each additional request.

6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that the Practice correct the existing information or add the missing information. The Practice may say “no” to your request, but the Practice will tell you why in writing within 60 days of receiving your request.

7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.

Acknowledgement of Receipt of Privacy Notice

Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA), you have certain rights regarding the use and disclosure of your protected health information.