Frequently Asked Questions

Your initial session is a comprehensive intake. We’ll review your history, clarify goals, complete any needed assessments, and begin developing a treatment plan together.

Session frequency is individualized based on your needs and goals. Many clients start with weekly sessions and adjust over time.

• In-person sessions in Lander, Wyoming and Mesa, Arizona

• Secure telehealth sessions for clients in Arizona, Wyoming, Idaho, and Missouri

Therapy sessions are generally 53 - 55 minutes long. You can ask your therapist for shorter or longer sessions in advance of the appointment.

We accept select insurance plans, which vary by clinician and location. We are in network with several insurance carriers. Accepted plans are listed on each therapist’s profile. We additionally offer Out of Network superbills.

You may still be able to use out-of-network benefits. We can provide documentation (a superbill) for reimbursement depending on your plan.

Rates vary by clinician, licensure level, and service. Current fees are listed on each therapist’s page.

If the therapist is out of network (OON) with your insurance, we can provide a superbill.

We commonly support clients with:

• Anxiety and stress

• Obsessive Compulsive Disorder (OCD)

• Trauma

• Depression

• Life transitions

• Women’s mental health, including pregnancy and postpartum

Our work is grounded in evidence-based approaches, including:

• Cognitive Behavioral Therapy (CBT)

• Exposure and Response Prevention (ERP)

• Mindfulness-based strategies

• Trauma-informed care

• Eye Movement Desensitization and Reprocessing (EMDR)

• Person-centered therapy

• Psychodynamic therapy

• Dialectical Behavioral Therapy

We require advance notice (typically 48 hours). Late cancellations or missed sessions may be subject to a fee. Full details are provided in your intake paperwork.

• Lander, Wyoming

• Mesa, Arizona

• Manya Brown, LAC-T, offers in person sessions in Mesa, Arizona

• Courtney Johnson, pre-licensed therapist, offers in person sessions in Mesa, Arizona.

• Virginia Kuhn, LPC, offers in person sessions in Lander, WY

We absolutely do, if we have training in that specific area. Reach out to find out if your condition is within our scope of practice! We’d love to help.

At Bloom & Breathe Therapy, we have several therapists who are Licensed Professional Counselors (LPC), Licensed Associate Counselors (LAC), and intern therapists.

Licensed Professional Counselor (LPC)
An LPC has completed the education, examination, and supervised clinical experience required for independent licensure. LPCs may practice independently and may also supervise associate counselors and interns when appropriately qualified.

Licensed Associate Counselor (LAC)
An LAC has completed a graduate counseling program and obtained an associate-level license. LACs provide therapy while receiving clinical supervision as they complete the experience required to apply for independent LPC licensure.

Intern Therapist
An intern therapist is a graduate counseling student completing the clinical internship required by their university. Interns are not independently licensed and provide therapy under the supervision of an experienced licensed clinician.

All three can provide compassionate, professional therapy. The primary difference is where each therapist is in the training and licensure process and the level of supervision required.

Out-of-network benefits are insurance benefits that may help cover therapy with a provider who is not contracted with your insurance plan. Depending on your plan, you may be reimbursed for a portion of the session fee after meeting your out-of-network deductible.

Payment is due in full at the time of your appointment. Upon request, we can provide a superbill, which is a detailed receipt that you may submit to your insurance company for possible reimbursement. Reimbursement is not guaranteed and varies by plan.

We recommend contacting your insurance company and asking:

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

• What is my out-of-network deductible, and how much have I met?

• What percentage will I be reimbursed after meeting my deductible?

• What is the plan’s allowed amount for CPT code 90837?

• How do I submit a superbill?

• Is prior authorization required?

Please note that Bloom & Breathe Therapy cannot guarantee how much your insurance company will reimburse or whether a claim will be approved.