Yes, at the moment I am.

Just click the “Schedule a free consultation” button at the top or bottom of this page to schedule a free 30-minute call, or call me (415-320-6610) or email me (marv@therapywithmarv.com) to set that up. We’ll see if we feel we’re a good fit to work together, and I’ll make some suggestions for your next steps.

I can work with anyone in California, Arizona, and Florida by video, ie. Zoom and other videoconferencing platforms, and phone. (Zoom is free and can be downloaded here.)

I also work in person in Marin County, CA, including doing outdoor therapy (eg. in public parks and on walks) with some clients when desired, when there is sufficient privacy for those clients, and when possible.

I work Monday-Friday generally 9am-8pm Pacific, 10am-9pm Mountain, Noon-11pm Eastern, with the hours varying depending on the day, with at least some daytime hours every day. Yes, I work some evening hours, although those slots tend to be taken quickly when they become available.

Please contact me to discuss my current fee structure. As part of that, I have a limited number of clients who pay a sliding-scale fee.

I’m in Marin County, CA, where I work in person with clients and work with clients by video and phone throughout California, Arizona and Florida.

I can work with anyone in California, Arizona and Florida by video (eg. Zoom and other videoconferencing platforms) or phone.

I’m not on any insurance panels, including Medicare, and as such I’m an out-of-network provider. At any time I am happy to give you the “superbill” (statement) that your insurance company likely requires if you’re filing a claim with them for full or partial reimbursement of your psychotherapy sessions.

I have partnered with Mentaya to help clients use their out-of-network benefits to save money on therapy. Feel free to use the benefits-checker on my Contact page to see if you qualify for reimbursement for my services.

A DISCLAIMER ABOUT THE USE OF INSURANCE:
If you choose to use your insurance plan to help you pay for therapy, I fully support your choice. However, I’d like to invite you to consider the following points, so you can make a well-informed decision.

Most insurance plans require a mental health diagnosis in order to pay for treatment, which then becomes part of your medical record and the insurance company's files; this can have an impact on future applications for health or life insurance. Additionally, in order to get your treatment authorized, your insurance company maintains some types of access to your treatment records, and ultimately decides whether treatment is medically necessary.

I preserve as much confidentiality as possible, releasing only information deemed necessary for authorizing services, but it is my responsibility to make you aware of potential impact of these disclosures, given my professional mandate to protect privacy. Please do not hesitate to ask me if you have any further questions about insurance and privacy.

I accept electronic payments, cash, and checks.

Yes. You have the right to receive a “Good Faith Estimate” explaining how much your medical and mental health care will cost. I provide a Good Faith Estimate to my clients before the start of therapy.

Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. 

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.

You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises

According to the Climate Psychology Alliance, of which I'm a member, climate-aware therapists are professionally-trained psychotherapists who recognize that the climate crisis is both a global threat to all life on Earth and a deeply personal threat to the mental and physical well-being—the sense of safety, meaning, and purpose—of each individual, family, and community on the planet.

Our shared goal: To use our unique psychotherapeutic skills to meet the multiple, mounting mental health crises arising out of the increasing instability of our planetary system.

A climate-aware therapist:

Values that the professional training of the allied mental-health therapy and counseling communities are needed in this fight.

Commits to delivering the highest-quality mental health services to all clientele—which can include addressing cognitive, affective, personal, societal, and existential repercussions of the climate crisis.

Responds to clientele in a humane and compassionate manner.

Acknowledges the complicated nature of the human response to climate crisis, without presuming the presence or absence of climate-related distress.

Understands how our relationships to nature and living systems, and our interaction with climate science and climate media can be useful tools for integrating and resolving psychological conflicts and stressors.