Mental health counseling and nutrition counseling are available throughout Washington, offered virtually or in person at our Puyallup or Olympia office. Nutrition counseling can also be provided in our garden setting in Puyallup for clients who prefer a calming, outdoor environment.Personal training is available virtually nationwide or in person at our Olympia office, giving clients flexibility to train in the way that fits their lifestyle.Outpatient group availability varies depending on the specific group being offered.

Our providers are in-network with the following insurances and accept the contracted rate for Mental Health Counseling and Nutrition Counseling. This means that your insurance pays us directly, and you are responsible for paying only your deductible and copay or coinsurance. Payment is due at the time of service. Your card on file will be charged automatically for your portion of your session fee. Aetna AnthemBlue Cross Blue ShieldCigna and Evernorth Community Health Plan of Washington (Apple Health/UHC)Employee Assistance Program (Optum Only)First Choice HealthGovernment Employees Health Association (GEHA)Healthcare Management Administrators Kaiser HMO Kaiser PPOLifewiseMolina (Apple Health)Molina (Commercial)PremeraRegenceRegence Group AdministratorsTriWest (Mental Health Only)UnitedHealthcare (Commercial) US Family Health Plan (Mental Health Only)Veterans Affairs Community Care Network (Mental Health Only)

Please note that our office does not verify your benefits. Therefore, we strongly encourage you to check your benefits prior to your appointment. We recommend that you utilize the 'How to Check Your Benefits' resource below while contacting your insurance company to ensure you have accurate information.

Personal training is not covered by insurance. However, with a letter of medical necessity from your primary care provider, you may be able to use your FSA or HSA to pay for sessions.Single Session OptionSingle Session: $90Single sessions are 60 minutes each and available virtually or in‑person.Personal Training Packages4-Sessions: $306 8‑Sessions: $612 12‑Sessions: $918 All package sessions are 60 minutes each and available virtually or in‑person.Package Policies:Packages never expire.All purchases are non‑refundable and non‑transferable.Monthly Programming$150/month includes: 4 weeks of individualized programming each month (3 strength-training workouts per week).Access to the Everfit app for program delivery and tracking.One 60‑minute check-in session per month (virtual or in‑person).Programming Policies:Individuals in the ED‑informed personal training track must be Level C/D to be eligible for programming.The first month includes a 60‑minute intake session to establish goals, training history, and support needs. Later in the first month, a 60‑minute check‑in session is scheduled to review progress, adjust programming, and ensure alignment with client needs.

Our animal‑assisted therapy has no additional cost. It’s fully included as part of our services, so clients can enjoy the benefits of working with our trained therapy animals without any extra fees.

The costs vary depending on the type of group. You can find the most up‑to‑date pricing on each group’s page on the website.

For other insurance companies, we are considered out-of-network providers which means we can provide a receipt (a "superbill") for you to submit to your insurance for possible reimbursement. Payment is due at the time of service for individuals using out-of-network benefits. Your card on file will be charged automatically for your session fee.

Mental Health Counseling Licensed Therapist Intake Session: $255 Ongoing Sessions: $225 Associate Therapist Intake Session: $220 Ongoing Sessions: $180 Mental Health Intern Intake Sessions: $255 (Completed by the Intern’s Supervisor) Ongoing Sessions: $120 Nutrition Counseling Intake Session: $255 Ongoing Sessions: $225 Personal Training Single Session: $90Personal Training Packages:4-Sessions: $3068‑Sessions: $61212‑Sessions: $918 Monthly Programming: $150/month

We require a credit, debit, or FSA/HSA card on file in order to schedule sessions.

There is a 24-hour cancellation policy. A $60 fee will be charged for missed appointments and cancellations with less than 24-hour notice. Your card on file will be charged automatically for late cancellations or/and missed appointments.

A Good Faith Estimate is available upon scheduling or upon request.

Parents play a crucial role in their teenager's wellness journey. At Ash & Birch Counseling, we believe in fostering a collaborative environment that includes parents while respecting the confidentiality and autonomy of teens aged 13 and older. The level of parental involvement ultimately depends on the teenager’s willingness for such involvement and requires written consent from teens over 13 years old. Parents can participate in the initial assessment, provide ongoing support by staying informed about progress, access educational resources, join family or joint sessions when appropriate, and encourage their teenager's attendance at therapy and nutrition sessions. Research shows that supportive parent and caregiver involvement leads to more positive outcomes. This collaborative approach ensures that teens aged 13 and older receive comprehensive care while respecting their independence and personal growth.

Intentional weight loss can often lead to negative side effects and it almost never leads to long-term weight loss or any improvement in health. Want to learn more? Check out this resource here!