A little clarity
before we meet.

Use the secure booking portal for directly arranged NuWave appointments.

Using insurance: choose this path only after we confirm your plan and billing arrangement.

Approved self-pay: choose this separate path after we agree on self-pay before care and complete any required election. Selecting it online does not change an existing billing agreement.

If your care is arranged through Alma or Headway, keep using that platform’s agreed booking and billing route. Ask me if you’re unsure which path to use.

All sessions are online through secure telehealth. I work with adults 18+ located in Wisconsin, Florida, Idaho, or South Carolina. In-person appointments aren’t currently offered. Idaho sessions are private pay.

Yes. I offer online therapy for adults located in Florida. You can find information about Florida telehealth requirements on the Florida Department of Health website. See appointment hours in Eastern Time.

We’ll make sure the technology is working, review your paperwork and expectations, and spend time getting to know each other. We’ll talk about what brought you in, your history, and what you’d like to work toward. There’s plenty of room for questions.

You don’t need a perfectly organized story or a clear goal to begin. If time allows, we’ll also start exploring some of your concerns.

Tell me what helped and what didn’t. We’ll get clear on what you want from therapy now and how to make the work useful in your everyday life. You’re welcome to ask direct questions about my approach.

Approved self-pay discounts are $65 for individual therapy (45 minutes) and $100 for couples therapy (50 minutes).

Approved self-pay discounts require agreement before care, no insurance billing, and permission under your plan and applicable rules. They are not insurance copays or deductibles. Any required self-pay election must be completed before care. Selecting self-pay online does not change an existing billing agreement.

The full standard fee schedule takes effect November 1, 2026. Standard charges are billed amounts before insurance adjustments. They are not plan-allowed amounts, guaranteed reimbursement, or an estimate of what you will owe. For covered in-network care, your responsibility depends on your plan’s allowed amount, coverage, deductible, copay, and coinsurance—not automatically the full standard charge.

Payment is due at the time of service. Major credit cards are accepted, and a card needs to be on file before scheduling.

Insurance may be available through Alma, Headway, or a direct NuWave payer contract. Availability varies by plan, state, and product. Please confirm your plan and billing arrangement with the practice before choosing “Using insurance.” Idaho is private pay.

Family-therapy coverage depends on the clinical service and your plan. Couples counseling is not automatically covered by insurance.

See insurance plans and billing details, or ask me about your plan.

For appointments billed directly by NuWave, a no-show fee may be up to $65 for individual therapy or $100 for couples therapy. With less than 24 hours’ notice, a cancellation fee may be up to $32.50 for individual therapy or $50 for couples therapy.

These limits are based on the discounted self-pay amounts, not the standard insurance charges, and apply to directly billed insurance or self-pay appointments only where your plan and applicable rules permit and the policy was disclosed in advance. Any lower fee already agreed in your client paperwork will be honored.

Missed-visit fees are not insurance claims, copays, or deductibles. For Alma or Headway appointments, your existing agreed arrangement applies; NuWave will not add a duplicate fee.

Repeated late cancellations or missed appointments may lead to ending services. A $34 fee applies for non-sufficient funds or a bounced check.

Forms and letters completed outside a session are administrative services and aren’t billed to insurance. The fee is $100 per hour in 15-minute increments, with a $25 minimum. Most simple requests cost $25.

If a request is likely to take longer than 15 minutes, I’ll ask for your approval first. Your card is charged when the work is finished. Medical-record copy requests are handled separately.

Yes. If you don’t have insurance or aren’t using it for your care, you have the right to a written Good Faith Estimate of expected charges. You generally receive one when you schedule care at least 3 business days ahead, even if you haven’t asked. You can also request one before booking.

Read the full Good Faith Estimate notice and timing details, or contact Adam to request an estimate.

Current hours · Central Time
Monday: 11 AM–3 PM
Tuesday: 2–6 PM
Wednesday: 8 AM–noon
Thursday: 3–7 PM
Friday: 8 AM–noon
Saturday & Sunday: closed

Eastern Time (Florida)
Monday: noon–4 PM
Tuesday: 3–7 PM
Wednesday: 9 AM–1 PM
Thursday: 4–8 PM
Friday: 9 AM–1 PM
Saturday & Sunday: closed

These hours are already in effect. The booking portal shows available appointment times.

NuWave Counseling provides scheduled outpatient telehealth appointments, not emergency care or 24-hour on-call coverage. Phone, email, text and portal messages are not monitored continuously.

For immediate danger or a medical emergency, call 911 or go to the nearest emergency department. For emotional distress or a mental health or substance-use crisis, call or text 988 for 24-hour support.

Do not wait for my response when urgent help is needed.

No. Texting consent is optional and isn’t required to receive services. You’ll review it during intake. Message frequency varies, and message or data rates may apply.

To opt out, reply STOP, update your consent in the client portal, or contact the office. Reply HELP for assistance. Read the full texting terms (PDF).

You’ll receive privacy information during intake. You can also read the Notice of Privacy Practices (PDF).