Fees and insurance

Straightforward pricing, no surprises.

Everything is listed here so you know exactly what to expect. If you have any questions, I'm happy to answer them during your consultation.

Mental health counseling

For adults. Online only, in Massachusetts, Texas, Florida, and Washington.

Complimentary consultation15 minutes
Free
Initial evaluation60 to 90 minutes
$295
Counseling session50 to 55 minutes
$250

Occupational therapy

For children and families. Telehealth in Massachusetts, Texas, and Florida. In-home sessions in Massachusetts.

Complimentary consultation15 minutes
Free
Comprehensive evaluation60 to 90 minutes
$350
Therapy session50 to 55 minutes
$280

Insurance

Counseling and occupational therapy are handled differently.

Mental health counseling

I'm in network with Blue Cross Blue Shield in Massachusetts and Texas, and with Aetna in Massachusetts, Texas, Florida, and Washington.

If you have a different plan, sessions are private pay and I can provide a superbill you may submit to your insurer for possible out of network reimbursement. If you'd like to confirm your benefits before scheduling, reach out or book a consultation and we can go over it together.

Pediatric occupational therapy

Pediatric occupational therapy is private pay only. I can provide a superbill you may submit for possible out of network reimbursement.

A referral from your child's pediatrician is required before occupational therapy can begin, and I can help you request it. Coverage also varies widely between plans, so it's worth calling your insurer to ask whether yours covers out of network outpatient occupational therapy.

Payment and scheduling

How payment works

Payment is due at the time of service. I accept credit and debit cards, HSA and FSA cards, and I keep a card on file through a secure system.

Cancellations

Appointments canceled with less than 24 hours notice, and missed appointments, may be charged the full session fee. Life happens, and I use judgment, but the time is held for you and cannot usually be filled at short notice.

Documentation and administrative services

Some requests, such as disability and leave certification, accommodation letters, and records review, take clinical time outside of scheduled appointments. This work is billed separately, ranging from $150 to $350 depending on complexity. Documentation is completed for established clients as part of ongoing care, and full policies are provided at intake.

Good Faith Estimate

If you're paying privately rather than using insurance, you have the right to receive a Good Faith Estimate of what your care will cost. I will provide one in writing before we begin, and you can ask for an updated estimate at any point.

Still have questions?

The consultation call is free and there's no obligation. Bring your questions about cost, coverage, or anything else.

Book a consultation
This website is not to be used for emergency situations. If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately. For mental health crisis support, call or text 988.

Email: leonice@talkwithleo.com

© 2026 Leonice Ferreira, LMHC, OTR/L. Counseling licensed in Massachusetts, Texas, Florida, and Washington. Occupational therapy licensed in Massachusetts, Texas, and Florida.