Insurance and Rates

Insurance overview

Although I am not in-network with any private insurances at this time, there are a few places where I am contracted to provide therapy and counseling services:

  • Through Dartmouth College’s ComPsych Employee Assistance Program.  If you work at the college, you likely have access to the EAP.  This program generally covers eight sessions at no cost to you.  Please note, I accept the EAP benefit for individual counseling only.
  • At Dartmouth Hitchcock Medical Center, I am a “preferred provider” for employees and their dependents.  This means that although I remain technically out-of-network for the employee insurance, my clients can get reimbursed for my services at the in-network level of coverage.

Beyond these exceptions, I am considered out-of-network for insurances.  Keep in mind, insurance companies often have reasonable out-of-network benefits (such as Dartmouth’s mental health exception through Cigna).  Furthermore, many insurances will often grant exceptions or additional benefits to people who are unable to find available in-network providers through a reasonable amount of effort.  I would encourage you to review your benefits and advocate for coverage before dismissing the possibility of utilizing out-of-network services.

When asking your insurance provider about benefits for therapy services, you’ll want to ask specifically about your outpatient mental health benefit.  They can walk you through what your coverage is; whether you have a deductible, co-pay, or other restrictions and conditions.  These benefits tend to vary depending on whether the provider is in-network or out-of-network, so be sure to clarify that with them as well.

I no longer submit claims on behalf of clients for out-of-network services, though if you would like to use your out-of-network benefit I can provide you with a superbill that includes all the information you need to submit to your insurance yourself.

Private-pay rates

45 Minutes60 Minutes90 Minutes
Individual therapy$150$200$300
Couples/family therapy$185$245$370

Intake sessions are 60 minutes, with follow up treatment sessions generally being “clinical hour” 45 minute sessions. For many clients, I will encourage 60 or 90 minute standard sessions instead of the usual 45 minutes, depending on the presenting issue and other factors. I tend to meet weekly with new clients, with some exceptions.


Cash or check is preferred, although I accept all major credit cards as well. My Venmo handle is: @NickDoolittleTherapy

Cancellation Policy

Cancellations and missed sessions happen.  I appreciate that sometimes life gets in the way of best-laid plans.  Insurances will generally not cover or reimburse costs related to missed sessions.  In the interest of being as non-punitive as possible, while also respecting the opportunity cost of missed sessions, I ask that clients pay half of the expected fee (though no less than $50) for any sessions missed or cancelled with less than 24 hours notice, regardless of circumstance.  Furthermore, I offer one “freebie” missed session for all clients where I ask no fee.