Insurance and Rates

Insurance overview

I am not in-network with any private insurances at this time, with one partial exception:

  • 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.

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 out-of-network 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 not omit that detail.

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.