Down to Earth Counseling

• Individual counseling (ages 12+)

• Partners/couples counseling
  (including polyamorous partners)

• Family counseling

• Letters of support for gender transitions*

• Group counseling

Standard rate: $120/hour*

Initial intake: $150 

Sliding scale: $60-$120; contact to discuss availability

At this time, I am in network with Blue Cross Blue Shield PPO, Indemnity, Blue Care HMO, and State Health Plans. I am out of network with ACA marketplace plans, such as Blue Value, and all other insurance plans. If I am out of network for your plan, your insurance company may reimburse you for the partial cost of a session, depending on your out of network benefits. I can provide you with billing information you need to receive reimbursement but please contact your insurance provider to confirm your benefits and for more information.

Note: You can cannot file for insurance reimbursement if you are also a sliding scale client.

*For clients who are only seeking letters of support and not ongoing therapy, as part of the Gender Affirming Letter Access Project, I have pledged to offer at least one free letter of support session per month. Please contact me if this is something you are interested in. Click on this link for more information: https://thegalap.org/

1. Email [email protected] to request access to Client Portal and intake forms

2. Fill out New Client Intake, Demographic Info, HIPAA Notice of Privacy Practices, and (if applicable) Additional Partners or Family Intake forms via Client Portal

3. Adam will reach out to schedule a free 30 minute phonecall to answer questions, confirm logistics/expectations, and (if needed) clarify information from intake forms.

4. Schedule first appointment together