top of page

Support Makes a Difference

Offering counseling to adults, adolescents, and couples in a confidential and relaxed environment.



Select an option below

kjr adolescent.jpg

Embrace Life’s Challenges

Adolescent Counseling

Man Looking Out to the Mountains

Healing & Growth

Adult Counseling

Karen is on the preferred provider panels of many insurance companies including Anthem/Blue Cross & Blue Shield (BCBS), Aetna, Cigna, GEHA, and United Healthcare (UHC)/Optum.  She furnishes required forms to clients who would like to file with insurance companies that are "out-of-network" and provides services for a flat fee

to those who prefer not to use insurance.  If you will not be using insurance, 

please scroll below to "Good Faith Estimate/No Surprises Act."

Therapy sessions online (telehealth) are an option for established patients unable to attend appointments in person.   

Please click "schedule an appointment" above to schedule a session and be sure to mention "Telehealth" in the notes provided.  Someone will contact you prior to your first appointment.


Not all insurance plans cover telehealth appointments. Please call the number on the back of your insurance card to verify your coverage prior to your appointment.

Therapy sessions in-office and online (telehealth) are by appointment only, 

and anyone with a life-threatening emergency of any kind should call

911, Lifeline at 478-741-1335 or 800-548-4221 IMMEDIATELY.


  • You have a right to receive a Good Faith Estimate explaining how much your medical care will cost.

  • Under the law, healthcare providers need to give patients who do not have insurance or will not be using insurance an estimate of the bill for medical items and services.

  • You have a right to receive a Good Faith Estimate for the total expected cost of any non-emergency items of services.  This includes related hospital costs like medical tests, prescription drugs, equipment, and hospital fees.

  • Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item.  You can also ask your health care provider and any other provider you choose for a Good Faith Estimate before you schedule an item or service.

  • If you receive a bill that is at least $400 or more than your Good Faith Estimate, you can dispute the bill.

  • Make sure to save a copy or picture of your Good Faith Estimate.

  • For questions or more information about your right to a Good Faith Estimate, visit

bottom of page