Self-pay Options
You do not need insurance to start therapy. Learn how self-pay works at Origins, then find a clinician and book a free consultation.
- 14 clinicians at Origins
- 13 accepting or with limited availability
- In person across North Carolina and online
You do not have to use insurance to start therapy. Self-pay, sometimes called private pay, means paying your therapist directly rather than billing a health insurance plan.
Clients choose self-pay for different reasons. Your preferred therapist may not participate with your insurance, you may not have applicable mental health benefits, or you may simply prefer to pay directly for your care. Whatever the reason, the goal is the same: finding therapy that works for you.
Self-pay rates can vary by clinician and service at Origins Counseling & Wellness. Review the current information on your therapist's profile or contact Origins before scheduling so you understand the fee for your care. If cost is a concern, you can also explore whether a clinician offers a sliding scale or whether your insurance includes out-of-network benefits.
Common questions
What does self-pay mean for therapy?
Self-pay means you pay directly for your therapy sessions instead of having Origins bill an insurance plan for that care. You may also hear this called private-pay therapy.
Can I see an Origins therapist without using insurance?
Yes. Self-pay may be an option even if you have insurance. Clients may choose it because their preferred therapist is not in network, their plan does not cover a service, or they prefer to pay directly. Check the therapist's current fee information before scheduling.
How much does self-pay therapy cost at Origins?
Self-pay rates can vary by clinician and type of service. Check the therapist's profile or contact Origins for current pricing. If the standard fee is difficult for you, you can also ask whether sliding scale availability or out-of-network reimbursement may apply to your situation.
Related reading
Meet the clinicians
These clinicians offer self-pay options. Pick a card to read more and book a free consultation.

Jasmine Johnson
MS, LCMHCA, LCASA, NCC · Therapist (she/her)
Virtual therapy for kids 10+, teens, adults, and couples who are worn out from overthinking, over-explaining, and putting everyone else first.
- Online: North Carolina
- Ages: Adolescents/Teens, Adults, Children
- Insurance: Aetna, BCBS
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Stephanie Manosalvas
MSW, LCSWA · Therapist (she/her/ella)
Bilingual, culturally responsive therapy for faith, identity, anxiety, ADHD, perimenopause and menopause, and major life transitions.
- In person: Cary NC
- Online: North Carolina
- Ages: Adolescents/Teens, Adults, College Students
- Insurance: Aetna, BCBS, CHAMPVA +1
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Allisa Dilling
MS, LCMHCA, NCC · Therapist (she/her)
Therapy for kids, teens, parents, and educators who want more calm, connection, and confidence.
- In person: Cary NC · Durham NC – Southpark
- Online: North Carolina
- Ages: Adolescents/Teens, Adults, Children
- Insurance: Aetna, BCBS, CHAMPVA +1
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Amy Leach
MSW, LCSW · Therapist (she/her)
Trauma therapy, EMDR and couples counseling, so you can find steady ground.
- In person: Durham NC – Southpark
- Online: North Carolina
- Ages: Adolescents/Teens, Adults
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Dr. Crissa Allen
PhD, LCMHC, NCC · Therapist (she/her)
Therapy for high achievers who are ready to stop living by everyone else's expectations and feel more at home in their own lives.
- Online: North Carolina
- Ages: Adults
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Ellis Graham
MS, LMFT · Therapist (she/they)
Queer, neurodivergent-affirming therapy for anxiety, trauma, relationships, and the exhaustion of holding everything together.
- Online in 7 states
- Ages: Adolescents/Teens, Adults
- Insurance: Aetna, CHAMPVA, Cigna +2
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Jessica Carlyle
MS, LCMHCA · Therapist (she/her)
Therapy for people-pleasers, helpers, and trauma survivors who are ready to make space for themselves too.
- In person: Greenville, NC
- Online: North Carolina
- Ages: Adolescents/Teens, Adults, Children
- Insurance: Aetna, BCBS, CHAMPVA
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Kayla Bullard
MSW, LCSW · Therapist (she/her)
Affirming therapy for women, pregnant people, birthing parents, and neurodivergent clients who are exhausted from holding everything together.
- In person: Elkin NC
- Online: North Carolina
- Ages: Adolescents/Teens, Adults
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Madison (“Madi”) Fulford
MS, LCMHCA, LCASA · Therapist (she/her)
OCD & Anxiety Therapy for Ages 12+ in Greenville, NC
- In person: Greenville, NC
- Online: North Carolina
- Ages: Adolescents/Teens, Adults
- Insurance: Aetna, BCBS, CHAMPVA +1
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Tae’Sia Hall
MS, LCMHC, LCASA · Therapist (she/her)
Online therapy for teens and adults who are tired of always having to be the strong one.
- Online in 4 states
- Ages: Adolescents/Teens, Adults
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟢 Accepting clients

Lacey Cottingham
MSW, LCSW · Therapist (she/her)
Neurodivergent-affirming therapy for complex trauma, dissociation, and the things you've been told you should just try harder to overcome.
- In person: Durham NC – Southpark
- Online in 4 states
- Ages: Adults
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟠 Limited Availability

Madison Heath
MSW, LCSW · Therapist (she/her)
Neurodivergent-affirming therapy for executive dysfunction, perfectionism, OCD, and the pressure to somehow do all the things.
- Online: North Carolina
- Ages: Adults
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟠 Limited Availability

Tavi Hawn
MSW, LCSW, LCSW-C · Therapist & Clinical Lead (they/them)
Liberatory, affirming therapy for trauma, shame, identity, relationships, and the things you thought you'd already worked through.
- In person: Durham NC – Chapel Hill Rd
- Online: Maryland · North Carolina
- Ages: Adolescents/Teens, Adults, Children
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
🟠 Limited Availability

Audrey Doidge
MS, LCMHC · Therapist (she/her)
Neurodivergent-affirming therapy for people who are tired of trying to make default advice work for a brain that works differently.
- Online: North Carolina
- Ages: Adolescents/Teens, Adults, College Students
- Insurance: Aetna, BCBS, CHAMPVA +3
- Fee: $200 per session, limited sliding scale
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