Here are the answers to what most people want to know before reaching out. If you don’t see your question here, feel free to get in touch directly at DrSegal@SessionsWithSegal.com
I am licensed in Minnesota, Arizona, Washington D.C., and Virginia. I also provide interstate teletherapy through PSYPACT, which allows me to see clients across much of the country.
PSYPACT is currently available in all states except Alaska, California, Iowa, Louisiana, Montana, New Mexico, New York, Oregon, and Vermont.
Call or leave a confidential voicemail at 520-428-0341. I typically return calls within 24–48 hours. If you’re already an established client, you can request appointments directly through the online client portal.
Your first session is 60 minutes. It’s a chance for us to slow down together. We’ll talk through what’s bringing you in, your history, your stressors, and what you’re hoping to get out of therapy. From there, we’ll build a treatment plan with goals that actually feel meaningful to you.
Ongoing sessions are typically 45 - 60 minutes. We’ll usually start by checking in on how you’ve been since we last met, what’s shifted, what’s felt hard, what’s felt better. As we go, we’ll regularly revisit your goals and adjust as needed, because good therapy moves with you, not on a fixed schedule.
Session Fee
60-minute intake $200
60-minute session $175
45-minute session $150
30-minute session $125
Yes. I currently accept: Blue Cross Blue Shield, Aetna, UMR, UnitedHealthcare, Tricare, Cigna and Medica MN.
I handle all claim submissions on your behalf so you don’t have to worry about the paperwork.
Please note: I do not accept Medicare or Medicaid.
Before your first session, it’s worth calling your insurance company to understand your benefits. Helpful questions to ask:
• What are my mental health benefits?
• What is my deductible, and has it been met?
• How many sessions are covered per year?
• What is my copay or coinsurance per session?
• Do I need a referral from my primary care physician?
Insurance billing codes: 90791 (intake) | 90837 (60 min) | 90834 (45 min) | 90832 (30 min)
Insurance coverage for mental health requires a formal diagnosis and that diagnosis becomes part of your permanent medical record. For some people, that’s not a concern. For others, it matters quite a bit.
You may not need a diagnosis. Sometimes people come to therapy to navigate a major life change, find their footing again, or reconnect with who they are outside of all their roles and responsibilities. That’s real, valuable work even if it doesn’t fit neatly into an insurance code.
As a private pay client, you also get:
• More privacy: no third-party insurance company involved in your care
• More choice: select a therapist based on fit, not just who’s in-network
• More control: you and your therapist determine the pace and length of treatment, not your plan.
All fees are collected via credit card or HSA card through a secure, HIPAA-compliant payment system. During your first session, you’ll be asked to place a card on file, which will be charged automatically after each appointment. No invoices to chase, no extra steps.