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###### — Welcome
# About me
## Welcome! I am Wayne Kessler, a Certified CBT and EMDR Therapist
#### Life can be challenging at times. You deserve to feel heard and supported. I am here to give you the nonjudgemental support and safe space that you need to heal, grow and begin to feel better.
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##### Wayne Kessler, MSW, LICSW
**Why I Do This Work**
I have always had an interest in helping others. I guess I discovered this at a young age. I also learned that I am very good at this and people gravitate towards me and confide in me naturally. I enjoy the process of connecting with people at a different level and helping them to discover things about themselves and realize they have qualities and abilities they didn’t realize they had. I am truly humbled and grateful for those who allow me to share their life experiences with me, no matter how traumatic they are. Together, we find the path of healing that works for them, at the pace that feel most comfortable. Every day, I learn so much from and am inspired by my client’s insights and ability to rise above their challenges.
**My Experience**
I have been a Licensed Independent Clinical Social Worker for over 30 years, working with adults who have challenges related to: work-related stress, relationships, layoffs, toxic work environments, fears, health-related issues, school challenges, career transition, struggling with grief from the loss of a human or pet, and challenges around retirement.  I have many years of experience in different settings, including individual therapy, inpatient, residential group homes, outpatient, and in-home therapy.
**Who Can You Help?**
**Therapy is only offered via teletherapy to adults in Massachusetts at the time of the therapy session.**
I work with a diverse population of individuals, including those who’ve never been in therapy, to individuals with anxiety, depression, trauma, ADHD, and other executive functioning challenges. I do not provide services to actively suicidal individuals. If you are actively suicidal, you will need to be stabilized before I can work with you. **I do not provide medications,** but, I can refer you to a prescriber. I work primarily with adults.  and am an  LGBTQIA+ friendly therapist.
**Who I Am Not Able To Help**
My areas of expertise do not include people who are actively suicidal, have eating disorders, have severe OCD, Couples, or have ASD; so I don’t work with those populations. I have many years of experience in different settings, including individual therapy, inpatient, residential group homes, outpatient, and in-home therapy.
**Therapy Offering**
I am dedicated to providing an open, welcoming, empathetic, and collaborative learning environment in which you feel safe and comfortable expressing yourself without judgment. I work with individuals from all walks of life and use my skills as a Therapist and mindfulness teacher to aid in your understanding of yourself and others.
**Therapeutic Orientation**
My therapeutic orientation is trauma-informed and evidence-based, and I am certified in Cognitive Behavioral Therapy(CBT). I also use trauma-informed EMDR therapy, IFS, Narrative Therapy, Solution-Focused therapies, motivational interviewing, mindfulness, somatic and strengths-based approaches in my practice. My therapeutic approach involves tailoring the therapeutic intervention to the individual’s unique needs with a customized, co-created treatment plan. I create an open-minded, safe space. I am a lifelong learner, so I strive to keep my clinical skills cutting-edge and up-to-date by frequently attending the latest training and workshops to further my expertise, awareness, and understanding.
**Insurance Accepted**
I currently accept most private insurance plans. However, I am not in-network for all plans offered by private insurers, as many have closed networks. We will need to check if I am in-network for your specific plan. I will explain how to do this step by step.
**Insurance I Do Not Accept**
**I do not accept any of the MA state health insurance plans like Medicare, Medicaid or MassHealth.**
**I also do not accept any MassHealth Connector plans like Tufts Direct, and Tufts Together**
**Be Brave And Reap The Benefits of Therapy**
Starting therapy takes a lot of courage and can be a challenging, yet highly rewarding experience. I believe that if we are able to become curious and adventurous, our lives can become more connected, grounded, and enriched in the process. I am committed to supporting you through this process with a warm, supportive, and collaborative spirit.
**Take The First Step**
**** using the schedule a session link. After submitting a contact request form, I will be in touch. I no longer offer 15 minute consultations but you can read some FAQ’s people normally ask me on the 
## Get Started Now
**Take the first step!**
Schedule a time to talk using the Book A Session button. After submitting a contact request form, I will send you an email to schedule our first 30-minute free introduction session. After that session, you can decide if therapy with me is right for you.
### Take This Step For Yourself
* Do you want to get control of your symptoms?
* Do you want to start feeling better?
* Are you scared of what will happen if you don't seek therapy?
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# Mission
## Our Mission
We seek to alleviate psychological suffering in our clients by providing the latest, evidence-based psychotherapy services that are tailored to the individual needs of our clients. We seek to lessen the experience of anxiety, worry and depression which can inhibit one’s enjoyment of life. We will provide a safe and supportive environment and strive to promote a positive sense of self and self-esteem. We strive to help our clients to create and reach their treatment goals and experience personal growth. We also seek to assist clients in engaging in healthy behaviors, and ultimately, to increase our client’s sense of meaning and purpose in life.
## Insurance
### How Do I Pay For Services Using My Health Insurance?
####
#### We Recommend That You Contact Your Health Insurance Provider Before Treatment
**Some important questions to ask include:**
* What are my **mental health insurance benefits**?
* Is **preauthorization required** before I make an appointment? If so, you may have to call your Primary Care Doctor and get the preauthorization before treatment for it to be covered.
* Is the therapist that I want to see on your preferred provider, **in-network provider  list**?
* If not, what is my coverage for out-of-network providers? Note that almost all health insurance plans require the patient to pay more for an out-of-network service.
* **What is my deductible** for both in-network and out-of-network therapists and has the deductible been met for the year? (Your deductible is the amount you need to pay out of pocket before the insurance plan starts paying). With many health insurance plans, a patient pays 100 percent of costs out-of-pocket until they have met their deductible.
* **How many sessions per year** does my health insurance cover with this therapist?
* **What is my co-pay**? How much will I be responsible to pay at each therapy session (your copayment).
* **What is my coinsurance** amount? Coinsurance is the amount you pay for covered health care after you meet your deductible. After meeting the deductible, a patient pays a defined percentage – the coinsurance amount. For example, a very common coinsurance arrangement is that the medical insurance company pays 80 percent of costs for a given therapy, with the patient paying 20 percent.
Even though I am on many Insurance lists, each insurance company has different plans. For example, I am on Blue Cross HMO provider list but not on Blue Cross Anthem provider list.  **You will need to check if I am on your insurance companies In-Network Provider list.**
You will need to give them my name, Wayne Kessler, our NPI number which is: Group NPI# **1366145393**. If they ask, our Tax ID# is: 92-3049557.    My individual  NPI# is 1114173010.
#### Health Insurance Plans I Do Not Accept
I do not accept any of the MA state health insurance plans, including Medicare, Medicaid, MassHealth, or MassHealth Connector plans such as Tufts Direct, Tufts Together, or Tufts Spirit. Also, I do not accept many EAP plans. Again, call the number on the back of your card and check if I am in-network or if you have out-of-network benefits and can get back some of the cost of therapy.
Health insurance can be tricky so it pays to call your insurance company before seeking treatment to see if your provider is “in network.” In-network means that they are on an approved clinician list and have prearranged a (usually reduced) cost for the psychotherapy services.
This is important to check because if the provider is not on the “In Network’ list you may have to pay out of pocket for services. Sometimes, my clients decide to do , and some insurance plans will reimburse you for a percentage of “” costs, but many do not. So it is important for you to check, even if your provider tells you they are credentialed with the specific insurance company.
#####
##### **Important Terms Used in Insurance Coverage**
When it comes to health insurance, there are a few key terms you should know: co-pay, deductible, out-of-pocket maximum, and co-insurance.
**Co-pay:**  A co-pay is a fixed amount you pay for a specific medical service or prescription.
**Deductible:** Is the amount you pay each year for most eligible medical services or medications before your health plan begins to share in the cost of covered services.
**Co-insurance:** Is the percentage of costs you pay for covered services after you’ve met your deductible.
**An out-of-pocket maximum**: Is the most you’ll pay for covered services in a plan year. Once you reach this amount, your insurance will cover the rest of your eligible costs.
**In-Network provider:**  Means that the clinician has been approved by the health care company to offer services at a specific negotiated (discounted) rate.
Understanding these terms can help you make informed decisions about your healthcare. If you have any questions, call the phone number on the back of your insurance card for more details. Once you have verified all your benefits, confirmed I am listed as an in-network provider, and obtained any needed preauthorizations,  
# Fees
## Our Fees
\*Please note that at this time I do work directly with several, but not all insurance plans. I work with Blue Cross HMO, NOT Anthem, Aetna, Optum, MGH Plus, Harvard Pilgrim HMO, but NOT Medicare or Medicaid. You will need to check if I am in network with your specific insurance plan. If I am not in-network with your plan and you have Out-of-Network benefits, I am very happy to assist you with submitting out-of-network claims, if your insurance provider allows you to seek reimbursement. When a provider is “out of network,” you may still be eligible for benefits. We can provide you with an invoice. If they provide out of network benefits-when you submit that invoice to your insurance company, you may receive anywhere from 30-100% of your session fee back, depending on your specific benefits plan.
**Therapy Fees**
Therapy is an investment in you. It can make a big impact on your quality of life and help to remove barriers that can prevent you from leading your best life and fulfilling your potential.
My Private Pay and Out-of Network fees are as follows:
$225 for the initial diagnostic session
$165 per 38-52 minute session
$200 per 53-60 minute session
When possible, we offer sliding scale fees at a lower rate based on circumstances such as unemployment or underemployment.
**Other Fees:**
**Records Request Fees:****​**
* $75 per request — this is for a brief treatment summary
* $95 per request — this is for requests that require copies of your entire chart
*Payment is required before requests will be processed.*
**Report Fees:**
*The initial payment will be based on an estimated time for the completion of the report. Should the report take longer than initially estimated, the report will not be released until payment is made in full.*
*Payment is required before reports will be written.*
* **$50 per 15 minutes of time required to write the report**
**Insurance Reimbursement**
I’m very happy to assist you by providing you with an invoice that you can use for out-of-network claims.
You will need to check with your insurance provider to see if they will allow you to seek reimbursement for a provider that is “out of network.” If they provide out of network benefits-when you submit that invoice to your insurance company, you may receive some or all of your session fee back, depending on your specific benefits plan.
However, you will often be responsible to pay your deductible and copayments first. 
\*Note that I also offer coaching services, but coaching is not an insurance-reimbursable service.
****