Fees

Supporting Your Family — Simply and Securely

We understand how overwhelming it can feel to navigate mental health care for your child or teen. At Closer Horizons, our goal is to safeguard their privacy—both now and in the future—while providing the highest level of individualized support. That’s why we operate as a private-pay practice, accepting cash, check, or Venmo at the time of service. Although we do not bill insurance directly, we’re happy to provide a superbill upon request, which you may submit to your insurance provider for potential reimbursement.

Support Shouldn’t Be Out of Reach

We recognize that finances can sometimes add stress, and we want to help in any way we can. If you have questions about payment options, please don’t hesitate to reach out. We offer a limited number of monthly sliding scale slots. If you’d like to be considered, please submit your information on our Contact page and indicate your interest in sliding scale payments.

Counseling Fee Structure

Service Fee
Intake
required for all new clients
$165 per 60-minute session
Individual Counseling $130 per 50-minute session
Individual Counseling with Parent Check-in $130 per 40-minute session + 10 minute parent check-in
Skills Training Session $75 per 25-minute session
Parent & Child Coaching $130 per 50-minute session
Advocacy $130 per 50 minutes + service fee
covers attendance, travel, and prep

Packages

Intentionally structured to build momentum through consistent, focused work without overwhelming your child or teen.

Service Package Fee
Counseling + Skills Session $165 per 50-minute session
optional parent check-in
4-Session Skill Builders Series $280 for 4, 25-minute sessions
6-Session Skill Builders Series $420 for 6, 25-minute sessions
The Momentum-Plan
  • 2 Counseling Sessions: 50-minutes each

  • 2 Skills Training Sessions: 25-minutes each

  • 1 Parent Check-In: 15 minutes

  • Limited between-session support: You or your teen can reach out via email or secure messaging, and we will respond within 1–2 business days. This support is ideal for quick questions, encouragement and/or progress updates and celebrations.

  • Priority Scheduling
$495/month

Evaluation Fee Structure

Service Fee
Evaluation
  • Includes intake session

  • Review of any prior reports/documentation of diagnoses

  • Parent interview and developmental history

  • Battery of assessments (chosen by clinician)

  • Testing accommodations (if necessary)

  • Recommendations for school and home supports

  • 1-hour post evaluation session to review the report, answer any questions and make recommendations regarding how to use the report (for those seeking educational or medical services)
 $1,500-$1,800 based on referral concern

See below for Neurodiverse Evaluations
Neurodiverse Evaluation
  • Includes all services above

  • Individualized testing battery based on concern (executive functioning, sensory profile, cognitive + adaptive functioning, social communication)

  • Consideration and assessment of additional mental health factors that could influence daily life functioning

  • Medical diagnosis that can be used to gain healthcare benefits and additional non-school related resources (OT, SLP, ABA services)

  • Actionable strategies and coaching that can be provided at Closer Horizons
$2,200
Partial Evaluation

Partial evaluations are available exclusively for patients referred to us by physician offices. Please contact our office for more info.
Please contact our office for pricing, as fees may vary based on the physician’s notes, referral concerns, and the specific assessments required.

Fee FAQs

  • At Closer Horizons, we understand that unforeseen circumstances may arise, leading to cancellations or missed appointments. To ensure the best possible care for all our clients, we have established the following policies:

    Payment Policy: Payment is due at the time of service and can be made by cash, check (made out to Dr. Kenya Guarnieri) or Venmo. This ensures a smooth and consistent experience for both clients and providers.

    Cancellation Policy: We require a minimum of 24 hours' notice to reschedule or cancel an appointment without incurring a fee. This allows us to offer the time slot to another client in need.

    Missed Appointments: If an appointment is missed or canceled with less than 24 hours' notice, a fee of $100 will be charged. This fee is due before your next scheduled session.

    Late Arrivals: Arriving late to your appointment can impact the quality of your session and affect subsequent appointments. If you are more than 10 minutes late, we may need to reschedule, and a late cancellation fee may apply.

    We appreciate your understanding and cooperation with these policies, as they help us maintain a high standard of service for all our clients.

  • At this time, Closer Horizons does not accept insurance which allows us to ensure that your child or teen’s unique needs remain at the forefront of our work together. By making this choice, we’re able to:

    • Provide greater clinical autonomy. Treatment decisions stem from our professional judgment and your personal goals, rather than requirements set by insurance companies. Which reduces the pressure to over-pathologize, helping preserve self-confidence and a positive sense of identity.

    • Uphold confidentiality and privacy. Opting out of insurance means we don’t submit clinical details or rationales tied to a diagnosis, granting your child or teen an added layer of security and discretion—particularly important as they navigate the transition into adulthood.

    • Deliver truly individualized care. With fewer restrictions and no obligation to meet insurance criteria, our sole focus is on crafting a therapeutic approach that honors your child or teen’s unique journey, aspirations, and well-being.