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rates & Insurance

We have multiple staff members who charge various fees for services, such as a diagnostic interview, couples therapy, individual therapy, or family therapy. Insurance plans have a variety of out-of-pocket costs and it is not possible to provide an exact estimate of all plan costs. Some of our patients do not want any record of mental health services sent to their insurance provider and choose to be self-pay. Other patients do not have a mental health benefit.

To avoid misunderstanding, we request that you speak with our office manager, Anne Staley, about the services you are seeking and whether or not you will be using insurance or self-pay. We will then be able to provide you with an accurate estimate of your out-of-pocket cost before you come to our office. During your first session, you will be provided an informed consent form that will detail fees in writing.

None of our clinicians are currently network providers for Medicaid, or United Health Plans (including United Behavioral Health). If we are not network providers for your plan, a patient can choose to pay our clinicians directly and then be provided documentation to turn in to your insurance plan. Some insurance plans will reimburse for out of network providers, and others will not.


Our staff charges different rates, depending on the service you receive. In addition, different insurance plans have different out of pocket expenses (ranging from zero to high deductible in which the insurance will not pay until a patient has paid several thousand dollars of medical expenses out of pocket).

We will ensure that you understand your clinician’s rates prior to your first session, but we can’t make any guarantees about payment from your insurance company and always recommend that you contact them to determine your out of pocket expense and whether or not they will pay for our services.

Here are some examples of our cash fees.

Intake: $150
Return Appointment: $120

Please note that some of our providers charge more and some charge less, but these fees are average rates for our clinicians. None of our licensed providers charge significantly different rates (ie within $30 of the above rates).

Low-Cost Counseling

We have practicum students who are under the supervision of our licensed staff.  Our students are able to provide counseling at no cost.  This option is not the proper fit for all patients, and we ensure that our practicum students are closely supervised, with a minimum of one hour of in-person supervision per week and more if needed.  Many patients will find that our student clinicians will be able to meet their counseling needs effectively.  If you are interested in this option, please ask our office manager.

Our office manager can provide a more detailed explanation of our fees and during your initial session, your clinician will again clarify any questions about our services and fees.


Depending on your current health insurance carrier or employee benefit plan, it is possible for services to be covered in full or in part. Please contact your insurance carrier to verify your plan’s benefit for mental health services.

We recommend asking these questions to your insurance provider to help determine your benefits:

  • Does my health insurance plan include mental health benefits for “outpatient mental health services provided in an office setting”?
  • Do I have a deductible? If so, what is it and have I met it yet?
  • What is my co-pay for outpatient mental health services provided in an office setting?
  • Does my plan limit how many sessions per calendar year I can have? If so, what is the limit?
  • Do I need authorization from my primary care physician in order for services to be covered?

Our clinicians are currently in-network with the following plans:

  • Blue Cross and Blue Shield – Dr. Spriggs, Mr. Benson, and Mr. Hunt. Please note that we do not accept Blue Value and Blue Local. If you have one of these plans it will state that on the front of your BCBS card.
  • Aetna -Dr. Spriggs
  • Carolina Behavioral Health Alliance — Dr. Spriggs, Mr. Hunt
  • Cigna – Dr. Spriggs, Mr. Hunt, Mr. Benson

If you have a plan that we are not credentialed with, it is likely that your plan may pay for a portion of our services as an out of network provider.  You would need to pay our staff directly and then would be provided documentation (known by insurance companies as a “Super-Bill”) for you to submit to your insurance to be reimbursed.


Our clinicians accept cash, check and all major credit cards as forms of payment.  If you register for the patient portal, you are able to pay your balance from home.  You may also pay by calling our office manager and providing credit or debit card information by phone.

Cancellation Policy

If you are unable to attend a session, please make sure you cancel at least 24 hours beforehand. Otherwise, you may be charged a cancellation fee.  Piedmont Counseling Center doesn’t want to charge anyone for a no-show or late cancellation, but it is very important for us to have a minimum of 24 hours notice if you must cancel or change an appointment.

Frequently asked questions

Not at all. People who ask for help know when they need it and have the courage to reach out. Everyone needs help now and then. In our work together, I’ll help you explore and identify your strengths and how to implement them to reduce the influence of the problems you are facing.

The difference is between someone who can do something, and someone who has the training and experience to do that same thing professionally. A mental health professional can help you approach your situation in a new way– teach you new skills, gain different perspectives, listen to you without judgment or expectations, and help you listen to yourself. Furthermore, counseling is completely confidential. You won’t have to worry about others “knowing my business.” Lastly, if your situation provokes a great deal of negative emotion, and you’ve been confiding in a friend or family member, there is the risk that once you are feeling better you could start avoiding that person so you aren’t reminded of this difficult time in your life.

Medication can be effective but it alone cannot solve all issues. Sometimes medication is needed in conjunction with counseling. Our work together is designed to explore and unpack the problems you are experiencing and expand on your strengths that can help you accomplish your personal goals.

Because each person has different issues and goals for counseling, it will be different depending on the individual. I tailor my therapeutic approach to your specific needs.

Unfortunately, this is not possible to say in a general FAQs page. Everyone’s circumstances are unique to them and the length of time counseling can take to allow you to accomplish your goals depends on your desire for personal development, your commitment, and the factors that are driving you to seek counseling in the first place.

I am so glad you are dedicated to getting the most out of your sessions. Your active participation and dedication will be crucial to your success.

Schedule Appointment

Scheduling an appointment with us is an easy process.  You may call our office staff at 336-293-7406.  Our office staff is generally available Monday – Friday from 9 am to 5:30 pm EST.  There may be times when you will need to leave a message during these hours, but if you call prior to 5:30 pm, our staff are often able to return your call the same day.

You are also welcome to call us at any time and leave a voicemail.  If your voicemail is left outside of our operating hours, your call will be promptly returned the next business day.

If you prefer our staff to contact you, complete the form below to request an appointment.  Our staff will contact you at our earliest convenience to learn how we can be of service to you.

Contact Us

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Please let us know how we may be of service to you. To maintain your privacy, please don't go into detail on this form -- we will contact you and discuss your situation in detail. Are you interested in individual counseling, couples counseling, or help with parenting? If you are not sure, we will help you select the service that will help you.