Counseling Without Walls

Veteran owned.

Embracing healing & fostering resiliency through integrative psychotherapy. 

The clinical program of Seiyu Institute for Health & Training, L3C.

Yasuko Ichinomiya, MA

Rostered Psychotherapist; clinical supervision by Takuya Minami, PhD

Available for telehealth in Vermont.

ACCEPTING NEW CLIENTS.

Tony Parmenter, MA

Licensed Clinical Mental Health Counselor, EMDR Consultant™

Available for teleahealth, in-person, and in nature in Iowa, Vermont, New York, New Hampshire, Maine, and Massachusetts.

Reach out today to explore working together.

In network health insurance benefits are only possible for BCBS PPO health (in all states licensed). For all others, we use Mentaya to make it easier and cheaper for using your Out of Network insurance benefits.

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Because of licensing laws, counseling & psychotherapy are available in the United States to people with addresses in Iowa, Vermont, New York, New Hampshire, Maine, Massachusetts. Consultations and other professional services are available to anyone, anywhere.

Rates & insurance for Clinical Services

For services which are considered as psychotherapy by health insurance providers, those covered by In-Network insurance plans are charged at the contracted rate which is set by your insurance provider. We are in-network with BCBS PPO plans in most states where counselors are licensed.

For Out of Network (OON) billing, we prefer to use Mentaya to make this process easier and more affordable up front for you. For services that are 50 minutes or less, we base our rates on what is listed at fairconsumerhealth.org for zip code 05301. A 50 minute session is $200.

Our historical hourly rate for services that are 53 minutes or longer is $336 per 53-minute billing hour.

Intensives are discounted from the full hourly rate. Learn more here.

Missed appointment/late cancelation policy for services

Two business days are required to cancel a one-hour appointment. Extended or intensive appointments are non-refundable despite the reason for cancelation, due to the specialized and custom nature of the scheduling. All late or missed appointments, except in cases of environmental or medical emergency, are charged using the authorized billing method at the full rate of the services scheduled. Discounts may be applied at the discretion of the clinical director. For questions about this policy, please reach out.