Free Consultation Let’s Talk. Request a free consultation with me by filling out your info below… Your Name: Email Address: Phone Number: Prospective Client's Date of Birth: Member ID Number: Preferred Therapist Preferred TherapistMelissa Jenneman, MSW, LCSW, PMH-CEmily Linsmeyer, MSW, APSWRebecca Pollak, APSWTiffani Lajeunesse, LCSWNichole Bresina, LCSWBethany Geske, MSN, APNP, PMHNP-BCMattie Nicholson, MSW, CSWSavannah Gray, LPC-ITNo preference What is your insurance carrier? What is your insurance carrier?OptumGroup Health CooperativeSecurity Health PlanQuartzBenefit Plan AdministratorsDean Health Plan/Prevea 360MedicaForward HealthUMRCignaSurestAll SaversOscarOxfordCash PayAetnaBCBS/AnthemOther Please list your insurance carrier Is this a commercial plan or forward health? What challenges or concerns are bringing you to therapy at this time? How did you hear about us so we can send them a Thank You? Submit
