Northstar Counseling Center

502-414-1301
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You are here: Home / Request an Appointment

Request an Appointment 

Please fill out your information on the below form to request an appointment with a provider.

Please note the following:

  • All providers accepting medicaid and medicare are full at this time
  • The majority of our providers in network with BC/BS / Anthem are on a 3-6 week waiting list and have very limited daytime availability only.
  • Some of our clinicians may be willing to work on an income-based sliding scale.
  • We do not accept health insurance for Couples Therapy, but can provide a superbill and/or accept FSA/HSA accounts.

Not looking for an appointment? Click here for the general contact form

"*" indicates required fields

Name*
Email*
Type of Therapeutic service/s I/we would like to pursue:*
Regarding medication management, this request is for:*
Preferred Billing Method:*
Couple Therapy Preferred Billing Method:*
Please note that we do not bill health insurance for couples therapy.
Would you be open to working with an Advanced Clinical Intern at a reduced self-pay rate?*
Interns at Northstar are in the final stages of completing their Graduate Clinical Training and receive close supervision from experienced clinicians. Working with an intern can be a cost-effective option while still receiving quality care.
There are instances when our clinicians that accept health insurance are full and do not have availability to schedule new clients. Under these circumstances, would you be interested in speaking with an available clinician about Private Pay/Out of Network (OON) options?*
Please check all scheduling options you would consider. We will always do our best to match you up with a clinician that meets your specific scheduling needs. However, there are times when our available therapists' schedules do not align with someone's preferences. (Please note that we very rarely have late afternoon/evening/weekend openings):*
Please check all scheduling options you would consider. We will always do our best to match you up with a clinician that meets your specific scheduling needs. However, there are times when our available therapists' schedules do not align with someone's preferences. (Please note that we very rarely have late afternoon/evening/weekend openings):*
I/We are interested in attending sessions:*
For virtual appointments, I would be logging in from:*
Form Consent*
This field is for validation purposes and should be left unchanged.

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  • Allison Hock Howell
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  • Rachel Heyne
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120 Sears Ave
Suite 205
Louisville, KY 40207
(502) 414-1301

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