Step 1: Fill out our intake form here.

Step 2: Cadence will review your information and call you to gather additional information to determine our ability to provide services that match your needs.

Step 3: Depending on your reasons for seeking services and therapist availability, you may be (1) given referrals to other providers, (2) placed on our wait list, or (3) scheduled for a 90-minute first appointment with a therapist matched to your needs to establish a treatment plan.

We work with families with children as young as 3 and serve individuals through adulthood. Please note that to participate in DBT skills group, clients must be 13+.

Prior to being enrolled in a skills group at Cadence, a client must have established care with an individual therapist (within our outside of Cadence). If a client's individual therapist is outside of the Cadence team, you will be provided a consultation with a Clinical Director to confirm your fit to our Skills Group.

Yes, we maintain a waitlist. We will contact you via phone and email when an appointment time becomes available. Prospective clients have 24 hours to submit paperwork confirming their interest in pursuing services otherwise the appointment will be offered to another individual on the waitlist.

Cadence is not an in-network provider for any insurance company and does not bill insurance. Many insurance companies will allow subscribers to submit their out-of-pocket payments for insurance reimbursement. We encourage you to check in advance and see if your insurance company provides coverage for therapy with an out-of-network provider.

Below  are a few of the common procedure codes and clinic codes applicable to services provided at Cadence:  

Diagnostic evaluation (first session): 90791
Individual therapy: 90834
DBT Skills Group: 90853 

You may provide our clinic codes: 
Tax ID: 84-3717918
 NPI: 1215288543 

Cadence will provide a monthly statement that you may submit to your insurance company for eligible reimbursement to you for the out-of-pocket expenses you have occurred for services at Cadence. Please note that Cadence is not able to provide information about insurance benefits of your individual insurance plan. See below, "what is a superbill" for more information on superbills. In addition, a good faith estimate of expected charges is available upon scheduling or upon your request.

A 'superbill' reflects sessions attended by a client. These are typically used to submit to insurance providers for reimbursement.

Superbills include diagnosis code (specific to the individual client), client and clinician name, CPT codes, and clinic info (i.e. clinic Tax ID/EIN and clinic NPI).

A Superbill includes only sessions attended by client.

A Statement is a receipt that includes all charges (e.g. late cancellation/no show fees).

Payment is due at time of service. We accept major debit and credit cards. Information for one valid card is required to be kept on file.  Please contact billing@cadencechat.com for any additional billing and payment questions or concerns.

Individual therapy: Your full session fee will be charged for missed sessions or cancellations without 24 hours advance warning.

Group classes: You are responsible for the cost of group, regardless of your attendance. We can provide you access to a recording of your missed content in the event that you miss a group.  

Please note that clients may cancel and reschedule appointments directly through the client portal, especially in the event that you are trying to do so outside of office hours.

You may reach our administrative team on Mondays -Fridays between 9am-5pm.

Clinicians offer appointment times throughout the day, including some evenings and weekends.  

Services are provided via telehealth and in-person, depending on the clinician.

Consistent with the Washington State mandate for health care settings, we require masks be worn by all clients and staff.