Healing Rock Counseling Services LLC

Healing Rock Counseling Services LLC Cathy King LPC, PHD, CDCS Licensed Professional Counselor/Alaska Board Approved Supervisor Physical Address: 11517 Old Glenn Highway Eagle River, Alaska 99577 907-354-0439 DISCLOSURE STATEMENT Academic Degrees/Licensure/Professional Training: Ph.D.: 2005 Doctor of Philosophy in Clinical Christian Psychology M.A.: 2003 Master’s Degree in Clinical Christian Counseling B.A.: 1998 Bachelor’s Degree in Clinical Christian Counseling w/ Minor Christian Education Licensed Professional Counselor Supervisor State of Alaska # 510 & Board Approved Supervisor #109114 Alaska Commission for Behavioral Health Certification CDCS #325 Board Certifications ACBHC Chemical Dependency Counselor Supervisor EMDR Certified 2003 Equine Assisted Growth and Learning Certified (EAGALA) Areas of Specialization and Available Services: Counseling/Psychotherapy Available Management /Consulting Trainings Professional Counseling/Tele-Health Crisis Prevention/De-escalation Individual, Family, and Group Counseling Conflict Resolution Behavioral Health Doc. Compliance HIPPA/42 CFR Duel Diagnosis Outpatient Therapy Teambuilding Self-Regulation Skills/Stress Management Program Development /Medicaid Compliance Mind Body System Psychoeducation Policies and Procedures Development/ Behavioral Health Motivational Interviewing Consultation Substance Use Disorder Recovery Planning/Implementation of Programs Post Traumatic Stress Disorder Recovery Eye Movement Desensitization and Reprocessing State Grant Management/Administration Rapid Transformation Therapy LPC Clinician Licensure Supervision Severe Mental Illness Care/Treatment Planning FEE SCHEDULE Counseling and Psychotherapy Services: Initial Intake $282.18 Regular family Session $ 275.94 Individual 60 min $233.78 per session Crisis Sessions $ 275.15 Per 60 min session Group Session $ 150.00 per 60 min session Consulting Services Training and management/Consulting services are diverse, and fees are individually negotiated. Fees are due on the date of services unless otherwise arranged in advance. Cash, Checks, Visa, Mastercard, PayPal, and Discover are accepted for payment. Private insurance may be billed at the clients request on delivery of service. Provision of this information is required by the Board of Professional Counselors, which regulates all Licensed professional Counselors in the State of Alaska: Andy Khmelev, Occupational Licensing Examiner Phone : 907-465-8444 Fax: 907-465-2974 Email:ProfessionalCounselors@Alaska.Gov PO BOX 110806 Juneau, Alaska 99811 TELEMEDICINE SERVICES WHAT YOU NEED TO KNOW: We strive to make our services available regardless of transportation, weather, distance, public health and other factors may affect our clients’ convenience, preferences, and access. Telehealth is a preferred option for many persons to participate in counseling services. DISTANCE PROFESSIONAL SERVICES Providers must be licensed by the Department of Commerce, Community, and Economic Development, Division of Corporations, Business and Professional Licensing, Telemedicine Business Registry, P.O. Box 110806, Juneau, Alaska 99811-0806; telephone: (907) 465-2694. Before providing distance professional services, a licensee must: (1) be licensed in good standing under AS 08.29; (2) have completed a minimum of six continuing education hours from a National Board for Certified Counselors (NBCC) approved continuing education provider pertaining to distance professional services; and (3) determine that the client is intellectually, emotionally, and physically capable of using distance professional services, and that the delivery method for providing distance professional services is appropriate for the client’s needs. (c) An individual, wherever located, must obtain a license from the board before providing professional counseling service to a client in this state through distance professional services. (d) An individual located in this state must be licensed under AS 08.29 before providing distance professional counseling service, regardless of the location of the client receiving the service. (e) Before providing distance professional services, a licensee must develop a safety plan with the client to identify local resources in the client’s community should emergency care become necessary; the plan must identify an individual, and the individual’s contact information, who is trusted by the client who is available during distance professional services. (f) At the beginning of every distance professional services session, the licensee must verify and document the client’s identity in the progress note. (g) When distance professional services are deemed inappropriate by the licensee or client, the licensee must refer the client to a local health-care provider for in-person services. If the client refuses a referral to a local health-care provider for in-person services, the licensee must document the rationale for continuing to provide distance professional services. Authority: AS 08.29.020 AS 08.29.400 AS 08.29.490 SAFETY AND CONFIDENTIALITY OF COMMUNICATIONS. (a) A licensee must comply with the requirements of 45 C.F.R. Parts 160 and 164 regarding privacy, security, and breach for purposes of P.L. 104-191 (Health Insurance Portability and Accountability Act of 1996) for communication, including electronic communications and online scheduling. A licensee must notify the client if a communication is not confidential and limit electronic transmissions to general communications that are not client specific. A licensee must notify the client if online scheduling software is not encrypted and therefore may not be confidential. (b) A licensee must discourage a client from texting personal information. A text message is considered a part of the client’s record and must be kept in the client’s file. (c) A licensee must endeavor to protect clients from unwanted interruptions during distance professional services sessions. Authority: AS 08.29.020 AS 08.29.200 AS 08.29.490 INFORMED CONSENT. To provide distance professional services as the practice of professional counseling as defined under AS 08.29.490, a licensee shall ensure informed consent from a client. The informed consent must: (1) inform the client of who might have authorized or unauthorized access to electronic transmissions; (2) identify pertinent legal rights and limitations governing the licensee’s practice over state lines or international boundaries; (3) inform clients if and for how long records are archived and maintained; (4) inform the client of emergency procedures, such as calling 911 or a local crisis hotline when the licensee is not available; (5) inform the client of the limits of confidentiality under AS 08.29.200; (6) identify, as applicable time zone differences, local customs, and cultural or language differences that might impact services delivery; (7) inform the client when distance professional services are not covered by insurance; (8) and fully disclose the licensee’s licensing, credentials, and areas of expertise. Authority: AS 08.29.020 AS 08.29.400 AS 08.29.490 AS 08.29.200