Rates & Payment

Supporting Your Family — Simply and Securely

We understand how overwhelming it can feel to navigate mental health care for your child or teen. At Closer Horizons, our goal is to safeguard their privacy—both now and in the future—while providing the highest level of individualized support. That’s why we operate as a private-pay practice, with payment due at the time of service. We accept cash, check, and standard debit/credit cards through our Venmo storefront, @Closerhorizons. Although we do not bill insurance directly, we’re happy to provide a superbill upon request, which you may submit to your insurance provider for potential reimbursement.

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Counseling

Service Fee
Intake
Required for all new clients
$165 per 60-minute session
Individual Counseling
Talk therapy (modified-CBT)
 $130 per 50-minute session
Skills Training Session
Evidence-based coaching session
 $70 per 30-minute session
Integrated Therapy & Skills Training
Talk therapy + training session + parent check-in
 $160 per 60-minute session
Horizon Circles
Small Groups
 $50 per 60-minute session
Additional one-time intake fee of $50

Evaluations

Service Fee
Evaluation
  • Includes intake session

  • Review of any prior reports/documentation of diagnoses

  • Parent interview and developmental history

  • Battery of assessments (chosen by clinician)

  • Testing accommodations (if necessary)

  • Recommendations for school and home supports

  • 1-hour post evaluation session to review the report, answer any questions and make recommendations regarding how to use the report (for those seeking educational or medical services)
 $1,500-$1,800 based on referral concern

See below for Neurodiverse Evaluations
Neurodiverse Evaluation
  • Includes all services above

  • Individualized testing battery based on concern (executive functioning, sensory profile, cognitive + adaptive functioning, social communication)

  • Consideration and assessment of additional mental health factors that could influence daily life functioning

  • Medical diagnosis that can be used to gain healthcare benefits and additional non-school related resources (OT, SLP, ABA services)

  • Actionable strategies and coaching that can be provided at Closer Horizons
$2,200
Partial Evaluation

Partial evaluations are available exclusively for patients referred to us by physician offices. Please contact our office for more info.
Please contact our office for pricing, as fees may vary based on the physician’s notes, referral concerns, and the specific assessments required.

Support Shouldn’t Be Out of Reach

We understand that finances can sometimes add stress, and we want to support you in any way we can. If you have questions about payment options, please don’t hesitate to reach out.

A limited number of monthly sliding scale slots are available. To be considered, please submit your information through our Contact page and indicate your interest in sliding scale payments.

Families seeking additional financial flexibility may also want to explore our small group program, Horizon Circles, which offers a lower weekly rate. Each group runs in a 6-week cycle.

FAQs

  • At Closer Horizons, we understand that unforeseen circumstances may arise, leading to cancellations or missed appointments. To ensure the best possible care for all our clients, we have established the following policies:

    Payment Policy: Payment is due at the time of service and may be made by cash, check (made out to Dr. Kenya Guarnieri), or Venmo @CloserHorizons. We also accept HSA debit and credit cards through our Venmo storefront. Timely payment ensures a smooth and consistent experience for both clients and providers.

    Cancellation Policy: We require a minimum of 24 hours' notice to reschedule or cancel an appointment without incurring a fee. This allows us to offer the time slot to another client in need. Dr. G can be reached at 502-281-7432 or hello@closerhorizons.com for cancellations.

    Missed Appointments: If an appointment is missed or canceled with less than 24 hours’ notice, a fee equal to 50% of the missed session will be charged. This fee must be paid before your next scheduled session.

    Late Arrivals: Arriving late to your appointment can impact the quality of your session and affect subsequent appointments. If you are more than 10 minutes late, we may need to reschedule.

    We appreciate your understanding and cooperation with these policies, as they help us maintain a high standard of service for all our clients.

  • At Closer Horizons, we do not accept insurance. This allows us to focus fully on your child or teen’s unique needs, free from outside restrictions.

    • Clinical freedom: Decisions are based on professional expertise and your family’s goals—not insurance requirements.

    • Privacy first: We don’t share sensitive details with insurance companies, giving your child added security and discretion.

    • Personalized care: Without limitations, we can create a truly individualized approach that supports your child’s growth and well-being.

    If you’d like, we can provide a superbill that you may submit to your insurance company for possible out-of-network reimbursement.

  • At this time, Closer Horizons does not offer extended payment plans for evaluations. However, we do provide the option to split the cost into two parts: 50% is due at the time of the intake appointment, and the remaining 50% is due prior to the start of testing.

  • At Closer Horizons, some services are provided by clinicians who are working under the close supervision of a licensed psychologist.

    All supervised clinicians are carefully selected, receive regular one-on-one and group supervision, and use the same neurodiversity affirming, evidence-based approaches as our licensed psychologists. Families benefit from a collaborative team approach at an accessible price point.

    Please call our office for current rates.

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