Frequently Asked Questions
Who will I be working with?
Finding the right therapist is an important part of the counseling process. Each clinician at Tier One Counseling Collective brings their own experience, areas of expertise, and therapeutic style while sharing the same commitment to evidence-based, compassionate care. We're intentional about who joins our team, carefully selecting clinicians who reflect the values and standard of care our clients have come to expect. If you're unsure which therapist is the best fit, we're happy to help guide you based on your needs, preferences, and scheduling availability.
What ages do you work with?
We work with clients ages 16 and older, including teens, young adults, adults, and older adults. Individual clinician specialties and availability may vary.
What concerns do you treat?
We provide treatment for a wide range of concerns, including:
Anxiety
Depression
Trauma and PTSD
OCD symptoms
ADHD
Bipolar and mood disorders
Grief and loss
Relationship concerns
Life transitions
Stress and burnout
During the intake process, we'll help connect you with the clinician who best matches your goals and treatment needs.
What therapeutic approaches do you use?
We believe therapy should be as unique as the person seeking it. Our clinicians use evidence-based, trauma-informed approaches tailored to each client's individual needs, goals, and pace. While each therapist brings their own experience, personality, and clinical strengths, we share the same commitment to providing compassionate, collaborative care grounded in current research and best practices.
Depending on your therapist and treatment goals, therapy may incorporate:
• Accelerated Resolution Therapy (ART)
• Cognitive Behavioral Therapy (CBT)
• Dialectical Behavior Therapy (DBT)-informed strategies
• Mindfulness-based approaches
• Attachment-informed therapy
• Skills-based and insight-oriented approaches
Because no two people are alike, treatment is never one-size-fits-all. Your therapist will work alongside you to develop an individualized approach that evolves as your needs and goals change.
Do you offer virtual or in-person sessions?
Depending on your clinician, we offer both in-person and secure, HIPAA-compliant virtual therapy sessions for clients residing in Kentucky.
In-person appointments are held at:
101 Wind Haven Drive, Suite 202
Nicholasville, KY 40356
Virtual sessions are conducted through a secure telehealth platform, providing convenient access to care from the comfort and privacy of your home.
If you have a preference for in-person or virtual therapy, let us know when scheduling, and we'll do our best to match you with a clinician who offers your preferred appointment format.
What insurance plans do you accept?
Insurance participation may vary by clinician as providers complete the credentialing process. We verify your insurance benefits before your first appointment and will let you know whether your selected clinician is in-network with your insurance, along with any estimated out-of-pocket costs.
We currently accept many major insurance plans, including:
Anthem Blue Cross Blue Shield
Aetna
Humana
TRICARE East
UnitedHealthcare
Cigna
Many Medicare and Medicare Advantage plans
While we verify benefits as a courtesy, insurance companies do not guarantee coverage or payment. Clients are ultimately responsible for understanding their mental health benefits, network status, deductibles, copayments, coinsurance, and any services not covered by their insurance plan.
Medicaid: At this time, Tier One Counseling Collective has reached capacity for Medicaid referrals and is not accepting new Medicaid clients.
Self-pay options are also available. Upon request, we can provide a superbill for potential out-of-network reimbursement. Reimbursement is determined solely by your insurance carrier and cannot be guaranteed.
What is your cancellation policy?
We require 24 hours’ notice for cancellations or rescheduling. Late cancellations and no-shows are subject to a fee, as this time is reserved specifically for you and cannot be offered to another client.
How often will we meet?
Most clients begin with weekly or biweekly sessions, depending on clinical needs and goals. As progress is made, sessions may be spaced out to support ongoing growth or maintenance.
How long are sessions?
Standard therapy sessions are 53–60 minutes. Extended sessions may be offered when clinically appropriate, including for trauma-focused work.
Do you prescribe medication?
No. We do not prescribe medication. If medication is indicated, we can collaborate with or refer you to a psychiatric provider or primary care clinician.
Is therapy confidential?
Yes. Therapy is confidential and protected by HIPAA and state law. There are limited exceptions related to safety and legal requirements, which are reviewed during the first session.
Do you offer resources outside of therapy?
Yes. Through Resilient Mind Market, which we will be offering guided workbooks and digital resources designed to support insight and growth between sessions. These tools are optional and intended to complement therapy, not replace it.
How do I get started?
You can begin by clicking Book an Appointment button or completing the contact form. We reach out with next steps and scheduling options.
What if I’m not sure therapy is right for me?
That’s completely okay. Starting therapy is a personal decision, and it’s normal to have questions or hesitation. I encourage you to reach out and we can talk through what you’re looking for and whether Tier One Counseling Collective feels like a good fit.