Frequently Asked Questions

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Get Started Today

Step 1: Fill out our intake form here (3 min).

Step 2: Cadence will review your information and call to match you with a clinician (15 min).

Step 3: A clinician will schedule an intake interview to set your treatment plan (45 min, free of charge)

In order to provide the highest quality of care, we do not accept insurance.

You may however be eligible for reimbursement if you submit our invoice to your insurance provider. Here’s how:

Step 1: Call your insurance provider and ask what your ‘out of network benefits’ are

Step 2: You may provide the following codes:

- Intake appointment: 90791
- Individual therapy: 90834
- DBT Group Therapy: 90849
- We can provide a specific diagnosis code after we complete an evaluation and begin services
- If your Insurance requires a diagnosis code upfront, you can us the general code F41.1

Step 3: Our clinic’s tax ID is 38-3871410

We ask for payment upfront and charge after each session. We accept cash, check or credit card (Visa, MasterCard or American Express).


Individual: no fee for cancellation in advance of 24 hours

Group: fee for cancellation (access to taped recording)

Admin: Open 9 – 5 pm

Offer appointments all day, including evenings. Closed on weekends

We are providing full services via video and phone

We are located just off the lobby of the 5000 Building in the Carillon Point Complex.

As you enter the Carillon Point complex, you will come to a four-way stop. Turn left and proceed to the parking garage at the end of the road on the left. You will receive one and a half hour free parking validation if you stop at Starbucks or use the restaurants at Carillon Point.

Commonly Asked Questions


How do I get started?

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.

What ages of clients do you accept?

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+.

How do I get into a DBT skills group?

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.

Do you have a waitlist? How does it work?

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.

Do you take insurance?

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.

What is a "superbill"?

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).

What is the payment policy?

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 for any additional billing and payment questions or concerns.

What is the cancellation policy?

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.

What are your hours of operation?

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.

What are your COVID protocols?

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

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