
FAQs
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Yes! Here are some of the areas we commonly work with at Big Sky Counseling:
Life transitions
Grief/loss and bereavement
ADHD & Neurodiversity
Depressive disorders
Faith-Based issues
Insomnia
PTSD
Trauma
Alzheimer’s and Dementia as well as caregivers
Scrupulosity
Perfectionism
BFRBs (hair-pulling, skin -picking)
Please contact Big Sky Counseling if you are interested in counseling services and would like to know if we work with your specific concerns.
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We offer counseling services online throughout the state of Montana with an in-person option for those residing in Great Falls depending on availability.
Additionally, Kelli Smith, LCPC, offers professional consulting services online for clinicians throughout the United States.
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We are currently in-network providers with the following insurance companies:
*BCBS
Allegiance
Cigna
Mountain Health Co-op
Pacific Source
TriCare
We also provide superbills for clients who would like to access out of network benefits.
We recommend inquiring about your coverage prior to scheduling with a clinician at Big Sky Counseling.
(*Blue Focus is not an in-network BCBS plan. Big Sky Counseling recommends clients with an out of state BCBS plan call their insurer to verify coverage by BCBSMT.)
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A standard 55 minute counseling session is billed at a rate of $175/session. If you are a client using insurance benefits the out of pocket cost depends on your individual insurance plan and associated co-pays, co-insurance, or deductible limits. It is important to know and understand your insurance plan prior to scheduling. All out-of-pocket costs are charged to the client’s card on file within 48 hours of services.
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One-Time Individual Case Consultation (55 min)-$125 total
Individual Case Consultation Package of Four Sessions (55 min each session)- $400 total
Group Case Consultation Package of Four Sessions (Up to 6 participants, 90 min each session)- $200 total per participant
Group Case Consultation Package of Six Sessions (Up to 6 participants, 90 min each session)- $240 total per participant
Consultations services are typically held on Wednesdays and Fridays, however other days/times may be accommodated depending on need.
If you have consultation needs outside of the services outlined here, please contact Big Sky Counseling LLC to inquire about a customized plan that meets your needs.
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Absolutely! We are committed allies and will always provide affirming safe care for our LGBTQ+ clients, including those who find themselves in the intersection of their religious/spiritual community and LGBTQ+ identity. You are welcome and accepted here exactly as you are.