​INSURANCE AND BILLING GUIDE

1. ADMINISTRATIVE CONTEXT STATEMENT

This page provides factual insurance and billing information for this online psychotherapy practice. It is provided to support practice transparency, assist in administrative verification, and clarify common insurance and payment terms.
The active clinical authority for all psychotherapeutic services described on this website is the Pennsylvania Licensed Professional Counselor (LPC) credential.
The Ph.D. reflects academic and research background. It does not indicate psychologist licensure and does not mean this practice provides psychological testing, psychological evaluations, school psychology services, forensic evaluations, disability evaluations, ADHD testing, autism testing, or educational assessment services.

1. FACTUAL DATA SECTIONS

Current Practice Billing Structure:

• Provider Name: Rebecca S. de Vries, Ph.D., LPC
• Practice Entity: Rebecca S. de Vries, Ph.D., LLC
• Active Clinical License: Pennsylvania Licensed Professional Counselor (LPC)
• License Number: PC005515
• Service Type: Individual outpatient psychotherapy
• Delivery Format: Online psychotherapy / telehealth only
• Client Population: Adults age 18 and older
• Client Location Requirement: Clients must be physically located in Pennsylvania at the time of service
• Appointment Model: Scheduled appointments only
• Payment Workflow: Payment is completed through TherapyPortal
• Insurance Framing: In-network language only
• Emergency Status: This practice is not an emergency or crisis-response service

1. PROVIDER AND PRACTICE IDENTIFIERS

Clients may use provider and practice information when contacting an insurance plan to verify benefits for outpatient telehealth psychotherapy.

• Provider Name: Rebecca S. de Vries, Ph.D., LPC
• Practice Entity: Rebecca S. de Vries, Ph.D., LLC
• Pennsylvania License: Licensed Professional Counselor
• License Number: PC005515
• Individual Type 1 NPI: 1588983894
• Organization Type 2 NPI: 1538533948
• Taxonomy: Counselor, Mental Health
• Taxonomy Code: 101YP2500X

NPI information is provided for administrative identification and insurance verification. An NPI does not by itself guarantee licensure, credentialing, network participation, insurance coverage, reimbursement, or payment.

1. INDEPENDENT BENEFIT DETERMINATION

Insurance benefits are determined by the client’s insurance plan.
The practice does not determine:

1. Whether a specific plan covers telehealth psychotherapy
2. Whether a deductible applies
3. Whether a deductible has been met
4. The allowed amount assigned by the plan
5. The copay required by the plan
6. The coinsurance required by the plan
7. Whether prior authorization is required
8. Whether a claim will be approved or denied
9. Whether a service will be reimbursed
10. The final amount assigned as client responsibility

Any information provided by this practice about insurance or billing is administrative information only. It is not a guarantee of coverage, reimbursement, network status, or final client cost.

1. COMMON INSURANCE TERMS

TermAdministrative MeaningPremiumThe amount paid to keep an insurance plan active. This is separate from the amount owed for a session.
DeductibleThe amount a client may need to pay before the insurance plan begins paying for certain covered services.
CopayA fixed amount the plan may require the client to pay for a covered service.
CoinsuranceA percentage of the allowed amount that the client may be responsible for paying.
Allowed AmountThe amount the insurance plan recognizes for a covered service.
Client ResponsibilityThe amount the client owes after the insurance plan processes the claim.
Prior AuthorizationApproval that some plans require before services are covered.
Network StatusWhether a provider is considered in network or out of network for a specific insurance plan.
ClaimThe billing submission sent to an insurance plan for processing.
Explanation of BenefitsA notice from the insurance plan explaining how a claim was processed. It is not necessarily a bill.