no, you do not need to live in the state of Tennessee or Colorado. you must be in the state of either Colorado or Tennessee at the time of service, though. i have patients who will travel to just within the state lines to be seen via telehealth.

this is difficult to determine without doing a comprehensive assessment. in all cases the goal is for treatment to be intentional, targeted and goal directed to occur for the shortest duration of time possible without lending to risk for relapse or return to a state of illness. while treatment with medication may be time limited, maintenance of wellness is best thought of as a lifestyle which one adopts and maintains, reducing risk of return to illness state.

sure! if you have them from the past, be sure to upload them into the practice portal in the messages section. if you do not have them and would like this test done, we can discuss in session. i am currently using either tempus or genomind.

the simple answer is yes, where appropriate. there are certain circumstances where use of controlled substance pharmaceuticals are indicated and a thorough explanation of the known risks associated with use will be reviewed. should we decide that the expected benefits outweigh the risks, they may be used. in general, this is infrequent. I do not prescribe benzodiazepines or z-drugs long term. in the case of psychostimulants, instant release formulations are generally avoided. these are general practice guidelines and exceptions may exist.

as an advanced practice provider in the state of Tennessee, not working in an Opioid Treatment Program (OTP) or Federally Qualified Healthcare Center, I am not permitted to prescribe buprenorphine products. if this is a recommendation for treatment, I can help get you linked to treatment where you can access this.

this is understandable. I also understand that my role is to provide you with an opinion on ways you might heal and return to wellness, not to tell you what to do. there are times when taking medication will be recommended to prevent illness or symptom syndromes which can have a devastating impact on one's life and a thorough explanation of the rationale behind this recommendation will be provided. in other cases, a discussion of indicated treatment options will occur with explanation of expected benefits and risks associated with treatment options, from which you can make an informed decision about your options.

you should reach out to your insurance company directly. you will at least want to find out the following if you have mental health benefit to see a psychiatric provider (nurse practitioner, in this case); you might confirm you don't need a prior authorization for mental health care. the CPT codes likely to be billed are 99205, 99213, 99214, 99213 + 90833 or 99214 + 90833, they may ask for these. if you have "out-of-network" benefits for mental health; you might want to clarify what the deducible is you can ask them for an estimated rate of reimbursement for mental health services. this is typically between 40-80% for ppo plans how to submit a claim regardless, payment will be due at the time of service for self-pay patients.

yes.

not at this time. but plan to take insurance by the end of 2025.