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At River’s Bend Psychology, I operate on a cash only basis.  I am happy to work with you to discuss fees and to guide you through the process of going out of network.  I can also provide you with the forms you will need to obtain reimbursement from your insurance provider.

I do offer a very limited number of spots at a reduced rate on a case by case basis.  Please do not hesitate to inquire about these spots.  

Current Patients of Dr. Niemeyer

If you are a current patient with me, you can click here to be linked to my Practice Portal for River's Bend Psychology.  In this Portal you can view you upcoming appointments, download forms to submit to your Insurance, and sign any documents that I have sent to you. 

What is the No Surprises or Good Faith Estimate?

Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit

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