Louisville · Murray · Telehealth across Kentucky
Questions about counseling in Louisville, Murray and online in Kentucky
Straight answers to help you take the first step.
Starting counseling brings up practical questions. Here are answers about requesting an appointment, cost and insurance, telehealth and our two offices. If you don’t see your question, call either office or email us.
Not sure who to see? Call and we’ll help you choose.
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Getting started
How do I request an appointment?
Use the Request an appointment button on any page and follow the steps to choose a counselor, an office or telehealth, and a time. You can also call Louisville at (502) 825-1375 or Murray at (270) 339-4201. We’ll email you to confirm and send your intake paperwork.
How do I choose a counselor?
Start with what you want help with, where you’d like to meet and who the counseling is for. Our counselors page shows each counselor’s focus, ages, location and whether they’re taking new clients. Not sure who to see? Call and we’ll help you choose.
Can I talk with someone before I book?
Yes. Call (502) 825-1375 for a short conversation, usually 5 to 10 minutes, about fit. If no one answers, leave a message and we’ll call you back.
Which counselors are taking new clients?
As of October 2026, ten counselors are taking new clients. In Louisville, John Bush, Melissa Rueff, Deborah Marasa and Kelsey Hamilton. In Murray, Megan Higashimura, Anna Miller and Sarah Smith. By telehealth only, Charlene McDonald, Brittany Elkins and April Cornett.
What do I need to do before my first session?
Complete your intake paperwork in the secure Client Portal at least 24 hours before your first session. Have your insurance card and a payment method ready if you haven’t added them to the portal.
How long are sessions, and how often will I come?
Sessions last about 50 to 55 minutes. Many people come weekly or every other week. Your counselor will plan the schedule with you based on your needs and any limits from your insurance.
Do you see children, teens, couples and families?
Yes. Megan Higashimura sees ages 5 and up, and Sarah Smith sees ages 14 and up. Both also see couples and families, in Murray and by telehealth. In Louisville, Melissa Rueff sees individuals ages 12 and up, at the office and by telehealth. See child and teen counseling.
What if I need help right away?
If you are in crisis, call or text 988. In an emergency, call 911. Please don’t use email, the Client Portal or an appointment request for urgent needs.
Cost and insurance
What insurance do you take?
We accept 23 plans. They include Kentucky Medicaid plans from UnitedHealthcare, Wellcare, Passport by Molina, Aetna Better Health and Humana, Medicare, commercial plans, Marketplace plans, several EAPs and TRICARE East. Plans vary by counselor. See the full list on insurance and payments.
How much does counseling cost without insurance?
Self-pay fees range from $25 to $100 per session, depending on the counselor. Sessions with our three supervised counselors in training are $25. See affordable counseling.
Do you take Medicare?
Yes. Seven counselors take Medicare and Medicare replacement and supplement plans. John Bush, Charlene McDonald and Brittany Elkins are taking new clients. See counseling with Medicare.
Can I get a Good Faith Estimate?
Yes. If you’re paying for yourself and not using insurance, you have the right to a Good Faith Estimate of your costs. Ask our office for one before your first session.
What if you’re out of network with my plan?
You pay the session fee at your visit and ask us for a superbill. You can send it to your insurer for possible reimbursement. Check your plan’s out-of-network benefits first.
Telehealth
Who can use telehealth?
Anyone with a Kentucky home address. Every Acadia counselor offers telehealth. Join from a private, stationary place. Sessions don’t take place in a moving vehicle or a public space.
How do I join a video session?
You’ll get an email with a link when your appointment is scheduled, and a reminder about 48 hours before. Open the link in your web browser, or use the SimplePractice Client Portal app or the Telehealth by SimplePractice app. See online counseling.
What do I need for telehealth?
A phone, tablet or computer with a camera, a steady internet connection and a quiet, private room. Headphones help with privacy.
Is telehealth private?
Sessions run on SimplePractice, a secure platform built for health care. On your end, choose a room where no one can overhear you.
Locations
Where is the Louisville office?
Dupont Professional Towers, 4010 Dupont Circle, Suite B173 (basement level), Louisville, KY 40207. It’s near the Watterson Expressway and Breckenridge Lane. See our Louisville office.
Where is the Murray office?
308 S 12th Street, Murray, KY 42071, in downtown Murray across from Dumplins Restaurant. See our Murray office.
What are your hours? Do you take walk-ins?
Sessions are by appointment, generally on weekdays. Some evening and weekend times are available, but they are limited. We don’t take walk-ins.
Related pages
Still have a question?
Call either office for help with counselor fit, cost or scheduling. Please share clinical details only through the secure Client Portal.
Email us at info@acadiacounseling.com.
If you are in crisis, call or text 988. In an emergency, call 911.