Fireside Family Counseling


Frequently Asked Questions

Do you accept insurance?

Insurance companies typically require a mental health diagnosis within the first one-hour session in order to cover the cost of the counseling services received. While diagnoses are sometimes – even often – appropriate, they also become part of your permanent health record. Self-pay allows our time together to be led by your particular needs, rather than a diagnosis. For this reason, Fireside Family Counseling does not currently accept insurance. We will provide a receipt of services after each counseling session is paid in full, and many people find they can receive reimbursement from their insurance company upon submitting this receipt of services.

If you would like to see if your insurance plan will accept Fireside as an Out-of-Network Provider, contact them with this information:

Brian Troyer - MFT Associate (KY) #172718, NPI #1720596695

Do you accept Health Savings Account (HSA) payment?

Yes! IRS Publication 502 lists therapy/counseling as a qualified medical expense. If you use an HSABank account, they explicitly list therapy and counseling as a qualifying expense as well.

Do you work with individuals?

Absolutely! Don't let the term "family counseling" throw you off.  My training is in "Family Systems Theory," meaning I view individuals within their social/emotional context.  This allows me to work with individuals by using a broader perspective than assessing and treating only individual mental health problems. I work with adolescents and adults in individual counseling.

How much do you charge?

Fireside currently implements a sliding scale rate based on annual household income, available HERE. Fees can be paid with cash, check or credit card. Adoptive families, active foster families, and members of Southeast Christian Church are eligible for a $10/session discount.

Fireside is considered an "Out-of-Network Provider" with some insurance plans. You are responsible for the session fee at the time of service, but we will provide a receipt if you would like to seek reimbursement from your insurance company. If you do plan to seek reimbursement from your insurance provider, it may be helpful for you to verify your insurance benefits prior to our initial appointment.

What is a typical course of treatment?

Therapy services are tailored to your specific needs. Standard sessions are 50-60 minutes, and can be weekly, every 2-4 weeks, or as-needed. The frequency and duration of sessions are based on your individualized plan of treatment and will be discussed on an ongoing basis. I have worked with clients for as few as one or two sessions, and as much as weekly for 9-12 months. We will work together to find the treatment plan best for you!

Are there any issues with which you will not work?

Just as you wouldn't visit a general physician for a specialized surgery or procedure, some mental health concerns require specialized intervention. Severe mental health concerns requiring medication management should be treated by a psychiatrist.  Gender and LGBTQ concerns also call for someone with specific training in those areas.  I would be happy to discuss your individual situation to see if we are a good fit for counseling services. If not, I will try to refer you to someone who is.