Questions?
We've got you.

Start by filling out our New Client Interest Form. Your answers help our Client Care Coordinator get a better sense of what you are looking for, who might be a good fit, and which clinicians have availability that matches your needs.

Before you submit the form, you are welcome to take a look at our Team page and note any clinicians you are especially interested in working with.

After you submit the form, you will see a thank-you message with a button to create your TherapyNotes client profile and schedule your free 20-minute phone consultation. The profile only asks a few questions.

During the phone consultation, our Client Care Coordinator will talk through fit, fees, insurance, availability, and next steps. They will also help get you scheduled for your first session and send over your intake paperwork.

No pressure. No judgment. Just a real conversation about whether Rebel Heart is the right place for your care.

After you submit the New Client Interest Form, you’ll be able to create your TherapyNotes client profile right away and schedule your free phone consultation. In most cases, phone consultations are available within a couple of hours to a couple of days.

No. You are welcome to look through our Team page if you want to, but you do not need to figure this out on your own. Our Client Care Coordinator knows our clinical team well and will review your needs, availability, and preferences to help identify clinicians who may be a strong fit.

Yes. Consultation calls are free and typically last 20 minutes. They are a chance to ask questions, discuss availability, and see whether Rebel Heart is a good fit for what you need.

If Rebel Heart feels like a good fit and there is an available clinician, we will help you schedule an intake session and complete the needed paperwork through the client portal. If we are not the right fit, we will be honest about that and, when possible, point you toward a more appropriate level or type of care.

We work with LGBTQIA+, poly, kinky, neurodivergent, and nonconforming humans in Portland, Oregon. Our clinicians and team members hold the identities and community experiences we serve, which means you can spend less time explaining the basics and more time getting to the actual work.

No. You do not have to hold any specific identity to work with us. What matters is that you want affirming, consent-centered therapy and that your needs fit within our clinicians' training and availability.

We often work with gender identity, coming out, anxiety, depression, ADHD, trauma and PTSD, kink and BDSM, body image, polyamory and ethical non-monogamy, life transitions, identity exploration, relationship anarchy, neurodivergence, shame, internalized stigma, sexual health, and relationship stress.

Yes. We care deeply about our communities, and part of ethical care is knowing when another provider, program, or level of care is a better fit.

We generally refer out for urgent thoughts of self-harm or suicide, recent suicide attempts, symptoms of psychosis, active substance use concerns, active eating disorders or recent eating disorder recovery, needs requiring intensive outpatient, partial hospitalization, or inpatient care, therapy for urgent legal matters such as custody disputes, and formal DBT programs.

Rebel Heart is not available 24/7 for crisis support. If you are in immediate danger or need urgent support, use crisis resources first. Rebel Heart keeps a Crisis Support Resources page with local and LGBTQIA+ specific options.

View crisis resources

Rebel Heart has clinicians at different stages of training and licensure. Each clinician receives supervision or consultation appropriate to their licensure level. All clinicians are expected to provide affirming, ethical care within their training and scope.

Licensed clinicians have completed master’s-level training, passed required licensing exams, and completed at least three years of supervised clinical experience. They are also required to complete continuing education every two years, including training in ethics, Oregon law, cultural competency, and suicide risk assessment, treatment, and management.

Associate clinicians have completed graduate training and are working toward full licensure while receiving clinical supervision.

Counselors-in-training are graduate-level student clinicians completing supervised clinical experience as part of their education.

During your consultation, our Client Care Coordinator can talk with you about which clinicians may be a good fit, what their availability looks like, and whether reduced-fee options are available.

We offer individual therapy, relational therapy, family therapy, commitment/premarital counseling, and group therapy when groups are available.

Individual therapy is one-on-one care with a clinician who can meet you with affirmation and curiosity. Sessions may focus on identity, mood, trauma, relationships, neurodivergence, shame, life transitions, self-understanding, or whatever else is bringing you in.

Yes, some Rebel Heart clinicians work with LGBTQIA+ youth ages 12-17. We do not work with clients younger than 12. During the consultation, our Client Care Coordinator can talk through which clinicians work with minors and what availability looks like.

Relational therapy can include couples, partners, polycules, chosen family, and other meaningful relationship constellations. We work with LGBTQIA+ relationships, polyamory and ethical non-monogamy, relationship anarchy, communication, trust, conflict, transitions, and the pressures that come with trying to build relationships outside narrow scripts.

Yes. Couples, triads, quads, nesting partners, play partners, and other relationship configurations are welcome when the clinical fit is right. Bring the people who are part of the work.

Yes. We work with chosen families, families of origin, queer and trans families, poly households, and families navigating identity, conflict, communication, boundaries, or repair.

Commitment/premarital counseling helps partners build a stronger foundation before a commitment, transition, or next chapter. This work often includes 6-14 sessions, an online couple assessment, review of relationship strengths and growth areas, guided exercises, and tools for communication, conflict, intimacy, values, family patterns, and future planning.

Yes. Rebel Heart provides individualized letters of recommendation for people pursuing gender-affirming surgery.

The service includes two appointments with Taylor Fitzgerald, Counselor-in-Training, who prepares the letter under the supervision of Irene Paul, LPC, Clinical Director. You will discuss your goals and the information required by your surgeon, then review the drafted letter together before it is finalized and signed. complete the interest form.Learn more and request your surgery-letter appointments →

Yes. Group availability changes throughout the year. We currently offer Rolling with It, a biweekly support group for adult roller derby skaters and medics who have experienced or witnessed serious injuries on the track. If you are interested in joining the group, please complete the interest form.

For in-network insurance, your cost depends on your plan's copay, coinsurance, deductible, and coverage rules.

Reduced-fee availability is limited and may change. When available, this discount is typically offered for sessions with associate-level therapists.

The discount is $90 off our standard private-pay rates. To receive this discount, clients must work with an associate-level therapist, agree not to submit claims to insurance in-network or out-of-network, and sign our Private Pay Discount Acknowledgement Form.

Yes. Rebel Heart is in-network with Moda and Kaiser Northwest for Oregon and Southwest Washington when Kaiser is your primary insurance.

Because insurance details can change, we recommend confirming your benefits before starting care and keeping Rebel Heart updated about any insurance changes.

We know insurance access matters. We also know that many insurance companies reimburse therapy at rates that make it hard to pay clinicians fairly for specialized, affirming care.

Our clinicians bring deep training, lived experience, and real expertise in supporting queer, trans, neurodivergent, polyamorous, kinky, and other marginalized communities. Many are also part of the communities they serve.

We limit our insurance contracts so we can keep offering high-quality care while paying our clinicians sustainably and respectfully.

For out-of-network care, the full session fee is due at the time of your appointment.

Rebel Heart can submit claims for most out-of-network insurance plans. However, when we submit the claim, the insurance company usually sends any reimbursement to Rebel Heart first, often by paper check. By the time the insurance company processes the claim, sends payment to us, and we reimburse that payment back to you, the process can take a long time.

For that reason, we usually recommend that we provide you with superbills instead. You can submit superbills directly to your insurance company, and any reimbursement is sent directly to you. This is usually faster and simpler.

Clients are responsible for verifying their own out-of-network benefits. Rebel Heart does not verify out-of-network coverage, and not every therapy concern is reimbursable. We recommend asking your insurance plan what they cover before starting services.

For most out-of-network and private-pay sessions, we charge the card on file on the same day as your appointment, at the time of the session.

If our admin staff are out of the office or unavailable, the charge may be processed later that day or on the next business day.

Current clients should message us through the Client Portal and select Billing as the message type. This is the fastest and most secure way to get help with insurance, claims, payments, denials, and other billing questions.

For everyone else, please call 971-350-1122 or email hello@rebelheartpdx.com.

Most clients meet weekly or biweekly, depending on clinical need, therapist availability, and what you and your clinician decide together.

Yes. We offer telehealth sessions, and telehealth availability can be discussed during your consultation or directly with your clinician.

For telehealth, you must be physically located in a state where your clinician is licensed to practice at the time of your session. For most of our clinicians, that means you must be located in Oregon. Some of our clinicians can also provide telehealth to clients located in Washington.

We ask all clients to sign a Telehealth Agreement Form when they start with us, even if they plan to attend sessions in person. This gives us the option to switch to telehealth if you or your clinician are too sick for an in-person session but well enough to meet, or in the rare event that the office closes due to inclement weather.

Rebel Heart has a 24-hour cancellation policy for all clients, including private-pay and in-network insurance clients. Late cancellations and no-shows are charged a flat $125 fee.

For sessions with a counselor-in-training, the late cancellation or no-show fee is $25.

The best way to cancel a session is to message us through the Client Portal and select Admin as the message type. This makes sure both the admin team and your clinician can see the message.

You can also call 971-350-1122 or email hello@rebelheartpdx.com, but portal messaging is the clearest and most reliable option. Phone calls and emails are monitored by our admin team, and as a small business, there may be times when our admin staff are out of the office due to illness, vacation, or other coverage limits.

Clinicians are paid by the clinical hour, and appointment times are in high demand. More than 24 hours' notice gives the team a chance to offer that time to someone else who needs care.

Rebel Heart Therapy is located at 11 NE MLK Blvd., Suite 203, Portland, OR 97232. The office is in The Fair-Haired Dumbbell at E. Burnside and NE MLK.

There is street parking only, so give yourself extra time to find a spot and get to the office.

Yes. There is a bus line and streetcar stop right outside our building, so public transit is a good option if you do not want to deal with street parking.

Use the Directions page for detailed instructions, including how to enter the building, take the elevator to the second floor, and find the waiting room.

View directions

Masks are not currently required in the office. You are welcome to wear one if it helps you feel more comfortable.

If you are sick, have symptoms, or think you may have been exposed to COVID or another contagious illness, please switch to telehealth when possible. You can also call or message us to ask whether an in-person session with masks is an option.

Some clinicians may feel comfortable meeting in person with masks, and others may not due to their own health needs, exposure risk, or the needs of people they live with. We support our clinicians in practicing consent around their health, just as we ask clients to do the same.

Potential clients can use the client portal to schedule their free phone consultation after completing the New Client Interest Form.

Current clients can use the portal for secure communication, paperwork, scheduling support, and billing questions. For privacy, current clients should use the portal instead of regular email when discussing confidential information.

Open client portal

You can review Rebel Heart's privacy practices here.

Please do not send confidential clinical information through the general contact form or regular email. New client requests should go through the consultation form, and current clients should use the client portal.