Relationship-Focused Counseling Services in Seattle
We serve all of Washington State, offering comprehensive telehealth counseling sessions from confidential home offices.

We view therapy as a collaborative way for anyone who feels stuck to create changes in their life. Therapy will help you examine your beliefs, assumptions, values, goals, thought patterns, and relationships. Talking problems through with a nonjudgmental, neutral third party can inspire a new perspective. Our therapeutic styles vary from conversational to clinical, and my clients report that they appreciate SCS’s active approach to therapy. We enjoy working with clients on goal-oriented changes, and utilize out of session homework to maximize the impact of therapy.
Brittany Steffen is the owner and founder of Steffen Counseling Services. She graduated from Seattle Pacific University’s marriage and family therapy graduate program in 2012 and has worked as a therapist in the Seattle area for the past 10-plus years.
Brittany Steffen, MS, LMFT
AASECT Certified Sex Therapist
Certified Integrated Intimacy Professional
Washington State Approved Supervisor
Clinical Interns: Our clinical interns are private pay and are not eligible for insurance reimbursement out of network. We can provide superbills for clients who want to submit for out-of-network reimbursement. However, most plans do not reimburse for sessions provided by unlicensed clinicians. Our interns are sliding scale, $60-$75 per session, pay what you can.
Associates: Our associate therapists are in-network with Premera, which includes Premera Blue Cross Blue Shield plans, Lifewise, Heritage, and other Premera plans. If you have a Blue Cross Blue Shield (BCBS) insurance card, and you’re not sure if your plan is run locally through Premera, you can call the number on the back of your insurance card or log into your insurance client portal to see if we are listed as an in-network provider. You can also use our Nirvana insurance calculator on our scheduling page to see if you are out of network.
Some BCBS plans are run locally through Regence, which we are not in-network with. This can be even more confusing because we will likely show up on BCBS lists as an in-network provider, even though we are only in-network with BCBS Premera plans–not BCBS Regence Plans. We cannot guarantee that we are in-network with your specific plan, so if insurance coverage is important to you, please confirm that your plan is indeed Premera and that your mental health benefits are run through Premera.
As an example, Providence employees have a Premera branded insurance card. However, their mental health benefits are run through Optim rather than Premera. If you have any questions about whether or not your mental health benefits are indeed Premera, please refer to your insurance client portal, the number on the back of your insurance card, or use our out-of-network insurance calculator to see if your plan is listed as an out of network result.
Our AASECT Certified Sex Therapist and owner, Brittany Steffen, is in-network with Lyra EAP, which will cover individual, couples, and sex therapy sessions. For more information on your Lyra benefits, contact your Lyra or HR representative. Most Lyra plans offer 25 free sessions per year to members.
<span style="font-weight: 400;">To find out what your out-of-network reimbursement for therapy will be, you will need to contact your insurance company and ask them about their out-of-network coverage. It's important to ask your insurance company the following questions:</span>
<ol>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">What is the out-of-network reimbursement rate for therapy?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Are there any annual limits on out-of-network reimbursement for therapy?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Are there any requirements that need to be met before I can be reimbursed for out-of-network therapy?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">Will I need to submit claims forms or any other documentation to receive reimbursement?</span></li>
<li style="font-weight: 400;" aria-level="1"><span style="font-weight: 400;">How long will it take to receive reimbursement after I submit a claim?</span></li>
</ol>
<span style="font-weight: 400;">To get reimbursed for out-of-network therapy, you will typically need to submit a claim form to your insurance company, along with any other required documentation. You will also need to submit proof of payment, such as a receipt from the therapist and a statement from the therapist that includes the date of service, the type of service provided, and the diagnosis.</span>
<span style="font-weight: 400;">It's important to keep in mind that the process of getting reimbursed for out-of-network therapy may take some time, and it may take several weeks or even months to receive reimbursement. It's also important to note that the reimbursement you receive may not be the full amount you paid for therapy, and you may be responsible for paying some of the costs out-of-pocket.</span>
<span style="font-weight: 400;">It's also important to check with your insurance company to see if they require anything else, such as a supervisory signature or a certain type of billing code in order to get reimbursed. It is important to keep in mind that the laws and regulations are different from one state to another, so it's always a good idea to check with your insurance provider to understand what is covered under your plan and to find out if there are any out-of-pocket expenses you'll need to pay for couples and sex therapy.</span>