Connect to the Future You Want

Providing compassionate, trauma-informed therapy for couples and individuals.

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About My Practice

Are you are stuck?

Maybe you feel unable to move away from a bad situation - a rift in a relationship, crushing anxiety, grief, the effects of trauma. Maybe you are in a transition - changing jobs, leaving the military, moving, beginning or ending a relationship, realizing you’ve left your youth behind - and feel lost or stressed due to the change. Perhaps you are stuck in behaviors that don’t serve you and want relief from the anxiety and shame. I’ll listen without judgment to your stories that say where you came from, where you are, and where you are going.

My goal is to empower you with the tools and insights you need to connect to a more fulfilling life.

I know you have it in you to grow. I know and that you are the expert of your life. I’m here to collaborate with you, to help you connect to your partner, a future that serves you, or maybe your true self, so you can gain a renewed sense of confidence that honors your strengths and your accomplishments.

Tim Combs, MA, NCC, Professional Counselor Associate (R7865)

Supervised by Dr. David Ixtlahuac, PsyD, LMFT (T2429)

My office.

A healing relationship is collaborative.

Sometimes it is difficult to say what needs to be said, to get both the discomfort and joy in your stories into the open. I will be here to provide a space free of shame and stigma to help you be heard and to help you hear yourself. I'm drawn to helping those struggling with anxiety, childhood trauma, grief, or life transitions create the life they want.

I believe we are people of story, through our stories we can learn who we would like to be and how we would like to act.

I’ve worked with mature adults, couples, veterans, BIPOC folks, male-presenting clients who aren’t sure what counseling is, and the family and friends that support them.

Anxiety Life Transitions Veterans Expertise Addiction Gambling Geriatric and Seniors Grief Internet Addiction Men's Issues Relationship Issues Trauma and PTSD Video Game Addiction

A focus on your values and strengths will help you maintain a meaningful focus on the changes you want to make. Working on being present in your life will give you the compassion and courage to move forward in your life.

What is not serving you anymore?

We find what we need to survive the challenges of life. Often what was once helpful becomes harmful. I will help you explore the emotional depth of your concerns and how they affect your life holistically. You may be feeling stuck and desire change in your life, but may be unsure about how to explore possible futures, yet you are willing to muster up courage to start taking steps.

My goal is to empower you with the tools and insights you need to connect to a more fulfilling life.

I know you have it in you to grow. I know and that you are the expert of your life. I’m here to collaborate with you, to help you connect to your partner, a future that serves you, or maybe your true self, so you can gain a renewed sense of confidence that honors your strengths and your accomplishments.

Fees & Services

Individual Therapy

50-minute session

$150

Couples Counseling

50-minute session

$175

Payment

Payment is due at the time of our meeting. I accept debit or credit cards, cash, and checks as payment. I use Square to process credit cards which will securely store your credit card information.

I am not an in-network provider for any insurance company, which allows me to keep my rates reasonable. This ensures your treatment is a collaboration between us that is based on your concerns and my understanding of empirical best practices without being adjusted by an insurance company interested in cost-saving. This also protects your privacy as your symptoms and diagnosis are not shared with medical systems.

However, you may have an insurance plan that allows for out-of-network coverage. It is your responsibility to check with your insurance provider regarding out-of-network benefits as plans and benefits vary.

Checking With Your Insurance Provider

If you would like to investigate the possibility of reimbursement for out-of-network coverage, please check your policy carefully and ask your insurance provider the following questions:

  • How much does my plan cover for an out-of-network mental health provider?
  • I would like to see a therapist who is out-of-network; what is the process to obtain reimbursement for therapy with an out-of-network provider?
  • Does out-of-network therapy apply to my deductible? If so, what is my deductible and has it been met?
  • What is the coverage amount per therapy session?

I am happy to provide a “superbill” — a monthly statement including diagnostic and session information—for you to submit to your insurance.

Good Faith Estimates

Under the law, all 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 www.cms.gov/nosurprises.

Policies

Cancellations

If you are unable to keep an appointment, a 24-hour cancellation notice is required or you will be charged your full session fee. This is necessary because a time commitment is made to hold your session time exclusively for you. If you are late for a session, you may lose some of that session time.

Confidentiality of Communications

I use HIPAA-compliant Gmail for email communications, Google Voice for text messages, voicemail, and phone-based therapy sessions. Video sessions are hosted through a secure client portal.

Note that although I use a HIPAA-compliant email service, confidentiality can’t be 100% guaranteed with this form of communication.

Occasionally, I may need to consult with other professionals in order to provide the best treatment for you. Information about you may be shared in this consultation context without using your name or other identifying information.

Contact Between Sessions

If you need to contact me between sessions, you can send an email or text, or call and leave a voicemail. I am often not immediately available; however, I will do my best to get back to you within 24 hours.

If You Are In Crisis

I do not provide 24-hour crisis services. If you are having a mental health emergency, call 911, go to your nearest hospital emergency room, or utilize one of the resources below.

  • Clackamas County Crisis Line: 503-655-8585
  • Clark County Crisis Line: 360-696-9560
  • Multnomah County Crisis Line: 503-988-4888
  • Washington County Crisis Line: 503-291-9111
  • National Suicide Prevention Lifeline: 1.800.273.TALK(8255)

Connect & Location

Ready to start? More questions?

Connect with me today to start the conversation or schedule a FREE 15 minute consult to help us determine if we are a good fit to work together.

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My office is centrally located 2 miles south of downtown Portland at the corner of S Hamilton and SW Barbur, across the street from the Swan Mart.

Address: 4 S Hamilton, Portland, OR 97239

Phone: (503) 451-3173

The following bus routes stop at S Barbur & SW Hamilton:

  • 1 Vermont
  • 12 Barbur/Sandy
  • 38 Boones Ferry Rd.
  • 44 Capitol Hwy/Mocks Crest
  • 45 Garden Home
  • 54 Beaverton Hillsdale Hwy
  • 55 Hamilton
  • 56 Scholls Ferry Rd.

  • 43 Taylors Ferry/Marquam Hill stops at S Corbett & S Hamilton 2 blocks east of the office