We are an out-of-network provider and do not accept insurance directly. However, we can provide a superbill for reimbursement if your plan includes out-of-network mental health benefits.

At Carissimi Mental Health and Wellness PLLC, we’ve chosen to operate as an out-of-network practice so we can offer the highest quality, personalized care without the limitations that often come with insurance-based models. Insurance companies frequently place restrictions on session length, frequency, and types of treatment. By staying out of network, we can: • Take the time you deserve during evaluations and follow-ups • Provide truly individualized treatment without rushed appointments • Maintain full clinical independence in decision-making • Focus on collaboration and continuity—not paperwork or authorizations This model allows us to prioritize your wellbeing, not insurance billing requirements.

Yes. All appointments at Carissimi Mental Health & Wellness PLLC are currently offered via secure video conferencing. This allows for flexible, accessible care from the comfort of your home or office. We do ask that you be in a private, quiet space.

Yes. Due to medical licensing laws, Nicole can only provide care to individuals located in Nevada at the time of the appointment. You must physically be in NV during each visit, even if you're a resident elsewhere.

Typical follow up frequency is between monthly to quarterly depending on your current needs.

For all appointments, the fee is processed the day of the appointment.

If you need to cancel an appointment for any reason, please give at least 48 business hours notice. Otherwise, your cancellation may include a cancellation fee based on our three-strike policy.  ​ Initial visits: Late cancellations or no-shows for initial visits cannot be waived and will be charged the full cancellation fee. ​ Established patient visits: First late cancel/no-show – Waived as a courtesy Second – Half of the cancellation fee Third and beyond – Full cancellation fee ​ Excusable situations: We understand that serious and unexpected events—such as hospitalization, family emergencies, or dangerous weather—can happen. In these cases, please let us know as soon as possible, and we may waive the fee at our discretion.

This practice is not available for emergency services and does not have an emergency hotline that is answered after hours. Portal, email, and phone communication is not appropriate for urgent matters. If you should have a medical emergency, please call 911 or go to your nearest emergency room. If you are in a mental health crisis please call 911 or the National Suicide Prevention Lifeline at 988.