Dr Josie in front of bookcase

Session Logistics

Remote Video Call (Zoom) 


 In-Person Sessions TBD

(once indoor mask order lifted

& with proof of vaccination )


Appointment Hours

​mornings to mid-day

late afternoon to evenings (seasonal)


45 to 50 minute Session 

​My office is in the heart of the Mission district, a diverse and eclectic neighborhood I have also called home since 2001.  My suite with private waiting room is located in the Francisco building at 2489 Mission Street at the corner of 21st Street, Suite 10. Convenient to 24th Street Mission BART station, Bartlett Public Parking garage, metered street parking, MUNI lines and bicycle pods. And close to nearby popular venues including Arcana, Alamo Drafthouse Cinema and El Techo rooftop.


Accommodations: I encourage clients to make themselves appropriately comfortable during therapy. Please feel free to sit or lie down during the session.

Building Accessibility: My office is on the 2nd floor, up one flight of stairs. 

Telehealth Sessions: For those who are unable to travel to my therapy office, I offer remote therapy including HIPAA-compliant encrypted video call sessions. 

Session Fee: My standard hourly rate is $200. A therapy "hour" is typically 45-50 minutes. I have space-limited sliding scale slots down to 50% of fee (e.g. $175, $150, $125, $100). Some clients also find an every-other week or a monthly schedule meets both their financial and therapeutic needs. 


Payment: My online practice management portal is integrated with the Stripe payment system - you can input your credit card number at the same time you fill out my intake and consent forms. Your card will then be charged after each session.  Cash, check, PayPal ( paypal.me/josievalderrama) and Venmo (Josie-Valderrama) are also accepted.

Insurance: I am private pay and not on any insurance panels, but you may still be able to get reimbursed by filing a claim for out-of-network services. Clients can request a "Superbill" from me, which you then submit directly to your insurance. Note that insurance companies have increasingly found ways to push back on reimbursements. I am happy to provide additional paperwork services, as requested. It is up to the client to negotiate with their insurance providers on these matters.


HSA/FSA: My fees can be paid for using a Health Savings Account (HSA) or Flexible Spending Account (FSA). 


Documentation: As a clinician, I will provide documentation as requested, charging for services beyond the normal paperwork of progress notes, superbills and the like.  Namely,  time spent on extra assessments, letters, copies of records, etc will be billed at my regular hourly rate. Documentation is conducted on a weekly basis, with up to a two-week turnaround. 

Cancellation Policy: 26-hour cancellation policy via text message or phone call  in order to incur no fees. 

See my Approach page for more details about my clinical background and theoretical orientation.