WELCOME TO

Meaningful Conversations Counseling

Providing Mental Health Therapy and Counseling Supervision

 Using both telehealth and in person formats.


About Me


Bobbi Lowe MA, LPC, NCC, MITS, CGCS


I have worked with a wide range of clients. I have years of experience working with adolescents and children, involving the family unit into the therapeutic process. I use a Cognitive Behavioral approach. I find that art therapy and mindfulness practices are sometimes useful, especially in areas of reducing anxiety related issues. I have had many years of experience as a school counselor and am easily able to bridge the home/school therapeutic continuum.  In addition, I have the specialty in Grief Counseling.

Bobbi Jo Lowe Meaningful Conversations Counseling

Types of Therapy

For Individuals, Groups, or Families
  • Cognitive Behavioral (CBT)
  • Internal Family Systems

  • Mindfulness-Based (MBCT)

  • Motivational Interviewing
  • Person-Centered
  • Play Therapy/Sand Tray/Art Therapy
  • Solution Focused Brief (SFBT)
  • Trauma Informed Therapy
  • EMDR trained


In addition to therapy, I am a certified Supervisor for LLPCs who are looking for full licensure in the State of Michigan. My office hours are mainly afternoons and evenings Monday through Thursday.


My treatment groups are varied with specialization in Children (6 to 10),  Preteen/Tweens (11 to 13), and Adolescents/Teenagers (14 to 19), and Adults dealing with anxiety, depression, adjustment disorders or grief issues.  I find that a nurturing approach works best in my work.  I am able to re-frame behaviors and challenge insights in a non-threatening, nonjudgmental way, which has brought much relief and success to my clients.  


Specialties include:

  • Depression
  • Family Conflict
  • Grief
  • Parenting
  • Anxiety
  • Adjustment Disorders
  • Navigating Academic or Educational Problems


The Elephant in the Room

Elephant In the Room

It's ancient history!  So, why is it that memories from our past can resurface way beyond their expiration date?  Clients often come to therapy to try and understand feelings and…

The Elephant In the RoomQuarantine - Affliction or Windfall?

During this daunting time of pandemic, we have all been riddled with feelings.  Most have had an opinion on how this last four months has played out across the globe.  One of the…

Grief and Loss?  Or Death and Dying?

Grief and Loss?  Or Death and Dying? This month's blog surrounds the myriad of emotions that are experienced when someone in our life comes to the end of theirs. Most people can…

The Elephant in the Room

September 6, 2019    It is that time of the year again.  While some schools have transitioned to a “balanced calendar”, the majority have the start of the schoolyear during this…

Find us in person, call, or email.

6199 Miller Rd., Suite A
Swartz Creek, MI 48473



(810) 644 - 6564

Please note:  As I work in a single therapist practice, please do not leave emergencies on voicemail or email.  Do go to your local emergency room or use 911.  I am often in session and get voicemails later in the day or the next scheduled workday.


bobbilowe@counselingmail.com


FAX: (810) 630 - 0962

Good Faith Estimate

You have the right to receive a "Good Faith Estimate" explaining how much your medical care will cost.

Under the law, health care providers need to give clients who don't have insurance or who are not using insurance an estimate of the bill for medical items and services.

-You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.  This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

-Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item.  You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

-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, visit www.cms.gov/nosurprises or call 1-517-241-3740.


Practice Policies

Welcome to Meaningful Conversations Counseling, PLLC

* indicates a required field

6199 Miller Road; Suite A Swartz Creek, MI 48473
(810)644-6564 voice and text
bobbilowe@counselingmail.com
website: bobbilowe.com
Therapist: Bobbi Jo Lowe, MA,LPC,NCC,MITS,GCP,CCATP

General Information:
Therapy is unique in that there is a contractual agreement as well as a highly personal exchange of information. To that end, it is important that we each reach a clear understanding of how things will work and what is to be expected. The following consent will provide a clear framework and can be discussed with me directly at any time. Please indicate that you have reviewed this information and agree to it by signing electronically at the end.

It takes courage and strength to decide to seek therapy. I am honored to be along on this journey. The outcomes depend largely upon your willingness to engage and change during this process. Sometimes this can include a level of discomfort as difficult issues arise. Of course, I cannot promise that your behavior, circumstances, beliefs or feelings will change. However, I can promise to be present and helpful to the best of my ability to allow these things to occur. Sometimes, this may require me to clarify patterns that I discover may be contributing to your discomfort. I will support you in your efforts and do my very best to understand you. As a seasoned therapist, I have a variety of techniques in which I have received trainings, research, books read and certifications received. I may discuss using any of these strategies with you as we move forward to help you meet your treatment goals. A few examples of what techniques may be used are: Cognitive Behavioral Therapy (CBT), Eye Movement Desensitization Reprocessing (EMDR), Mindfulness Based Stress Reduction (MBSR), play therapy, art therapy as well as other trauma informed techniques.

Privacy:
What is discussed in a client's treatment is to be held in strict confidence. This is something that I take very personally. You can expect me to keep confidential all records and conversations that occur during this process, except under the limitations set forth below:

1. If a client threatens or attempts to complete suicide or otherwise conducts her/himself in a manner in which there is a substantial risk of incurring serious bodily injury.

2. If a client threatens serious bodily harm or death to another person.

3. As a mandated reporter for Child Protective Services or Elder abuse or neglect; If the therapist develops a reasonable suspicion that a client or other named victim is the perpetrator, observer of, or an actual victim of physical, emotional or sexual abuse of children under the age of 18 years, an elderly person, or a person of special needs whom may be considered at risk.

4. If a court of law issues a legitmate subpoena from a Judge (or designae) for information stated on the subpoena.

5. If a client is in therapy or being treated by order of a court of law, or information is obtained for the purpose of rendering an expert's report to an attorney.

6. Insurance companies may request information including NOT limited to diagnoses, treatment planning goals, assessment and progress notes.

7. Occasionally, I may need to consult with other professionals in their areas of expertise in order to provide the best treatment for you. Information about you may be shared in this context without using your name or any truly defining feature that would make it easy to identify you (your place of work, city you live in, etc.).

If we should encounter each other outside of the therapy office, I will not acknowledge you first. Your right to privacy and confidentiality is of the utmost importance to me, and I do not wish to jeopardize your privacy. However, if you acknowledge me first, I will be more than happy to speak to you briefly, but feel it appropriate not to engage in any lengthy or therapeutic discussions outside of the therapy office.

Minors please note that your parents may be legally entitled to some information about your therapy. I will discuss with you and your parents what information is appropriate for them to receive and which issues are more appropriately kept confidential, should the request arise.

Appointments:
Appointments are generally 53 minutes in length once per week. As goals are met, frequency of appointments usually are decreased until therapy is no longer necessary. The time scheduled for your appointment is for you and you alone. If you need to cancel or reschedule, please do so at least 24 hours ahead of the appointment. You will receive a text, email, voicemail reminder 24 hours ahead, if you so choose in these intake settings. This is highly recommended, as it will remind you to cancel and avoid late cancel/no show fees. These are not able to be charged to your insurance and will be charged to the credit card/HSA card you are required to keep on file. The rate for a no/show or late cancel fee is $80. In extreme circumstances where we both agree that you were unable to attend due to circumstances outside of your control, the fee may be waived. {PLEASE NOTE THAT CLIENTS USING MEDICAID ARE NOT ALLOWED TO BE CHARGED FOR LATE CANCEL/NO SHOW APPOINTMENTS. THEREFORE, THIS THERAPIST USES THE THREE STRIKE RULE. UPON MISSING THREE APPOINTMENTS, IT WILL BE DETERMINED THAT THE CLIENT IS NOT DESIRING TO CONTINUE THERAPY AND THE CASE WILL BE CLOSED.}
If a client is 15 minutes late for an appointment, that appointment cannot be charged to insurance, therefore the no show/late cancel fee will be charged. If it is the last appointment of the day, the therapist may leave, however, if she is still available the rest of the session can commence.

A $25.00 service charge will be issued for any checks returned for any reason.

Discharge:
When it is agreed that the client has met goals for treatment, the therapist and client will determine next steps. Usually, this involves a termination session after which, the case is closed. If it is an unplanned termination, in which the client does not continue making appointments, the case will be closed in 60 days. It is this therapists wish to allow clients to come back to therapy in the future (ie: life changes) as long as the schedule allows. I feel strongly that a client should not have to "start over" with telling their story to another therapist unless that is what they desire to do.

Insurance and Professional Fees:
If you have a health insurance policy, it will usually provide some coverage for your mental health treatment. I will submit claims on your behalf if you provide me with your insurance information and therefore giving me permission to do so. However, it is your responsibility for obtaining coverage information and determining what is expected of you for deductibles, co-pays, and knowing whether Meaningful Conversations Counseling, PLLC is considered in-network as a provider. It is usually required that Meaningful Conversations Counseling, PLLC provides a diagnosis to the insurance company if they are to pay for any part of the services or if deductibles are to be applied. In addition, there are times that the insurance company requires additional information that becomes a part of the insurance company's files. By signing this agreement and providing your insurance information, you are giving your therapist permission to provide that information to the insurance company. In addition, some insurances require prior authorization to pay for mental health services. If you did not obtain prior authorization and it was required, you may be responsible for paying the fees accrued for the services rendered. Many insurance companies leave a percentage of the fees to be paid by the client, which is considered a co-pay. This amount is due at the time of service. The credit card or HSA card on file will be charged unless check or other card payment is provided at the session. In addition, some insurance plans also have a deductible, or out of pocket amount to be paid before the insurance begins to cover services. This too, is to be paid at the time of services. If I am not a participating provider for your insurance plan, I will supply you with a receipt of payment for services which you can submit to your provider for reimbursement. Not all insurance companies will reimburse for out of network providers. However, they often have a list of in-network providers from which you can choose.

I also offer services for clients who wish to pay entirely out of pocket, not using insurance. This is called a private pay rate. I offer a sliding scale for 10% of my caseload to help those who fall upon hard times after beginning treatment. This is something that can be discussed with your therapist if needed. To receive sliding scale fees, you must present proof of income through recent pay stubs or tax forms. Outside of this one exception, fees are non-negotiable. My current (1/2022) rate is $100 per 38 minute session; $150 for 53 minute session, or $165 for a family session. The initial intake requires more paperwork and is $175. Clients are responsible for paying at the time of the session unless prior arrangements have been made. If you refuse to pay your debt, I reserve the right to use an attorney or collection agency to secure payment. If you anticipate becoming involved in a court case, I recommend that we discuss this fully before you waive your right to confidentiality. If your case requires my participation, you will be expected to pay an hourly rate of $150 per hour for the time required for my services, including but not limited to; travel time, paperwork preparation, time in the courtroom, discussion with your legal team.
A Good Faith Estimate will be provided to clients that will not be submitting to insurance for reimbursement. This is in accordance to the No Surprises Act that took effect January 1, 2022.

Fees can change at the therapist's discretion with 60 days notice given.

Record Keeping:
Your therapist may keep records of your counseling sessions and a treatment plan, which includes goals for counseling. these records are kept to ensure a direction to your sessions and continuity in service. They will not be shared except with respect to the limits to confidentiality and privacy discussed in that section. Should you wish to have records released, you are required to sign a release of information which specifies what information is to be released and to whom. Records will be kept for at least 10 years but may be kept longer. Records are kept electronically in a HIPPAA compliant electronic records system (Simple Practice) for which this therapist pays to make sure that records are as secure as possible.

Contacting Your Therapist:
Your therapist is often not immediately available when in session or not in the office. At these times, you may leave a message by using the office number: (810)644-6564. Texting is also possible with this number. This is a HIPPAA compliant phone platform called RingRX. In addition, this therapist uses a HIPPAA compliant email (hushmail) bobbilowe@counselingmail.com for use of communicating. Both of these programs are paid for by Meaningful Conversations Counseling, PLLC and do not cost more than any other carrier charges the client has on her/his phone for other texts/calls/emails.

If you leave a message, I will get back to you during my business hours. If you feel you cannot wait for a return call or it feels like an emergency situation, please use your safety plan, go to your local hospital, or call 911. You can also contact the GHS hotline number at (810)257-3740 or text "EMM" to 741741.

Social Media and Telecommunication:
Due to the importance of your confidentiality and minimizing the risk of dual relationships, I do not accept friend or contact requests from current or former clients on any social networking media.

Telehealth sessions:
Due to the current pandemic, if you are aware that you have been exposed to COVID -19 within 5 days of an appointment and have symptoms, please request that the appointment be held via telehealth. Also, if you have TESTED POSITIVE for COVID-19, please inform me so we can hold telehealth sessions for 10 days from your positive test. This is to protect both of us and our families and other clients and their families. My office space is relatively small. I do disinfect daily, require mask wearing, have a sneeze shield and use a UVC light daily to mitigate the risks of infection as much as possible.
Please note that if you are doing telehealth sessions, your login will always be the same:

http://sessions.psychologytoday.com/ms-bobbi-jo-lowe

If you are doing EMDR sessions online, the link is:
http://app.bilateralbase.com/reach/bobbi-jo-lowe

Links for Meeting through Telehealth

Please note that if you are doing telehealth sessions, your login will always be the same:

http://sessions.psychologytoday.com/ms-bobbi-jo-lowe


If you are doing EMDR sessions online, the link is:
http://app.bilateralbase.com/reach/bobbi-jo-lowe


CONTACT US

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