At Fresh Start Counseling Services, my focus is primarily limited to working with adults in either individual or couples therapy.  I also offer group therapy depending on client need.  The issues we deal with are many, including:
  • Depression
  • Anxiety
  • Grief/Loss
  • Divorce/Separation
  • Women's Issues
  • Adjustment
  • Marital & Relationship conflict
  • Self-Esteem/Confidence/Self-Image Problems
  • Job-Related Issues
  • Communication Issues
  • Anger Management
  • Work/Life Balance
  • Supporting/Reinforcing Recovery
  • Gay/Lesbian Issues
  • Men's Issues
  • Spirituality/Religious Issues

Frequently Asked Questions

  • Will my insurance pay for counseling services?
I am a participating provider in the following insurance networks:
  • United Behavioral Health    
  • Aetna
  • Cigna Behavioral Health
  • Humana/LifeSynch
  • Ceridian/LifeWorks
  • Medicare
  • Military OneSource
  • TriCare/Value Options
  • ESI - Employee Assistance Group
  • Behavioral Health Systems
  • Wood & Associates
Please check with your insurance company to verify coverage for out-patient mental health services.  Most managed care and insurance plans have an allowance for out-of network benefits.  Upon request, a receipt can be provided to submit for reimbursement for those plans that I am not a participating provider.

  • What if I don't want to use my Insurance? 
I also accept clients on a fee for service basis.  My fee for self-pay clients is $125.00 for a clinical hour (45-50 minutes).  Fee-for-service is the only way to receive therapy and maintain the highest level of confidentiality since there are no insurance forms submitted. 

  • What form of payment do you accept?
Payment is accepted in the form of cash, Visa, MasterCard, or Discover at the time services are rendered. 

  • Are sessions confidential?
Yes, sessions are completely confidential except where we are required by law to report information disclosed such as child or elder abuse or if someone were to be a danger to themselves or others.  You will be given a Notice of Privacy Practices and Informed Consent at your first session which contains complete information about confidentiality.

  • Are there any limitations to your practice? 
Yes.  I do not provide services that would include legal involvement or disability services of any kind.  Also, if after doing the initial assessment, I feel that I am not the best match for you in order to help you be successful in your therapy, I will assist you in locating another provider who may be a better fit. 

I look forward to working with you!  Are you ready to get started?

Cindy Swain, LCSW
Fresh Start Counseling Services
9600 Koger Blvd., Suite 240
St. Petersburg, FL  33702


FRESH START COUNSELING SERVICES,                                                                                        LLC