General Practice Information:

Appointments, billing, insurance, credit card on file policy, downloadable documents and forms

Scheduling Your Appointment

Thank you for visiting our website. Our office is open Monday-Saturday. The office staff are generally available to answer phones from 9am-5pm Monday through Friday. Therapists work a variety of hours, with some evening and Saturday appointments available.

Intake calls are handled by our administrative assistants. After reviewing your needs, the office staff will schedule an appointment with our Intake Coordinator who will determine which one of the staff clinicians would be available to best accommodate your needs.

When you call for the first time, and if it is between 9am-5pm Monday through Friday, you may personally speak to one of the office staff. They can take down all your information and ask you what health insurance you have. Please specify if you are calling for therapy, testing, or psychiatry so you can be routed the the correct department.

If we are able to accommodate your needs, we will schedule an appointment as soon as possible with the intake coordinator if you are looking for therapy, or the psychiatrist intake coordinator for psychiatry or the testing clinic for testing. If you call and receive our voicemail, please leave a message. We attempt to return all calls the same day they are received if at all possible. If you call earlier in the day, your chances are very good that you will get a call back sooner. If you call in the evening after business hours it is more likely that you will get a call back the next day. You can also email us at to request a call back, but please don’t forget to leave your phone contact information.

You may contact the office by phone: 401-842-0009

Insurance & Billing/Payments

For your convenience, for all types of counseling that we provide we accept some health insurances. At the current time, we accept all Blue Cross Blue Shield of Rhode Island plans and Federal Employee Program. We are preferred providers for Blue Cross Blue Shield. If you have questions on your specific Blue Cross Plan, you can check your insurance booklet or call your insurance carrier. If you have an OUT OF STATE blue cross plan, please check your coverage, it often differs from state to state. Please be aware of large deductibles that are common with insurance plans. It is always helpful if you are aware of your own insurance coverage before coming in for an appointment. As a courtesy, we will check your insurance to the best of our ability, however it is often difficult to obtain current and accurate information.

We also accept: Tricare (Prime, Retired and Standard), United Healthcare, and United Ritecare. Some, but not all of our providers accept Tufts Health Plans, and Medicare. If you have out of network coverage, a portion of the cost may be covered by your insurance. If we do not take your insurance, we offer a discounted cash rate for our services.

For psychological and neuropsychological testing we accept the above mentioned insurance plans. If your insurance plan does not cover testing you may receive a quote from our testing clinic coordinator.

For any questions about fees, please contact our office by phone. All patients are expected to pay their copay and deductible at the time of the session. We also ask that a 24 hour notice for cancellation be provided if possible.


To make it convenient for patients to pay for services, we have a credit card on file policy. We can simply charge your card on file for each copay, deductible, or other service fees. Our electronic health record system allows the storage of card information in a PCI compliant and HIPAA compliant manner in an encrypted vault for your safety. This will expedite check in and check out times and cut back on mailing patient statements. All patients are required to provide a valid credit card to be held in our system. Please read the policy attached for specifics.

Credit Card on File Policy

Thank you for choosing Karen Gieseke, PhD and Associates for your behavioral health needs. We are committed to providing you with exceptional care, as well as making our insurance billing processes as simple and efficient as possible. Recent shifts in the healthcare industry have resulted in insurance companies increasingly transferring costs to our patients, you, the insured. This is driving many practices to adopt new financial policies to enable more efficient operational processes. Some insurance plans require deductibles and co-payments in amounts not known to you or us at the time of your visit.

To streamline our billing and payment system and to provide a seamless, convenient way for patients to pay their bills, effective October 28, 2019, Karen Gieseke, PhD and Associates will require all patients keep an active credit card on file with us. We will bill your insurance company first and upon their determination of benefits, we will only charge your credit card when they inform us of patient responsibility. Circumstances when your card would be charged include but are not limited to missed or canceled sessions without 24-hour notice, missed co-payments, deductible and co-insurance, any non-covered services and/or denial of services.

Copays will continue to be due at the time of service.  Once the insurance has paid their portion and notifies us of the balance due, we will charge any remaining balance owed by you to your credit card and a copy of the charge will be provided to you.


To streamline the intake process during your fist appointment, please download and complete theĀ forms provided below and provide them to the office staff when you arrive for your visit:



Completed forms can also be scanned and emailed to the office at Please be advised that email is not a secure method of communication for medical or other personally identifiable information.