Neurodiversity-Affirming Assessments

Who are neurodiversity-affirming assessments for?

If you’re like many of the people I work with, you’ve probably spent years wondering why some things feel harder for you than they seem for others. Maybe you’ve been called sensitive, lazy, or difficult and never felt like that label fit. An assessment can help put words to your experience, bring attention to strengths that may have been missed, and point you toward supports that make life feel more manageable.

I work with adults, 25 and older, whose experiences often get missed in traditional assessment settings. That might mean you’ve been masking for years, your profile doesn’t fit the usual stereotypes, or your experience makes the picture more complex. My job is to understand how your traits and patterns actually show up in your day-to-day life, not to just check boxes. The process is collaborative, and your perspective matters just as much as any tool or test we use.

Schedule your 15-minute consultation!

What is the neurodiversity-affirming assessments process like?

In our work together, we’ll use both structured tools and open conversation. We’ll talk about your history, your daily life, and the ways you experience both strengths and challenges. You’ll have space to share your story in your own words. I use evidence-based assessments that are designed to reflect a wide range of experiences, not just the most obvious ones.

When it comes time for feedback, you’ll get more than a checklist of traits. I’ll walk you through the results in a clear way and give you recommendations you can actually use in your everyday life. Part of doing this work well means looking at the bigger picture. My rigorous differential diagnosis process includes screenings for other areas of functioning that may shape how you experience and understand the world. What we explore together is shaped by your unique story, so no two evaluations are ever exactly alike.

Before we get started we will meet for 15-minute consultation to see if we are a good fit. If we both decide to move forward, we will schedule your next appointment. It is important that you are given enough time to complete all intake forms and questionnaires, so we will find a time that works with your schedule and gives you plenty of time to do so.

Sam McCann

MA, LMHC, C-NDAAP

Sam is a Certified Neurodiversity-Affirming Assessment Practitioner (C-NDAAP) specializing in neurodiversity-affirming evaluations and therapy for late and self-diagnosed ADHD and Autistic adults.

Learn more about Sam here!

Services and Fees

  • Neurotype Exploration Session

    $250

    A one hour session where you can ask questions or explore the pros and cons of getting assessed. It can also be helpful if you identify as self-diagnosed and don’t feel the need for a formal diagnosis right now, or if you’ve recently received a diagnosis and aren’t sure how to move forward with this new information. This a great place to start if you’re unsure what the next steps should be or you need some clarity.

  • Comprehensive Evaluation

    $2500+*

    This diagnostic evaluation is best for those in need of a diagnosis for supports, a full report to share with other providers, or for their own in-depth understanding. Includes a one-hour mental health evaluation, four or more hours of interview and testing, and a one-hour feedback session where we’ll review results, recommendations, and referrals if needed. You will receive a full clinical report.
    *Split pay option available.

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Assessment  FAQs

  • Informational Assessment
    $1000

    Comprehensive Evaluation
    $2500+

    A non-refundable deposit of $500 is required to schedule your appointment(s) and will be applied toward the total assessment cost.

  • Comprehensive Evaluation

    • $500 non-refundable deposit – Required at time of scheduling. This will be applied towards total session cost.

    • $1,000 payment – due the day before your intake session.

    • $1,000 payment – due the day before your evaluation session (approximately 4 hours).

    • Full balance must be paid before your scheduled evaluation session.

    • $250 per additional session – if more data is needed (50–60 minutes each). Payment will be processed on the day of session.


    Incomplete payments will result in the cancellation of scheduled sessions, which may be rescheduled at the evaluator’s discretion. No refunds will be provided for services already rendered, regardless of the evaluation completion status.

  • Will you contact my insurance company about coverage?

    As a courtesy, we offer insurance benefit checks only for Premera and Premera-affiliated plans to inquire about potential coverage for evaluation services.

    For all other insurance plans, clients are responsible for contacting their insurance company directly to verify coverage, benefits, and any applicable requirements.

    Please note that any information obtained from an insurance company—whether by our office or by the client—is not a guarantee of payment. Insurance benefits may change at any time, and final payment determinations are made only after a claim is processed. You are responsible for all fees related to your evaluation regardless of coverage estimates or benefit information provided.

    Do I need preauthorization for an evaluation?

    Some insurance plans require preauthorization (or preapproval) before they will consider covering evaluation services.

    If you have a Premera or Premera-affiliated plan and preauthorization is required, we will attempt to request it on your behalf. Approval decisions are made solely by the insurance company, and authorization cannot be guaranteed.

    For all other insurance plans, clients are responsible for determining whether preauthorization is required and for obtaining it directly from their insurance company.

    If authorization is denied or coverage is not approved, you will be responsible for the full cost of the evaluation.

    Does insurance cover evaluations?

    Some insurance plans do not cover diagnostic evaluations. If your insurance plan does not cover the specific type of evaluation requested, services will be considered self-pay, and you will be responsible for the full fee.

    Clients are encouraged to contact their insurance company directly to confirm whether the requested evaluation is a covered benefit.

    What CPT codes should I ask my insurance company about?

    When contacting your insurance company to check benefits or coverage, you may be asked for CPT (Current Procedural Terminology) codes. Common CPT codes used for psychological evaluation services include:

    • 90791 – Intake appointment

    • 96136, 96137 – Test administration and scoring

    • 96130, 96131 – Psychological evaluation and report writing

    Coverage may vary by plan and by code. Your insurance company can tell you whether these services are covered, whether preauthorization is required, and whether any limitations apply.

    Can I submit for reimbursement if my provider is out of network?

    If we are out of network with your insurance plan, you may choose to pay privately and submit a superbill (an itemized receipt) to your insurance company for possible reimbursement.

    Superbills are available upon request. Please notify us at the time of scheduling if you would like to receive one.

    Reimbursement for out-of-network services depends entirely on your individual insurance plan. Clients are responsible for contacting their insurance company directly to determine out-of-network benefits and reimbursement eligibility.

    You can learn more about how out-of-network coverage works on ourUnderstanding Insurance page.

  • Missed appointments for evaluations will be rescheduled at the evaluator’s discretion and based on availability.

    No-call/no-show appointments may result in termination of the evaluation process.

    Due to the time required to complete assessments and evaluations, if you are more than 10 minutes late, the session will considered a no-show/late cancel.

    If you communicate that you are going to be late, the evaluator will determine if the session can be conducted.

    Missed sessions may be rescheduled depending on the evaluators availability and may incur additional session fees.

  • I offer assessments virtually anywhere in Washington State. If you’re concerned about privacy or stigma, you may choose to pay privately rather than use insurance.

    While my evaluations are legally and ethically valid, Washington State restrictions mean they cannot be used to qualify for government disability benefits. They also do not guarantee that a doctor will prescribe medication.

    Assessment does not guarantee a diagnosis.