Open Enrollment 2025

As you review your health plan options for 2025, please note that Psychiatric Alternatives & Wellness Center (PAWC) will be out-of-network with Aetna effective December 1, 2025.

PAWC will continue to participate with the following plans in 2025/ 2026:

  • Alameda Alliance
  • Anthem Blue Cross (CA)
  • Blue Shield of California
  • Carelon Behavioral Health
  • Compsych
  • Cigna (Evernorth)
  • Health Net
  • Health Plan San Mateo
  • Kaiser
  • San Francisco Health Plan
  • Sharp
  • Triwest
  • UnitedHealthcare / Optum
  • VHP
  • Wellfleet

For questions about your coverage or continuity of care options, please contact our Billing Team at billing@psychiatricalternatives.com.

Our Awesome Team

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Nicole Barhorst, LPCC

Nicole Barhorst, LPCC (She/ her) Adults

Professional Statement

I am a Licensed Professional Clinical Counselor who has worked with individuals that are experiencing a variation of difficulties. I specialize in helping patients with anxiety, depression, and stress. I also have experience helping individuals with ADHD, brain injury, relationships, self-esteem, school/career and other life difficulties. Reaching out to a psychotherapist is a big step that you are taking even if it feels like a small achievement. We all want to be heard when something is bothering us. Having someone hear us when we are upset can mean a lot. It can also feel good to have someone to vent to when a day has been long. I am interested in helping you through life's struggles and setting goals for the future. I'm also here to guide and support you through difficult experiences. I am here to listen because sometimes you may need to share when life changes or need help processing what has happened. I want to be there for you even when the day is neither good or bad. I am here.

Education

School: Lindenwood College (MO), Degree: Master of Arts

Insurances Accepted

Aetna
Alameda Alliance
Anthem
Blue Shield
Carelon Behavioral Health, Inc
CCA
Cigna
HEALTH NET
KAISER
Magellan
Provider Network of America
United Behavioral Health

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