I accept cash, checks, debit and credit cards. In addition, I accept Iowa Medicaid and Nebraska Medicaid.  This includes the MCO's for each state. I am also a provider for many other insurance plans. It is your responsibility to verify I am a provider for insurance plan as there are many different plans and there is a possibility I may not be covered.

Co-payments, Co-insurance and deductibles are due at the time of your appointment.

Trouble Coping

After a traumatic event, problems come and go. It's important to know when you need to ask for help. If you are having trouble just making it through the day, that is a sign you may need help. Other signs include:

  • Changes in eating habits
  • Changes in sleep pattern
  • Feeling helpless or hopeless
  • Troubling thoughts that don't go away
  • Increased irritability, worry, fear, or anger.

Premier Counseling Services, PLLC

Warning Signs

Knowing the warnings of suicide may save a life. Risk is greater when the behavior is new or after someone has experienced a loss or painful event. Some of the signs are:

  • Talking about wanting to die or kill oneself
  • Feeling hopeless or having no reason to live
  • Talking about feeling trapped or unbearable pain
  • Talking about being a burden to others
  • Increased use of drugs or alcohol
  • Behaving recklessly or being more agitated
  • Withdrawing from others or isolating
  • Actively seeking ways to kill oneself, like trying to buy a gun



  • Mental Health Assessments
  • Substance Use Evaluations
  • Individual Therapy
  • Dual Diagnosis Therapy
  • Family Therapy
  • Couples Counseling



It’s essential to take care of your mental well being.


But it’s not easy to do it alone. That’s where I come in. I am in the business of helping people make changes in their life.


I believe recovery is possible. Whether you suffer from a mental health concern or a substance use problem. I believe in an individual treatment approach.


There are many things individuals can become addicted to. We most often think of substances like drugs or alcohol. Addiction is treatable. Here are signs someone may have a problem:

  •  Use or engaging in a behavior to relax or forget problems
  • There is a great deal of time spent in obtaining or using the substance
  • Changes in school or work habits
  • Needing more of the substance to feel the same effect as before
  • Unsuccessful attempts to quit or cut down