Meet Our Team
Though we are a small practice, every person in our office holds a vital role. We not only specialize in working with LGBTQIA2S+, neurodivergent and disabled clients, we are also members of these communities as well. Our hope is to provide a space that is welcoming for all individuals.
Desiree Sprouffske (They/them/she/her)
Administrative Assistant
Desiree is the initial point of contact for people looking for services and the direct link to Clinician's availability. Their awareness around mental health, inclusivity and welcoming mentality, make her a wonderful member of the team. They are an active member in connecting people to mental health services and resources.
Outside of this role, Desiree works with infants, children and their families. They spend free time with friends, animals and rollerblading.
Michelle Sprouffske, LCSW (They/them)
Owner/Therapist
Michelle is a Licensed Clinical Social Worker in Oregon (License #6839).
They do not believe in enforcing power dynamics and are conscious of the ways that white supremacy has created harm in the mental health realm both in the past and currently. For this reason, Michelle works closely with their clients and Clinician's to develop treatment that works for the individual and addresses systems of oppression.
INSURANCE ACCEPTED
Steps to Change, LLC is in network and accepts the following insurance plans.
We do not bill out of network insurance, so please verify the Clinician is in network along with coverage and benefits.
COMMERCIAL PLANS
Curative
MODA
PacificSource
Regence BCBS
Samaritan
MEDICAID PLANS
IHN
Trillium
OHP Open Card
T
PRIVATE PAY
*
Sliding Scale Offered
(Fee set before first meeting, as agreed upon with Michelle)
*The rate of reimbursement varies from each insurance provider. Below are the rates that are billed to insurance companies and for private pay clients. Each rate is per session.
Initial Assessment- $300
Individual Session- $250
ADHD or Autism Assessment- $1,000 (private pay only)
Both ADHD and Autism Assessment- $1,500 (private pay only)
We do not bill out of network insurance. If we are not in network with your insurance, Michelle will provide you with a superbill that you can submit to your insurance company for reimbursement.
We do not bill secondary insurance, all insurance is billed through the primary insurance plan.
In alignment with our belief system around equity and social justice, we offer a sliding scale rate.
Our full fee for a 50 minute intake session is $300. Our sliding scale ranges for individual sessions are $185 to $250. We utilize an honor-based system where you, the client, self select the payment rate within this range that you can sustainably afford based on your current financial reality.
This model is built on community trust and mutual aid. By paying at the highest point of the scale you can afford, you directly contribute to sustaining this practice and supporting access for clients with fewer financial resources.
A Commitment To Your Privacy and Autonomy
For Clients Using Insurance
We recognize that utilizing insurance benefits is a necessary and valid choice for many. If you choose to use your insurance, we are committed to protecting your privacy within the requirements of the system. This does require a qualifying mental health diagnosis and documentation of our work together. In my documentation, I am meticulous and intentional, focusing on broad themes—such as "navigating family dynamics," "exploring interpersonal relationships," or "processing systemic stressors"—rather than using direct quotes or highly specific personal details. This approach allows me to meet billing requirements while still honoring the personal nature of your story and minimizing sensitive information in your clinical record.
For Clients Using Private Pay
To safeguard this deeply personal work and your autonomy, our practice allows for private pay. This intentional choice provides the highest level of confidentiality by not involving insurance companies. When utilizing Private Pay, a mental health diagnosis is not needed, which for some adds the extra level of privacy. Private pay ensures that your personal information and the intimate details of our sessions remain entirely confidential, allowing us to focus on your goals without external constraints.