Services, Rates & Insurance

Local and Telehealth
Nutrition Counseling in Bend, Oregon, and
CA, WA, MD, CO, AZ, and TX for neurodivergent menopause and midlife health

Neurodivergent-Affirming ✨Weight-Inclusive ✨Gender-Affirming

If you're looking to address menopausal and midlife health concerns, let’s get you feeling better, together.

Many tools support symptom relief, honor your unique sensory experience, and expand your knowledge of nutrition without going down the path of restriction.

We’ll co-create a plan to nurture habits directed by your strengths and values.

Some identities, conditions, and life stages I work with:

Autism, ADHD, AuDHD, OCD & giftedness

Digestive health - celiac disease, bloating, gas, IBS, reflux, constipation & diarrhea

Type 2 Diabetes

Eating disorders, including ARFID*

Feeling fearful, anxious, or stressed about food

Food triggers, allergies, or food sensitivities

Ehlers-Danlos syndromes & hypermobility spectrum disorders

High cholesterol

High blood pressure

Hot flashes & night sweats

Mental health diagnoses

MCAS & histamine intolerance

Perimenopause & Menopause

Menopausal PCOS & endometriosis

POTS & dysautonomia

Chronic pain, migraine, and fibromyalgia

Sunlit yellow and orange rock cliffs over a calm river, with green trees and bushes along the riverbank and a partly cloudy sky.

I work with people with eating disorders at the outpatient level of care. This means that clients are medically stable, and actively participating with their outpatient team—most often PCP, therapist, and potentially psychiatrist, coach, and movement providers. For new clients, we will establish a schedule of reporting for vitals and labwork checks with your Dr.’s office when beginning nutrition services.

First Time Working with a Menopause Nutritionist? Here’s Our Process:

🌙Assessment

We’ll begin with intake forms. In our first meetings, we’ll discuss health history and our findings from your menopausal symptom questionnaire.

We’ll review your food and medical history, relationship with food and body image, and menopausal symptoms and concerns.

🌙Supplement Assessment

Many of us take supplements without having the chance to look them over with a trained provider.

Let’s look at the research together and assess your need for supplements.

Melinda does not partner with or participate in supplement affiliate/referral programs.

🌙Regular-ish Eating

For many clients, a foundational approach to working together is focusing on consistent (what I call regular-ish) eating, especially during the daytime.

While finding this groove looks a little different for everyone, eating regularly is a principle of our work.

🌙Plan

With you in the pilot seat, we’ll co-create a plan for menopausal wellness. 

In addition to nutrition, we’ll check in on movement, mental health, stress, sleep, and fun.

I’m happy to offer referrals to specialized practitioners through my trusted referral network.

Schedule your introductory call
Schedule your introductory call

〰️ Insurance 〰️

I’m an approved, in-network Provider with -

  • Aetna

  • Anthem, Regence, and BCBS Plans

  • Cigna

  • Oregon Health Plan “open card”

  • PacificSource - commercial and OHP

  • Providence

  • Trillium Community Health Plan

  • UnitedHealthcare

  • Yamhill County CCO

I’m an out-of-network (OON) provider with other insurance plans.

While I can’t guarantee reimbursement, if you would like to seek OON insurance benefits, as a licensed healthcare provider, I’m happy to provide you with a superbill to seek reimbursement.

You can also use HSA/FSA funds to pay for services.

〰️
Cash Pay Rates
〰️

Initial Assessment - $150

50 Minute Follow-up Sessions - $135

All clients begin with an Initial Assessment. Our first meeting is 75-90 minutes long and includes a conversation about health and nutrition history, a review of your intake forms, and lots of Q&A.

Getting Started:

1.
After a brief Introductory Call to make sure we’re a great fit, you’ll fill out new client paperwork, and book an Initial Assessment.

2.
I’ll review your forms and health history before the first session. Please prepare a quiet place, and we’ll meet on Zoom.

3.
Follow-up appointments are weekly or bi-weekly, with homework and check-ins to stay connected.

Kitchen countertop with decorative cutting boards, potted plant, glass bottle, utensils in container, and a cookbook on a stand.
Someone filling out a planner or calendar with a black pen at a white desk, surrounded by papers, a closed notebook, and a smartphone, wearing a cream-colored knitted sweater.

Schedule an Introductory Call

Frequently Asked Questions

  • I see clients at my downtown Bend, Oregon location, and work virtually across Oregon, CA, WA, AZ, CO, MD, and TX using a HIPAA-compliant portal. State licensing dictates where I’m able to see clients.

  • Meaningful change to shift nutrition patterns chronic health conditions and your relationship with food usually takes months, even years, not weeks.

    I invite you to step out of the “30-Day Challenge” model we often see in the wellness world.

    I work with clients for an average of four months for brief interventions to long-term, ongoing support.

  • While I am not a therapist, the relationship can feel therapeutic, and I offer resources from some schools of therapy practice.

    I am happy to coordinate care with your therapist, and if needed, can help you find one as part of our work together.

  • I’m in-network with Aetna, BCBS, Cigna, Oregon Health Plan/Medicaid, PacificSource commercial & OHP , Providence, Regence, Trillium CCO, UnitedHealthcare, and Yamhill Co CCO

    Schedule an Introductory Call to get started and check your benefits.

    If you would like to explore OON benefits for other insurance providers, I can provide a superbill for potential reimbursement. I offer payment for FSA/HSA spending.

  • I currently do not have sliding scale spots available.

    As a solo private practice provider, I have made an effort to panel with insurance companies, including the Oregon Health Plan, in order to increase access to care.

  • Possibly. I work with people who are medically stable, ready for outpatient treatment, and on a spectrum from disordered eating to eating disorder diagnosis.

    Outpatient eating disorder treatment usually involves working with a coordinated care team with a combination of nutrition, therapy, primary care, psychiatry, and movement support.

    Many eating disorders go undiagnosed, with a voice saying you must be “sick enough” to seek help.

    If we determine during our time together you need a higher level of care than I can provide in an outpatient setting, I’ll work to help you find resources.