Infographic with three steps for scheduling an initial consultation: Step 1 - Click on 'request appointment'; Step 2 - Select 'initial consult'; Step 3 - Schedule an 'initial consult'. Each step is numbered from 1 to 3 in white text within a gold circle on a black background.

Counseling & Therapy

On the Margins offers trauma-informed and culturally responsive therapy services in-person and virtually. Services are provided in English and Spanish by our bilingual and multicultural practitioners. The cost of each session is set by an income-based sliding scale. We also accept Medicare and Carelon Commercial insurances (formerly Beacon Health). We offer: Individual therapy for children, teens and adults, couples therapy, family therapy, and group therapy.

Follow the 3 steps below to schedule a counseling appointment.

GOOD FAITH ESTIMATE

Under the law, you have the right to receive a “Good Faith Estimate” explaining the expected costs of your medical and mental health care services.

What is a Good Faith Estimate?

  • A Good Faith Estimate outlines the total expected cost of non-emergency healthcare services, including psychotherapy or counseling services.

  • This applies to patients who:

    • Do not have insurance

    • Are not using insurance for their care.

YOUR RIGHTS UNDER THE LAW

  1. Request a Good Faith Estimate

    You can ask for a Good Faith Estimate before scheduling a service or at any time.

    Providers are required to provide you with this estimate in writing.

  2. Dispute a Bill

 FAQs

  • Founded by Dr. Daniela Dominguez (Danny), a Queer Latina from Mexico, On the Margins is deeply committed to liberation psychology, abolition, and antiracism. Born from a firsthand understanding of the systemic inequities within healthcare, OTM prioritizes culturally responsive care for Queer, Trans, and BIPOC communities. Our team is composed almost entirely of bilingual/bicultural and Spanish-speaking practitioners, many of whom identify as Queer, ensuring deep cultural understanding and affirming care.

  • If you are experiencing a serious psychiatric problem, substance use issue, or having thoughts/plans of harming yourself or others, please call 911 for immediate support

    OR

    National Suicide Prevention Lifeline 988

    OR

    Crisis Text LineTEXT HOME to 741741 for 24/7 crisis support

  • During the initial consult, you will meet for approximately 20 minutes with our Practice Manager. Our Practice Manager will describe our services, ask you a number of questions, and will assign you to one of our counselors if a good fit is determined. An outside referral may be provided if it is determined that services at On the Margins are not appropriate.

  • On the Margins offers in-person services in Petaluma, Santa Rosa, Cloverdale, and Sonoma Valley. Please call our office (415) 412-9064 to learn about exact locations.

  • On the Margins uses a reliable HIPAA compliant telehealth platform. Your therapist or coach will send you a link to join your session—no logins, passwords, or hassle are necessary. All you have to do is click on the link sent.

  • Please call (415) 212-9064 if you need to contact your therapist or coach.

  • On the Margins accepts Medicare, Carelon Commercial (e.g., Carelon Kaiser), and CALVCB.

  • Our providers create a space where womxn, femmes, gender non-conforming, intersex, nonbinary, and other members of the LGBTQIA2+ community are honored and celebrated for who they are.

  • Some of our approaches include, holistic/integrative therapy, psychodynamic, behavioral therapy, cognitive, humanistic therapies, EMDR, and more.

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NOTICE TO CLIENTS The Board of Behavioral Sciences receives and responds to complaints regarding services provided within the scope of practice of (marriage and family therapists, licensed educational psychologists, clinical social workers, or professional clinical counselors). You may contact the board online at www.bbs.ca.gov, or by calling (916) 574-7830.