Appointments are currently available through video telehealth using a secure, HIPAA compliant platform. Health authorities and many insurance and EAP companies have advised use of telehealth for continuity of counseling appointments to protect personal and community health. Questions about coverage allowed by your plan is best answered by the company that pays for your appointments. Until in-office visits are available, telehealth is a relatively easy process to use and many people have appreciated the opportunity to receive services this way. Call with questions.


4357 13th Ave. S., STE 206 C

Fargo, ND 58103


Monday through Thursday 8 am to 5 pm. 

Birch Tree Counseling in Fargo is an individually owned private practice.  I'm with clients throughout the day, and may not be immediately available, but will return messages as soon as possible. 


If there is a crisis or emergency, do not leave me a message. Dial 911.


Insurance: Birch Tree Counseling files insurance for 

Sanford (including Sanford Medicaid Expansion) and many Blue Cross Blue Shield plans. 

If you unsure about insurance coverage, inquire with your insurance company giving them my full name: Debberlee Fetting. 

Ask your insurance provider:

  • Does my health insurance plan include mental health benefits?
  • Do I have a deductible? If so, what is it, and how much will I need to pay until it is met?
  • Does my plan limit how many mental health sessions per calendar year I can have? If so, what is the limit?
  • Do I need written approval from my primary care physician for mental health services to be covered?
  • Is this provider an Out-Of-Network provider? If she is, what percentage of mental health services would be covered?

Self-pay is another option. The session is paid at the time of the appointment with cash, check, credit card, or Health Spending Account (HSA). 

Employee Assistance Program (EAP) benefits offered by some companies may be an option. An EAP provides some no-cost sessions as an employee benefit for individual or couples counseling. Check your employee benefits to determine if this is an option.