Point Blank
Mental Health Counseling
Point Blank
Mental Health Counseling
Welcome to my website. I specialize on first responders, other public safety employees, military (active and retired), and ER personnel.
About Me
mental health counselor
My name is Karoline Crawshaw. I was born in Germany and moved to the US in 1999. It was a great time to start fresh, in a field I wanted to be in: behavioral science.
After getting my Master’s Degree in Community Counseling, I worked for an agency treating court-ordered issues. As part of my job, I went on a ride-along with TPD and had a pivotal experience that invoked my desire to help first responders.
I opened Point Blank Counseling PLLC and mainly accept public safety, EMS, fire, DOC, active duty and combat vets as clients. I love what I do!
Licenses, Certifications & Accomplishments
- LPC (Licensed professional counselor) (Arizona)
- LIAC (Licensed independent addiction counselor) (Arizona)
- Licensed mental health counselor (LMHC) (New York)
- NCC (National cerrtified counselor)
- NCFC (National clinical forensic counselor)
- AMTP (Anger management treatment professional)
- CCTP (Certified clinical trauma professional)
- Creator of an 8 hour THC education workshop based on Oro Valley Magistrate Court’s specifications
- Presenter at the 2017 Southwest Behavioral Health Conference (Topic: Moral Reconation Therapy for substance use). Co-presenter Allarah laVelle
- Co-presenter at the 2019 ASU Public Safety and Behavioral Health Summit. (Topic: Below 100 Short Version and Lessons Learned). Main presenter: Captain Benjamin Buller, Department of Public Safety
- Creator and presenter of a Communication Workshop designed for hostage negotation
- Women of Distinction Honor Award 2022
- That is correct: I am licensed in Arizona AND the state of New York
Services
Individual Counseling
Treatment Issues/Approach
Treatment Issues
PTSD (Posttraumatic Stress Disorder)
Acute Stress Disorder
Stress
Anxiety
Sleep issues
Depression
Anger
Self-Esteem
Relationship Problems
Work-Life Balance
Substance Use/Other addictions
Boundary Problems and More
Approach
For Posttraumatic Stress Disorder (PTSD) only:
- Cognitive Processing Therapy (CPT)
- Prolonged Exposure (PE)
Both approaches are mainly used by the VA.
EMDR (Eye Movement Desensitization and Reprocesssing)
EMDR 2.0
CBT (Cognitive Behavioral Therapy)
CBT-I (For insomnia)
SFBT (Solution-Focused Brief Therapy)
Person-Centered
Elements of other approaches as needed
Insurances Accepted
- Aetna
- Carelon Behavioral Health
- Cigna/Evernorth and Cigna Medicare
- Geha
- Martin’s Point
- Meritain
- Optum, Oscar, Oxford
- Quest
- TPN/Unyte
- Tricare East (through Telemynd)
- Tricare West
- Triwest
- UMR
- United and United Medicare
- Western Highmark
- In process: BCBS, Anthem, MVP
I am also a provider for many different EAP programs.
No Surprises Act
YOUR RIGHTS AND PROTECTIONS AGAINST SURPRISE MEDICAL BILLS
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care – like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as co-payments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition, unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed.
If you get other services at these in-network facilities, out-of-network providers can’t balance bill you unless you give written consent and give up your protections.
You’re never required to give up your protection from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
- You are only responsible for paying your share of the cost (like the co-payments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
- Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact:
Arizona Board of Behavioral Health Examiners, 4205 N. 7th Ave, Phoenix, AZ85013. Tel: (602) 242 1492.
Visit https://www.cms.gov/files/document/model-disclosure-notice-patient-protections-against-surprise-billing-providers-facilities-health.pdf for more information about your rights under Federal law.
Schedule a Session:
Email, text, or fill in the form
In person/video:
95 Allens Creek Rd, Ste 1-324
Rochester, NY14618
OR
Video only:
in Arizona
Email: kcrawshaw@pointblankcounselingpllc.com
Tel: (520) 784-9385
Fax: (585) 625 0175
© 2025 by Point Blank Counseling PLLC.