ND Systems Mental Health and Counseling

They called me on Monday to get an appointment set up and get my insurance information. The time for my Friday morning appointment comes and I never receive a link to get in to telehealth. I call, as I was told to do if I was having trouble getting in to the appointment, and no one answers, so I leave a voicemail. I receive an email hours after my scheduled appointment time stating that they don't take my insurance. I don't understand why I wasn't notified of this sooner, as they had 4 days to let me know. I had rushed home after work in order to make it to this appointment on time. I do not have any missed emails or phone calls informing me in advance that my appointment had been cancelled due to insurance.

Edit: In the past year or so Teresa has become consistently highly responsive. I no longer worry that requests for refills of medication due to be filled in a day or two might go unresponded to for 5+ days on occasion. This responsiveness is maintained even when some drawn out game of telephone needs to be played, such as when a medication of ones typical formulation and dose is out of stock and an alternative needs to be prescribed in order to meet patient needs. I'd recommend Teresa, and ND systems as a whole, to anyone at this point. Receptivity to informed patient input and preferences to the degree her practice continues to show (in my experience) is rare, and is immensely beneficial. The staff in general is very helpful and professional, particularly the front desk staff. Teresa, the main prescriber and the one I see, is responsive to your input about medication and open minded in the medications she is willing to let you try. However much of the interaction with a psychiatrist comes once you find medications that work for you and begin regularly using them and getting refills and this is where ND systems becomes a very frustrating prescriber. The process of getting scripts refilled always seems to be a battle, involving making multiple calls to the office, a long lag time (often a work week) for Teresa to respond to the reminders left to her by her desk staff, and a generally nonexistent sense of support once you are done with your appointment. If you don't catch that some of your medications need refill scripts sent in during the days before you'll need a refill then you can expect to go without medication all of the sudden because there does not seem to be a system in place where, for example, they are automatically reminded that the 3 or so refills of a medication they gave to a patient 3 months ago are used up. So I've gone for up to a week without a medication I had been and needed to be taking daily. This can be very physically and mentally taxing. It's particularly distressing when the reason behind the lack of a refill is because your prescriber is on vacation and apparently had nothing in place to make sure her patients would have refills sent in during the time she was out of the office. If the times without medication were longer or the medications different then these gaps in coverage could get into the territory of being physically unsafe. I just don't want to have to make multiple calls and stress about medication every few months. I wouldn't want that for anyone else either and so even though Teresa is a great Psychiatric nurse and ND systems a good business in most ways I ultimately wouldn't recommend using this business as your prescriber if the medications you're in need of are controlled substances and can only have 3 refills sent in at a time or so.