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Counseling Invoice Template

Session codes, dates, licence and NPI — a superbill a plan will accept. Free PDF.

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Most private-practice therapy is paid out of pocket and reimbursed afterwards, which makes the invoice a superbill: the patient hands it to their plan and the plan decides on what it can read. Session length, the code and your credentials are what it looks for, and a missing one costs the client the whole claim rather than a phone call.

INVOICE Issued
Invoice number:INV-0001
Date of issue:September 19, 2026
Date due:October 3, 2026
Currency:USD
Issued by
Rosalind Achebe, LCSW
44 Willowmere Street
Suite 210
80206 Denver, CO
United States
office@achebecounseling.example
Bill to
Tobias Lindqvist
912 Cherry Creek Lane
80209 Denver, CO
United States
t.lindqvist@example.com
Amount due
$15.00
Due in 14 days · Oct 3, 2026
For your insurer
Licensed Clinical Social Worker, Colorado LCSW.0009942, NPI 1730294857. Diagnosis F41.1. Place of service 11 for in-person sessions and 10 for the telehealth session. All sessions listed have been paid in full.
Description Qty Rate Tax Amount
90837 — Psychotherapy, 60 minutes
Three sessions, in person
3$185.00—$555.00
90834 — Psychotherapy, 45 minutes
One session, telehealth
1$150.00—$150.00
90791 — Diagnostic evaluation
Intake assessment
1$225.00—$225.00
Late cancellation
Under 24 hours' notice; not reimbursable by insurance
1$90.00—$90.00
Subtotal$1,020.00
Total$1,020.00
Paid to date-$1,005.00
Amount due $15.00
Terms
Paid in full — this document is provided for out-of-network reimbursement. The late cancellation fee is not a covered service.
Invoice #INV-0001 · Rosalind Achebe, LCSW Page 1 of 1

Edit this template Free, no account, no watermark — download the PDF when you are done.

What to put on a counseling invoice

  • Your licence type and number, and your NPI
  • Each session by date, with its CPT code and duration
  • The diagnosis code, which most plans require for reimbursement
  • Whether the session was in person or telehealth, and the place-of-service code
  • The amount paid and the date paid, since a superbill documents payment already made
  • Your practice's tax ID, where you bill under a group

Questions

What is a superbill?

An itemised receipt with the codes a plan needs to reimburse an out-of-network claim. The client has already paid you; the document exists so their insurer can pay them, which is why it carries codes and identifiers a normal receipt would not.

Does the session length matter?

Yes — 90834 is a 45-minute session and 90837 is 60, and plans reimburse them differently. Billing the wrong one is a common cause of a clawback months later, so the duration belongs on the line beside the code.

About the free invoice generator

Is this invoice generator really free?

Yes. There is no fee, no trial period and no watermark on the PDF. Nothing on this page requires a credit card.

Do I need to create an account?

No. Fill in the form and download the PDF directly — there is no sign-up and no login for this tool.

What file do I get?

A standard PDF, ready to attach to an email or print.

Can I add my own logo and bank details?

Yes. The seller section accepts a logo image and bank transfer details, which are printed on the invoice so your client knows how to pay you.

Is my data stored anywhere?

Nothing leaves your browser except when you download a PDF or save the invoice to an account. A draft is kept locally in your browser so it's still here if you come back, but there is no account behind this page and nothing is ever sent to our servers until you choose to.

Can I use this for any currency or country?

Yes. Choose any currency and country for either party — the totals and formatting follow your selection.

Ready to bill for it?

The template opens in the free invoice generator with these lines already on it. Change what you like, download the PDF.

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