Nutritionists and Dietitians in North Carolina

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Photo of Teju Lakkundi - Nutrition For You, MS, RDN, LDN, CDCES, Nutritionist/Dietitian
Nutrition For You
Nutritionist/Dietitian, MS, RDN, LDN, CDCES
Verified Verified
Cary, NC 27519
Are you struggling to understand how to manage diabetes with your cultural food preferences? Gained weight post-COVID? Do you have pre-diabetes? Blood Pressure and Cholesterol on the rise? Nutrition For You can help you achieve your nutrition goals one step at a time. You will be able to enjoy all your favorite foods while reaching your health goals. Call now to schedule your first consult.
Are you struggling to understand how to manage diabetes with your cultural food preferences? Gained weight post-COVID? Do you have pre-diabetes? Blood Pressure and Cholesterol on the rise? Nutrition For You can help you achieve your nutrition goals one step at a time. You will be able to enjoy all your favorite foods while reaching your health goals. Call now to schedule your first consult.
(984) 600-6870 View (984) 600-6870
Photo of Daniela Masciello, MPH, RDN, LDN, Nutritionist/Dietitian
Daniela Masciello
Nutritionist/Dietitian, MPH, RDN, LDN
Verified Verified
2 Endorsed
Charlotte, NC 28203
I’m a Registered Dietitian who is passionate about working with people who want to improve their relationship with food. If eating and body image are taking up more energy than is in line with your values, we would be a great fit together to discover how you can nourish your body with less overthinking and stress. I hope to be alongside you in the ups and downs of your journey and provide a listening ear, support, and gentle feedback and structure when you feel it's needed.  I practice from a weight-inclusive lens. I am an immigrant from Venezuela and respect the importance of cultural foods and eating patterns.
I’m a Registered Dietitian who is passionate about working with people who want to improve their relationship with food. If eating and body image are taking up more energy than is in line with your values, we would be a great fit together to discover how you can nourish your body with less overthinking and stress. I hope to be alongside you in the ups and downs of your journey and provide a listening ear, support, and gentle feedback and structure when you feel it's needed.  I practice from a weight-inclusive lens. I am an immigrant from Venezuela and respect the importance of cultural foods and eating patterns.
(704) 237-6851 View (704) 237-6851
Photo of Barbara Lewin - Sports-Nutritionist.com, RD, CSSD, LDN, Nutritionist/Dietitian
Sports-Nutritionist.com
Nutritionist/Dietitian, RD, CSSD, LDN
Verified Verified
1 Endorsed
Apex, NC 27502
Barbara Lewin is an internationally recognized sports nutritionist, registered dietitian and functional dietitian. She is the owner of sports-nutritionist.com. Barbara works with serious athletes, including Olympic contenders, triathletes, members of the NFL, NHL and NBA and all types of endurance and ultra-endurance racing. For over 25 years she has been teaching athletes effective and realistic ways to improve their health, optimize performance and successfully manage their weight. She also enjoys working with young athletes, teaching them how to improve their health and performance and get an edge on the competition.
Barbara Lewin is an internationally recognized sports nutritionist, registered dietitian and functional dietitian. She is the owner of sports-nutritionist.com. Barbara works with serious athletes, including Olympic contenders, triathletes, members of the NFL, NHL and NBA and all types of endurance and ultra-endurance racing. For over 25 years she has been teaching athletes effective and realistic ways to improve their health, optimize performance and successfully manage their weight. She also enjoys working with young athletes, teaching them how to improve their health and performance and get an edge on the competition.
(984) 213-5293 View (984) 213-5293
Photo of Denise Barratt, MS, RD, LDN, Nutritionist/Dietitian
Denise Barratt
Nutritionist/Dietitian, MS, RD, LDN
Verified Verified
Asheville, NC 28806
Begin your new journey taking care of you with some new menu and recipe ideas that meet your personal needs. The nutrition guidance that I share is evidence based so that you can be sure that it is safe and effective. We will discuss goals & behavior changes along with the challenges that get in the way of your success. You may already be achieving some progress but want new insight from a supportive team member to encourage you to the find momentum to reach new possibilities! I would love to be a supportive partner so you can feel your best! Check out my Fresh Approach to Eating Programs and my food blog for eating inspiration!
Begin your new journey taking care of you with some new menu and recipe ideas that meet your personal needs. The nutrition guidance that I share is evidence based so that you can be sure that it is safe and effective. We will discuss goals & behavior changes along with the challenges that get in the way of your success. You may already be achieving some progress but want new insight from a supportive team member to encourage you to the find momentum to reach new possibilities! I would love to be a supportive partner so you can feel your best! Check out my Fresh Approach to Eating Programs and my food blog for eating inspiration!
(828) 479-5990 View (828) 479-5990
Photo of Jenni E B Grover - Whole Health Partners, MS, RD, LDN, Nutritionist/Dietitian
Whole Health Partners
Nutritionist/Dietitian, MS, RD, LDN
Verified Verified
Durham, NC 27705  (Online Only)
Are you ready to take control of your health? We’ll show you how to: Set relevant, achievable goals to improve your health. Make sustainable progress and hold yourself accountable. Develop practical strategies to help you feel better. We’re not another diet program. And we’re not another app. We’re doctors. We’re nutritionists. We’re experts. And we’re standing by, ready to help.
Are you ready to take control of your health? We’ll show you how to: Set relevant, achievable goals to improve your health. Make sustainable progress and hold yourself accountable. Develop practical strategies to help you feel better. We’re not another diet program. And we’re not another app. We’re doctors. We’re nutritionists. We’re experts. And we’re standing by, ready to help.
(984) 316-5654 View (984) 316-5654
Photo of Rebecca Subbiah, RDN, LDN, Nutritionist/Dietitian
Rebecca Subbiah
Nutritionist/Dietitian, RDN, LDN
Verified Verified
Winston Salem, NC 27101
You are valued and of worth, you matter and your wellbeing is important. Anchored Nutrition Therapy approaches health through a HAES (Health at Every Size) lens promoting weight inclusivity, health promoting behaviors, a flexible eating approach based on intuitive eating, meeting your nutritional needs, learning to be in tune with your body and enjoy your food. Helping you find joy in movement. All are welcome.
You are valued and of worth, you matter and your wellbeing is important. Anchored Nutrition Therapy approaches health through a HAES (Health at Every Size) lens promoting weight inclusivity, health promoting behaviors, a flexible eating approach based on intuitive eating, meeting your nutritional needs, learning to be in tune with your body and enjoy your food. Helping you find joy in movement. All are welcome.
(336) 395-5085 View (336) 395-5085
Photo of Hallee Acquanita, MS, RD,  LD, CDCES, Nutritionist/Dietitian
Hallee Acquanita
Nutritionist/Dietitian, MS, RD, LD, CDCES
Verified Verified
Raleigh, NC 27613
Hallee is a Registered Dietitian and Nutritionist passionate about helping others understand how nutrition can empower one to manage their health. Hallee has experience working in both inpatient and outpatient settings with clients of all ages and conditions. Hallee uses evidence-based nutrition practices to meet clients where they are and help them feel their best.
Hallee is a Registered Dietitian and Nutritionist passionate about helping others understand how nutrition can empower one to manage their health. Hallee has experience working in both inpatient and outpatient settings with clients of all ages and conditions. Hallee uses evidence-based nutrition practices to meet clients where they are and help them feel their best.
(984) 230-8571 View (984) 230-8571
Photo of Rosa L Becerra-Soberon, RD/N, LDN, MSOM, Nutritionist/Dietitian
Rosa L Becerra-Soberon
Nutritionist/Dietitian, RD/N, LDN, MSOM
Verified Verified
Durham, NC 27713  (Online Only)
Why keep battling with hormonal issues? Feeling tired, defeated, confused and at the same time dealing with weight issues, low libido, and the list goes on. Everything that you have heard about managing your hormones is not 100% right. My clients are able to go from less medication to none but most importantly they have regained their energy, confident, sexuality, and much more.
Why keep battling with hormonal issues? Feeling tired, defeated, confused and at the same time dealing with weight issues, low libido, and the list goes on. Everything that you have heard about managing your hormones is not 100% right. My clients are able to go from less medication to none but most importantly they have regained their energy, confident, sexuality, and much more.
(919) 998-6221 View (919) 998-6221
Photo of Kaylee Patrick - Aspire Integrative Wellness, RD, LDN, Nutritionist/Dietitian
Aspire Integrative Wellness
Nutritionist/Dietitian, RD, LDN
Verified Verified
Charlotte, NC 28262
Aspire is an integrated practice, providing nutrition and mental health counseling, that has created a culture supportive of intuitive eating, using therapeutic interventions and mindfulness practices to enhance the nourishment of individuals. We are a team of social workers, registered dietitians and mental health counselors who are passionate about preventing and treating mental illness and improving overall community health. People easily understand the connection between nutritional deficiencies and physical illness, however few people understand the connection between nutrition, depression and mental illness.
Aspire is an integrated practice, providing nutrition and mental health counseling, that has created a culture supportive of intuitive eating, using therapeutic interventions and mindfulness practices to enhance the nourishment of individuals. We are a team of social workers, registered dietitians and mental health counselors who are passionate about preventing and treating mental illness and improving overall community health. People easily understand the connection between nutritional deficiencies and physical illness, however few people understand the connection between nutrition, depression and mental illness.
(704) 755-3549 View (704) 755-3549
Photo of Megan Toomey, MS, RD, CSR, LDN, Nutritionist/Dietitian
Megan Toomey
Nutritionist/Dietitian, MS, RD, CSR, LDN
Verified Verified
Hickory, NC 28601
Hi, I'm Megan! I am a double Board Certified Registered Dietitian and Specialist in Renal Nutrition. I specialize in kidney disease, cardiovascular disease, diabetes, weight loss, maternal nutrition, and general nutrition.
Hi, I'm Megan! I am a double Board Certified Registered Dietitian and Specialist in Renal Nutrition. I specialize in kidney disease, cardiovascular disease, diabetes, weight loss, maternal nutrition, and general nutrition.
(828) 554-7961 View (828) 554-7961
Photo of Emily Gresh, RDN, LDN, Nutritionist/Dietitian
Emily Gresh
Nutritionist/Dietitian, RDN, LDN
Verified Verified
1 Endorsed
Asheville, NC 28805  (Online Only)
I specialize in working with those struggling with eating disorders, disordered eating, chronic dieting, and weight & body image concerns. I’m experienced in working with ADHD and those wanting to understand and optimize hormonal health. I’m passionate about incorporating somatic techniques and integrating functional nutrition approaches and ecotherapy into nutrition counseling. I use a non-diet, weight-inclusive, and intuitive eating approach to nutrition.
I specialize in working with those struggling with eating disorders, disordered eating, chronic dieting, and weight & body image concerns. I’m experienced in working with ADHD and those wanting to understand and optimize hormonal health. I’m passionate about incorporating somatic techniques and integrating functional nutrition approaches and ecotherapy into nutrition counseling. I use a non-diet, weight-inclusive, and intuitive eating approach to nutrition.
(828) 392-5884 View (828) 392-5884
Photo of Rachael Richardson - Nutrolution, RDN, LDN, Nutritionist/Dietitian
Nutrolution
Nutritionist/Dietitian, RDN, LDN
Verified Verified
1 Endorsed
Raleigh, NC 27605
I've been a Registered Dietitian advising people on food, supplements, and holistic living for 22 years! I've seen people from all walks of life, dealing with all types of health challenges & concerns. I look for the root cause of symptoms and imbalances, and work to support you in making small positive changes that create profound results. Food is medicine and you have more power over your health than you know. With nutrition, the body can rebalance, repair & regain energy, metabolism, and heal completely. It’s easier than you think, and I’ll guide & support you the entire way!
I've been a Registered Dietitian advising people on food, supplements, and holistic living for 22 years! I've seen people from all walks of life, dealing with all types of health challenges & concerns. I look for the root cause of symptoms and imbalances, and work to support you in making small positive changes that create profound results. Food is medicine and you have more power over your health than you know. With nutrition, the body can rebalance, repair & regain energy, metabolism, and heal completely. It’s easier than you think, and I’ll guide & support you the entire way!
(919) 420-3913 View (919) 420-3913
Photo of Christine Corcoran, MS, RD, LDN, Nutritionist/Dietitian
Christine Corcoran
Nutritionist/Dietitian, MS, RD, LDN
Verified Verified
1 Endorsed
Charlotte, NC 28209
We know change is not easy. We know finding food freedom can sound scary (maybe even impossible). It is our mission to guide you through uncharted territory and give you the knowledge and support you need to make real and lasting changes. Our approach to health and nutrition is weight-inclusive, and will always focus on finding peace and balance with food and exercise. We are continuously educating ourselves to provide a safe and welcoming space for all individuals. We work to analyze eating habits together and make changes based on where you are.
We know change is not easy. We know finding food freedom can sound scary (maybe even impossible). It is our mission to guide you through uncharted territory and give you the knowledge and support you need to make real and lasting changes. Our approach to health and nutrition is weight-inclusive, and will always focus on finding peace and balance with food and exercise. We are continuously educating ourselves to provide a safe and welcoming space for all individuals. We work to analyze eating habits together and make changes based on where you are.
(704) 753-8712 View (704) 753-8712
Photo of Jessica Bailey Ashton, MS, RD, CD, Nutritionist/Dietitian
Jessica Bailey Ashton
Nutritionist/Dietitian, MS, RD, CD
Verified Verified
Raleigh, NC 27615
Jessica Ashton is a Registered Dietitian Nutritionist with a focus on helping people feel energized, confident and happy. She knows it is important to develop a good relationship with food that is not weighed down with any guilt or shame. Jessica wants to help others develop sustainable (and fun!) eating and exercise habits that make them feel their best. She is an expert on nutrition but believes that you are the expert on your body! Jessica loves developing deep relationships with her clients and working as a team to help them achieve their goals.
Jessica Ashton is a Registered Dietitian Nutritionist with a focus on helping people feel energized, confident and happy. She knows it is important to develop a good relationship with food that is not weighed down with any guilt or shame. Jessica wants to help others develop sustainable (and fun!) eating and exercise habits that make them feel their best. She is an expert on nutrition but believes that you are the expert on your body! Jessica loves developing deep relationships with her clients and working as a team to help them achieve their goals.
(919) 736-6656 View (919) 736-6656
Photo of Ashley Jarvis, MS, RDN, LDN, Nutritionist/Dietitian
Ashley Jarvis
Nutritionist/Dietitian, MS, RDN, LDN
Verified Verified
Holly Springs, NC 27540
Ashley has been a practicing Registered Dietitian Nutritionist (RDN) for over ten years and a pilates teacher for nearly fifteen years. Her greatest passion and profound privilege is to witness the power of functional nutrition and movement in her client’s health.
Ashley has been a practicing Registered Dietitian Nutritionist (RDN) for over ten years and a pilates teacher for nearly fifteen years. Her greatest passion and profound privilege is to witness the power of functional nutrition and movement in her client’s health.
(919) 525-3799 View (919) 525-3799
Photo of Basheerah Enahora - BE Nutrition LLC, RDN, LDN, MS, Nutritionist/Dietitian
BE Nutrition LLC
Nutritionist/Dietitian, RDN, LDN, MS
Verified Verified
Charlotte, NC 28217
Every woman deserves personalized care that is fad-free. There are no quick fixes or gimmicks in holistic nourishment and it won't happen overnight. Through individualized, science-backed nutrition advise, based on real foods and mindfulness, we'll create a customized plan that will help you look and feel your absolute best. Together, we'll invest in changing your life for the better by creating healthier habits that nourish your body and mind.
Every woman deserves personalized care that is fad-free. There are no quick fixes or gimmicks in holistic nourishment and it won't happen overnight. Through individualized, science-backed nutrition advise, based on real foods and mindfulness, we'll create a customized plan that will help you look and feel your absolute best. Together, we'll invest in changing your life for the better by creating healthier habits that nourish your body and mind.
(704) 457-1386 View (704) 457-1386
Photo of Sarah Nahum, MS, RDN, LDN, Nutritionist/Dietitian
Sarah Nahum
Nutritionist/Dietitian, MS, RDN, LDN
Verified Verified
Durham, NC 27701
Sarah is a registered dietitian nutritionist with Nutrition HealthWorks. She has a certificate of training in integrative and functional nutrition as well as a certificate of training in obesity for pediatrics and adults. Her experience is in public health, clinical nutrition, and food service management. Sarah sees clients for weight management, gastrointestinal conditions, and other nutritional needs. She is passionate about helping children and adults manage their chronic diseases and live healthier lives.
Sarah is a registered dietitian nutritionist with Nutrition HealthWorks. She has a certificate of training in integrative and functional nutrition as well as a certificate of training in obesity for pediatrics and adults. Her experience is in public health, clinical nutrition, and food service management. Sarah sees clients for weight management, gastrointestinal conditions, and other nutritional needs. She is passionate about helping children and adults manage their chronic diseases and live healthier lives.
(704) 380-4655 View (704) 380-4655
Photo of Victoria Scholl - Loop Nutrition, RD, Nutritionist/Dietitian
Loop Nutrition
Nutritionist/Dietitian, RD
Verified Verified
Morrisville, NC 27560
At Loop Nutrition, our motto is “Change your life without changing it”. What we mean by that is we take your long-term wellness goals and break them down into small, impactful steps to get you there. We avoid uprooting your existing lifestyle; instead, we seamlessly integrate sustainable changes that become a natural part of your daily routine. Our approach is about fostering a positive relationship with food and creating lasting habits that lead to sustainable results.
At Loop Nutrition, our motto is “Change your life without changing it”. What we mean by that is we take your long-term wellness goals and break them down into small, impactful steps to get you there. We avoid uprooting your existing lifestyle; instead, we seamlessly integrate sustainable changes that become a natural part of your daily routine. Our approach is about fostering a positive relationship with food and creating lasting habits that lead to sustainable results.
(984) 983-6142 View (984) 983-6142
Photo of Natalie Roberts Mokari, RDN, LDN, Nutritionist/Dietitian
Natalie Roberts Mokari
Nutritionist/Dietitian, RDN, LDN
Verified Verified
Charlotte, NC 28204
I live and practice by the belief that all foods have a place in a healthy and balanced diet, and that no one food is “bad”. In a society where we are constantly searching for the next trending diet plan or magic pill, I am committed to countering the noise with evidence-based information and a mind-body approach to nutrition and overall wellbeing. I am passionate about helping my clients make realistic and sustainable lifestyle changes that they feel good about – physically, mentally and emotionally.
I live and practice by the belief that all foods have a place in a healthy and balanced diet, and that no one food is “bad”. In a society where we are constantly searching for the next trending diet plan or magic pill, I am committed to countering the noise with evidence-based information and a mind-body approach to nutrition and overall wellbeing. I am passionate about helping my clients make realistic and sustainable lifestyle changes that they feel good about – physically, mentally and emotionally.
(980) 231-6104 View (980) 231-6104
Photo of Chelsea Pudimott, MS, RD, LDN, Nutritionist/Dietitian
Chelsea Pudimott
Nutritionist/Dietitian, MS, RD, LDN
Verified Verified
Matthews, NC 28105
I discovered my passion for healthy eating, cooking, and balanced nutrition while in high school, and then went on to receive my undergraduate degree in dietetics from The University of Maryland, College Park. I then fulfilled my supervised practice in the field through my internship with Rutgers University. I started my journey as a dietitian in clinical care with an acute care hospital, where I gained invaluable experience with medical nutrition therapy that I can take with me to my current clients in the private practice setting.
I discovered my passion for healthy eating, cooking, and balanced nutrition while in high school, and then went on to receive my undergraduate degree in dietetics from The University of Maryland, College Park. I then fulfilled my supervised practice in the field through my internship with Rutgers University. I started my journey as a dietitian in clinical care with an acute care hospital, where I gained invaluable experience with medical nutrition therapy that I can take with me to my current clients in the private practice setting.
(980) 372-3941 View (980) 372-3941
FAQs - About Nutritionists and Dietitians

How can I find a dietitian or nutritionist in North Carolina?

To find dietitians and nutritionists near you, input your city, town, suburb, zip code, or a provider's name in the search bar at the top of the page. From there, you can filter by specialty, treatment technique, and gender to find a dietitian or nutritionist who matches your needs.

When you visit a dietitian or nutritionist's profile, you can get a better idea if they're the right fit for you. Consider things like session cost, accepted insurance plans, and their location or telehealth options. If someone seems like a good match, you can email them or call the number on their profile. When speaking with a professional, pay attention to whether or not you feel comfortable in the conversation and how knowledgeable they are about your specific nutrition concerns. It may also be helpful to ask more about their general approach to nutrition and the training behind their credentials.

What is the difference between a dietitian and a nutritionist?

The terms dietitian and nutritionist are often used interchangeably. However, there are actually key credential differences between dietitians and nutritionists that are important to keep in mind when seeking a nutrition professional.

A registered dietitian (RD) or registered dietitian nutritionist (RDN) has earned at least a graduate degree from an accredited program, completed a supervised practice program, passed the Commission on Dietetic Registration exam, and continues their education regularly. The RD and RDN credentials are regulated by the Academy of Nutrition and Dietetics, the largest nutrition-related organization in the country. Only professionals who meet their standards can call themselves an RD or RDN and enjoy privileges like billing insurance. Additionally, RDs and RDNs can get board certifications in specialized areas such as gerontological nutrition (CSG), sports dietetics (CSSD), pediatric nutrition (CSP), renal nutrition (CSR), or oncology nutrition (CSO). They also need state licensure, which usually aligns with national requirements.

In contrast, the title "nutritionist" doesn't require any formal education or credentials; anyone can use the title of nutritionist, including those with very limited or no formal training in nutrition. Although there are certification programs that are marketed toward those interested in nutrition counseling, the rigor and academic requirements for such programs varies greatly. These important differences between dietitians and nutritionists are thus very important to consider when choosing the right nutrition professional for your needs. To be listed in the HealthProfs directory, Nutritionists must have a minimum of a Masters Degree in a relevant field.

When should I see a dietitian or a nutritionist?

Clients seek nutritional support from dietitians and nutritionists for various reasons, ranging from medical conditions to lifestyle concerns like weight loss or dietary requirements; however, it's always important to find a professional who is a good fit for you. Consider factors such as insurance coverage, your specific medical or dietary concerns, and the availability of professionals near you to determine whether a dietitian or nutritionist may be a better fit.

Generally, nutritionists are not covered by insurance, whereas Registered Dietitians (RDs) often are, especially for those with medical conditions. If you have a chronic medical condition like cancer or kidney disease, you might want to seek out an RD with specialized expertise, such as a Board Certified Specialist in Oncology Nutrition (CSO) or a Board Certified Specialist in Renal Nutrition (CSR). These credentials indicate advanced education and a commitment to ongoing learning within a specific area. Additionally, consider the availability of professionals in your area and their openness to telehealth sessions. While the field of dietetics is growing, there may not always be a wide selection of professionals, especially in rural areas. In such cases, focusing on the experience and expertise of the nutrition professional can be more important than their specific credentials.

Do I need a referral to see a dietitian or a nutritionist?

A referral is not required to see a dietitian or nutritionist, and many individuals independently seek nutritional support without prior medical advice. However, for a nutrition service to be covered by insurance, a referral from a primary care physician or another medical professional may be necessary. In such cases, a referral is typically made for those who have been formally diagnosed with a medical condition requiring nutrition counseling, such as diabetes or hypertension. If insurance coverage is critical to a client's ability to see a dietitian, they should contact their insurance provider to determine if a referral is needed for nutritional counseling and to understand any potential co-pays or coverage limits that may apply in their individual circumstance.

How much does it cost to see a dietitian or a nutritionist?

The cost of seeing a dietitian or nutritionist depends on a number of variables, including their location, their specialty, whether they take insurance, and the professional's experience and training. On average, the cost of out-of-pocket sessions with a dietitian or nutritionist within the United States ranges from $50-$150. In some cases, nutrition professionals will require a longer initial evaluation session that will cost more than ongoing follow-up sessions. Dietitians and nutritionists may also offer packages for clients interested in longer-term nutritional support; in such cases, they may charge monthly or other periodic fees for more comprehensive services, such as a combination of nutrition sessions and out-of-session coaching support. If nutrition services are covered by a client's insurance plan and they are eligible for coverage based on any referral requirements, the out-of-pocket cost of seeing a dietitian may be completely covered or significantly reduced.

Are consultations with a dietitian or nutritionist covered by insurance?

If your insurance covers nutrition services, the cost is usually lower than paying out-of-pocket. However, insurance coverage can vary based on factors like your specific plan details, whether you choose an in-network or out-of-network provider, and whether you have a referral for nutrition services based on a medical diagnosis.

Coverage also depends on the type of nutrition service. Typically, insurance plans only cover services provided by a licensed Registered Dietitian (RD) and do not cover those offered by nutritionists or nutrition coaches without the RD credential. If nutrition services are not covered by your insurance, some dietitians and nutritionists may offer sliding scale rates or lower-cost services for clients who cannot afford their full fee. However, these spots are often limited and may not always be available.