Individual Nutrition Therapy

Follow Up Appointment

This 25 or 50-minute nutrition counseling session is where the magic happens. This includes a review of goals set in the previous session & further assessment to individualize the nutrition plan.

Initial Assessment

During this 60-minute session, your Peachy dietitian will perform a full medical nutrition therapy assessment and speak with you about your nutrition goals and our nutrition counseling services.

We believe in a three-step process to help our clients work towards intuitive eating and body trust. Every client and families care plan is individualized and comprehensive but will include components of:

✸  Nutrition Restoration
✸  Nutrition Counseling + Education
✸  Body Image + Intuitive Eating

Our Nutrition Counseling Process

In sessions with your dietitian, you will learn skills to navigate challenges around food & body image and how to break free from shame around food. In your nutrition counseling work, you will unlearn the food rules and diet culture that may have been internalized throughout your life. 
Your dietitian will support you in creating realistic goals that align with your food values to help you take care of yourself around food and your body. Peachy Nutrition is a judgment-free, safe space that is accepting of all bodies, abilities, genders, races, ethnicities, and life circumstances.

We work with clients both VIRTUALLY and IN-PERSON who struggle with eating disorders, disordered eating recovery, and chronic dieting using an Intuitive Eating and Health at Every Size™ approach which is weight-inclusive, compassionate, and ethical care. 

We work at an outpatient level of care for the treatment of eating disorders. An outpatient team consists of a dietitian, therapist, primary care physician and psychiatrist at minimum. An outpatient team works collaboratively to ensure clients get the best care for their recovery while staying in their day-to-day life. Clients in eating disorder recovery being treated on the outpatient level will typically visit with their dietitians 1-2x/week, therapist 1-2x/week, PCP monthly, and psychiatrist as needed.

Dietitians at Peachy Nutrition work with adolescents ages 10 and up. We work collaboratively with your entire team: family therapist, PCP and psychiatrist. For family-based treatment, it is incredibly important to have consistency and meet regularly with both the adolescent and family. Our protocol at Peachy Nutrition is to meet 1-2x/week with the adolescent and family, splitting the time in a way that is best for your individual family. Your dietitian will act as a guide and support to the parents to help facilitate feeding at home. This can often be an effective alternative to higher levels of care for adolescents and is very successful when the entire family is on board and dedicated to caring for their child in eating disorder recovery.

Health at Every Size™ is a compassionate care framework that recognizes and promotes body diversity and holistic health. We recognize a focus on intentional weight loss causes harm, does not improve health, and further invokes weight stigma and discrimination. We believe any person in any size body can pursue health and create positive behavior change that prioritizes their individual health desires. The 5 pillars of HAES include:

1. Weight Inclusivity: Accept and respect the inherent diversity of body shapes and sizes and reject the idealizing or pathologizing of specific weights.

2. Health Enhancement: Support health policies that improve and equalize access to information and services, and personal practices that improve human well-being, including attention to individual physical, economic, social, spiritual, emotional, and other needs.

3. Eating for Well Being: Promote flexible, individualized eating based on hunger, satiety, nutritional needs, and pleasure, rather than any externally regulated eating plan focused on weight control.

4. Respectful Care: Acknowledge our biases, and work to end weight discrimination, weight stigma, and weight bias. Provide information and services from an understanding that socio-economic status, race, gender, sexual orientation, age, and other identities impact weight stigma, and support environments that address these inequities.

5. Life-Enhancing Movement: Support physical activities that allow people of all sizes, abilities, and interests to engage in enjoyable movement, to the degree that they choose.

For more information on Health at Every Size, please visit:

Intuitive Eating is a self-care eating framework that integrates instinct, emotion, and rational thought. Intuitive Eating allows for self-compassion, curiosity, and a gentle approach to food. There are 10 principles of Intuitive Eating:

1. Reject the Diet Mentality
2. Honor Your Hunger
3. Make Peace with Food
4. Challenge the Food Police
5. Respect Your Fullness
6. Discover the Satisfaction Factor
7. Honor Your Feelings without Using Food
8. Respect Your Body
9. Exercise—Feel the Difference
10. Honor Your Health with Gentle Nutrition

Intuitive Eating is the last part of eating disorder recovery, and we fully believe in clients getting to this part of their journey.

For more information on intuitive eating, please visit:

First, I want to extend compassion to you. Of course, you have a desire to lose weight- we live in a fatphobic diet culture that praises thinness at all costs. We are not anti-dieters, or anti people who want to lose weight. We are here for you and support your humanity. We can hold space for your desires to lose weight and process that with you, while also encouraging you to have a therapist on board who can do deeper work around body beliefs and values. We recognize that research shows 95% of diets and intentional weight loss attempts fail: in 2-5 years folks tend to gain weight back, plus more, and enter a process called "weight cycling" which is harmful to your physical and mental health. We also have hundreds of clients come through our practice each week and listen to their lived experience of losing and gaining weight, and how toxic that has been for them. Promoting weight loss not only doesn't work but encourages eating disorder behaviors which we are actively trying to help people work through these behaviors. Your body is welcome here.


working with us

Insurance* + Finance

*Although Peachy Nutrition may assist you in verifying your insurance coverage as a courtesy, we can't guarantee payment. If your charges are denied, you will be billed directly. If you have any questions or concerns, please contact your insurance company directly.

Yes! We are currently in-network with Blue Cross Blue Shield (BCBS) of North Carolina and Aetna.

If you have Aetna or BCBS insurance, we will file insurance claims on your behalf. (We are NOT in-network with the BCBSNC health plans Blue Local, Blue Home, or Blue Value).

BCBS of North Carolina: Most policies cover nutrition counseling at 100% with no copay or deductible. Some (grandfathered) policies do have restrictions. BCBSNC is providing telehealth coverage for nutrition counseling through December 31, 2020. Updates will be provided as they come available.

North Carolina State Health Plan: Policies cover nutrition counseling at 100% with no copay or deductible. BCBSNC State Health Plan is providing telehealth coverage for nutrition counseling through December 31, 2020. Updates will be provided as they come available.

Federal: Covers 6 nutrition counseling visits each year with no copay. BCBS Federal is providing telehealth coverage for nutrition counseling.

Out of State: Every plan is different. Our office can assist you with verifying benefits if requested. Many plans are currently providing telehealth coverage

Aetna: Most plans have a nutrition counseling benefit. Deductible or copays may apply. Telehealth services are available through Aetna.

If Peachy Nutrition isn’t in-network with your insurance plan, we can send you a "superbill" — basically a medical receipt — for services that you can submit to your insurance company for possible reimbursement. If we are out-of-network with your insurance company, you will need to pay for your sessions at the time of service, and if you choose to submit the super bill to your insurance company, the reimbursement will be paid directly to you. I recommend using Reimbursify to submit these superbills. Reimbursify is a platform that navigates the (sometimes very confusing!) process of insurance reimbursement for you. They take a small fee for the service, but clients often end up getting more money back than if they’d submitted superbills themselves.

Please call or email for our current self-pay rates. We do offer sliding scale spots for clients (currently on a waitlist for sliding scale spots).

As of January 1, 2022, all healthcare providers are required to provide estimates for the costs of your care, if we are not filing directly with your insurance company. A Good Faith Estimate will be provided by your clinician upon scheduling and/or as requested. While it is difficult to predict the number of sessions you will ultimately need to reach your treatment goals, we strive to be as transparent as possible about the cost of treatment during this process.

For Clients with BCBS and Self-Pay & Out-of-Network Clients: Please call the Customer Service telephone number on the back of your insurance card prior to your first visit.

When calling your insurance company, ask the following questions and write down the answers to help determine your coverage:

1. Is Peachy Nutrition (NPI number 1760052765) currently an in-network provider for my plan?

2. If not, what are my out-of-network benefits?

3. Does my plan cover outpatient nutrition therapy CPT codes 97802 (medical nutrition therapy – assessment), 97803 (medical nutrition therapy – follow up), or S9470 (“nutritional counseling”)? If you have diabetes, you may also want to ask about diabetes management codes, G0108 (individual) and G0109 (group.

4. Do I have any nutrition counseling visits covered under the preventative care portion of my plan, (ICD-10 code Z71.3)?

5. Due to the COVID-19 pandemic, do I currently have coverage for services provided via telehealth? (Important: Due to the COVID-19 crisis, all appointments will be held virtually via a secure telehealth platform until further notice. BCBS has extended coverage of virtual sessions to all plans – be sure to call the number on the back of your card to verify benefits.)

6. Do I need a physician referral?

7. Do I have a deductible for “Nutritional Counseling Services?”

8. If yes, how much is it and how much has been met so far?

9. Is there a co-payment for each visit or do I have co-insurance? If I have co-insurance, what is the percentage of coverage?

10. How many sessions are covered per year?

11. What month does the policy year renew?

12. Are there any restrictions and/or limitations to my coverage?

Write down and keep the reference number for your call.

Feel free to contact your Peachy dietitian or email if you have questions about working with your insurance company.

Kind Words from our clients

"Alex is the BEST and I look forward to our sessions. Unlike prior providers and practices, I’ve always been treated as an individual at Peachy Nutrition. Alex takes so much time and works incredibly hard to make sure I’m getting what I need out of our time together. I’ve never felt pushed into a plan that wasn’t right for me. Alex sees me as a person, not just another client. Be prepared to be pushed to be your best, but in the most kind & compassionate way possible. I could not recommend anyone more. If she has an opening, take it before it’s gone. You won’t regret it."

"I’ve never felt as seen, heard, and validated by a provider as much as I do at Peachy."


"I am constantly learning new things about nutrition and how food interacts with my body in our sessions. The greatest benefit to sessions with her is that I'm having fun incorporating my new food knowledge into meal time. I very strongly recommend booking a session if you are curious about nutrition!"

"I have had such a great experience with Jessica! I feel like she meets me where I am and finds solutions that work with my food preferences and routine."


"I have been working with Jessica for almost a year. I feel she has helped me reach my personal goals."

"I have worked with other dietitians in the past and unable to reach my goals. There is no judgement from staff which I love the most."


"Very professional and knowledgeable!"


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