01.
Add your provider information
Enter your practice details once, including your NPI, EIN, address, logo, and document accent color.
Mental Health Superbill Template
Mental Health Superbill Template for Therapists
Need to create a superbill for an out-of-network therapy client? See what usually goes on one, look at a realistic example, and create a finished PDF without building your own template from scratch.
3 superbills free. No credit card required.
The Basics
What is a mental health superbill?
A superbill is an itemized document a therapist can give to a client after providing services. It usually includes information about the provider, the client, the services provided, the diagnosis, and what was charged or paid.
Clients may use that document when asking their insurance plan about out-of-network reimbursement. The exact process varies by plan.
For the client’s side of the process, read our guide to superbills and therapy reimbursement.
A superbill is not quite the same thing as an invoice or receipt. An invoice mainly shows what a client owes, and a receipt shows what they paid. A superbill includes additional provider and service information that may be useful when a client submits documentation to an insurer.
Superbill Studio creates the document for you. It does not submit claims or superbills to insurance companies.
Example
What does a therapy superbill look like?
There is no single visual format every therapist has to use. A good superbill simply organizes the important information clearly so the client and insurance plan can understand what services were provided.
Willow Tree Counseling
Statement
of services
of services
Superbill
Service period: 05/07/2026 – 05/21/2026
Provider information
ProviderJordan Mitchell, LCSW
PracticeWillow Tree Counseling
Address418 Cedar Ave, Suite 210
Asheville, NC 28801
NPI1234567890
Federal Tax ID (EIN)12-3456789
Client information
ClientAlex Morgan
Date of birth03/22/1990
Services provided
| Date of service | CPT | Mod | ICD-10 | POS | Charge | Paid |
|---|---|---|---|---|---|---|
| 05/07/2026 | 90837 | 95 | F41.1 | 02 | $150.00 | $150.00 |
| 05/14/2026 | 90837 | — | F41.1 | 11 | $150.00 | $150.00 |
| 05/21/2026 | 90834 | — | F41.1 | 11 | $120.00 | $120.00 |
| Totals | $420.00 | $420.00 | ||||
Provider signatureJordan Mitchell, LCSW
Date05/22/2026
Anatomy of a Superbill
What does a therapy superbill usually include?
Insurance plans can ask for different information, but most mental health superbills follow the same general structure.
Provider information
- Provider name and credentials
- Your name as clients and insurance plans would recognize it.
- Practice name and address
- The practice the services were provided under.
- National Provider Identifier (NPI)
- Commonly included, and often the first thing a plan looks for.
- Federal Tax ID (EIN)
- Used to identify the practice for billing purposes.
- Provider signature and date
- Shows who prepared the document and when.
Client information
- Client name
- The person who received the services.
- Date of birth
- Often requested so a plan can match the document to the right member.
Session information
- Date or dates of service
- One appointment, or several on the same document.
- CPT or HCPCS code
- The code for the service provided.
- Modifier, when applicable
- Added when something about the service needs to be noted, like telehealth.
- ICD-10 diagnosis code
- The diagnosis the services were provided for.
- Place of Service
- Where the session happened, such as an office or telehealth.
- Charge
- What was billed for the session.
- Amount Paid
- What the client paid.
Totals
- Total charges
- The sum of the sessions listed.
- Total amount paid
- What the client paid across those sessions.
Single or Multiple Sessions
One superbill can cover more than one appointment.
Some clients need a superbill after every appointment. Others ask for one every few weeks or months. In that case, several dates of service can be listed on the same superbill instead of creating a separate document for each session.
Superbill Studio supports both Single Session and Multiple Sessions. If appointments happen weekly, recurring dates can be added quickly instead of entering every date by hand.
Templates Work. There's Just an Easier Way.
You can build a superbill manually. Or you can just make the superbill.
There's nothing wrong with making a superbill in Word or Google Docs. Plenty of therapists do. The downside is having to update the same details, check the math, fix the formatting, and export a new PDF each time.
Word / Google Docs
- 1Create or find a template
- 2Enter provider information
- 3Add client and session details
- 4Format the service rows
- 5Calculate the totals
- 6Check everything over
- 7Export the document to PDF
- 8Repeat the process next time
Superbill Studio
- 1Save your provider information once
- 2Start with your usual session details already filled in
- 3Add one session or several
- 4Let the totals calculate automatically
- 5Add your practice logo and accent color
- 6Download the finished PDF
Superbill Studio handles the repetitive part, so creating the document feels more like a quick admin task than a formatting project.
3 superbills free. No credit card required.
How It Works
From session details to finished PDF in three steps.
02.
Add the session
Enter the client details, date or dates of service, diagnosis, CPT code, Place of Service, charge, and payment information.
03.
Download the PDF
Superbill Studio creates the finished document for you to download directly to your device and give to your client.
Client and superbill information stays in your browser while you create the document and is not stored in your Superbill Studio account.
Frequently Asked Questions
Questions about therapy superbills
A superbill is an itemized document that summarizes therapy services provided to a client. It typically includes information about the provider, the client, the diagnosis, the services provided, and what was charged or paid. Clients may use it when asking an insurance plan about out-of-network reimbursement.
A mental health superbill usually includes provider information, NPI and EIN, client information, dates of service, CPT or HCPCS codes, diagnosis codes, Place of Service, charges, payments, and a provider signature. Insurance plans can have different requirements, so clients may want to check with their own plan.
Yes. A therapist can create a superbill for one appointment or include several dates of service on the same document. This can be useful for clients who request documentation every few weeks or months instead of after every session.
An invoice mainly tells a client what they owe. A superbill includes additional information about the provider, diagnosis, services, and billing codes that may be useful when the client submits documentation to an insurance plan.
Usually, the therapist gives the completed superbill to the client, and the client follows their insurance plan's process for submitting it. Superbill Studio creates the PDF but does not submit claims or superbills to insurance companies.
Yes. You can make one in Word, Google Docs, a spreadsheet, or another document tool. Superbill Studio is simply a faster way to handle the repeated provider details, session rows, totals, and PDF formatting.
An NPI commonly appears on therapy superbills and may be requested by an insurance plan. Requirements can vary based on the provider, credentials, and the client's plan, so therapists should follow the rules that apply to their own practice.
Skip the template. Create the superbill.
Create a clean, professional superbill in minutes without rebuilding the same document every time.
3 superbills free. No credit card required.