Together we can create a meaningful and fulfilling life for you.

Welcome to Advantia Mental Wellness.

In counseling, we will nurture your strengths, understand your weaknesses, identify your barriers, and take purposeful steps forward to help you achieve the life you want.

Meet Rachel Noble MS, LCPC

Location: Silver Spring

 Rachel Noble, MS, LCPC Therapist, Director of Advantia Mental Wellness

Rachel Noble, MS, LCPC
Therapist, Director of Advantia Mental Wellness

Johns Hopkins University: Mental Health Counseling, MS

About Rachel
Rachel Noble completed her education at Johns Hopkins University and training at Johns Hopkins Hospital. She specializes in individuals struggling with medical concerns and chronic pain. She also helps with resilience building, diversity issues, mindfulness practices, and leadership training. Rachel strives to create a warm, safe, and welcoming space for her clients to share, learn, and grow.

Rachel is a regular writer for The Washington Post and AARP Magazine, and her writing has been recognized and published by numerous publications and sites across the web.

Click HERE to learn more about Rachel.

Meet Christine Van Horn MS, LCPC

Locations: Germantown, Rockville, Frederick

 Christine Van Horn, LCPC Therapist

Christine Van Horn, LCPC

Lesley University: Mental Health Counseling, MS

About Christy
Christy Van Horn is a Licensed Clinical Professional Counselor who earned her master’s degree in expressive therapies and mental health counseling from Lesley University in Cambridge, MA.

Her postgraduate work has included a variety of settings, including inpatient psychiatry, substance abuse, and mental health consulting for Baltimore City Head Start programs. She has held licensure in the state of Maryland since 2007.

Click HERE to learn more about Christy.

Meet Andrea Zawatsky, MSW, LCSW-C

Locations: Silver Spring, Shady Grove

 Andrea Zawatsky, MSW, LCSW-C, Therapist

Andrea Zawatsky, MSW, LCSW-C, Therapist

Georgetown University: Undergraduate

University of Maryland: School of Social Work, Master of Social Work (MSW)

About Andrea
Andrea Zawastky is a Licensed Clinical Social Worker who received her education from Georgetown University and University of Maryland, School of Social Work.  

Andrea has experience working with teenagers and adults and specializes in dealing with depression, anxiety, women’s health issues as well as working with people who have developmental and learning disabilities.

Andrea is also fluent in Spanish and is available to do therapy in Spanish. It is Andrea’s goal to build a trusting relationship with each client so that they have a positive and fulfilling counseling experience. 

Click HERE to learn more about Andrea.

In The News

Read Rachel's writing and other publications where she is quoted.


We help people struggling with . . .

  • Depression
  • Chronic pain
  • Postpartum depression
  • Parenting concerns
  • Life transition
  • Medical concerns
  • Behavior changes
  • Stress management
  • Anxiety and fears
  • Moving forward
  • Relationship challenges
  • Identity issues
  • Communication concerns
  • Loss, grief, and healing
  • Marital tension

Together we can improve your . . .

  • Resilience and coping techniques
  • Life balance
  • Self-esteem and empowerment
  • Mindfulness practices
  • Leadership skills
  • Emotional regulation
  • Healthy boundaries
  • Parenting skills

“Between stimulus and response, there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom.”

 - Victor Frankl


New to Counseling?

Let's get to know one another before committing to an appointment.

We require FREE 15-minute phone consultations for all new patients.

Frequently Asked Questions

I've never been to counseling. What should I expect?

We're glad you asked. Whether you are new to counseling or new to working with our therapists, we require FREE 15-minute phone consultations for all new patients. During the consultation, we will discuss your concerns and decide together how to help you achieve your goals.

In therapy, we will discuss what events brought you to this place, and how do we take purposeful steps to move forward, recognizing what are your strengths and barriers to understand how to best move forward.

Click HERE to request a FREE 15-minute phone consultation.

How much does counseling cost and will my insurance pay for it?

Payment is due on the date of service and may be paid by:

  • Credit card
  • Check
  • Cash
  • HSA accounts with check/debit capability

We do not accept insurance as a direct form of payment, but you may request reimbursement from your insurance company on your own. You will be given a receipt that you may submit (see next question) to your insurance company for reimbursement. The receipt will include codes known as "procedure codes" and "diagnostic codes", which are required by insurance companies for reimbursement. Your insurance company will then reimburse you directly based on your plan coverage. Most insurance companies reimburse between 60%-90%, but it varies, so please be sure you understand your individual plan.

After insurance reimbursement, a therapy session usually costs about as much as a good meal out, but again this varies, so please be sure you understand your individual plan.

If you believe you cannot afford this, don't give up. Please speak with a member of our team. We will do all we can to help connect you with mental health resources that best fit your needs and situation.

NOTE: Due to federal law, counseling services provided by Advantia Mental Wellness therapists may not be submitted to Medicare or Medicaid for reimbursement.

How do I submit a bill to my insurance company?

Here are some general guidelines for submitting a bill (also known as "filing a claim") with your insurance company.

Once you schedule your first appointment, you’ll be given access to the Patient Portal where you can retrieve copies of your bills that may be submitted to insurance for reimbursement based on your coverage.

  1. Understand your coverage. Call your insurance company and ask them to explain your coverage, their process, and what documentation is needed to file a mental health claim. The process varies, and the remaining steps explain what most companies will require. Your Benefits Summary document should include instructions on how to file a claim, along with copies of claim forms or details on how to obtain them (such as downloading them online). The back of your insurance card will likely have a toll free telephone number for member services that you can call for assistance.
  2. Don't put it off. Many insurance plans limit the length of time after receiving services that you can file a claim. Some time limits are as little as 30 days after your appointment.
  3. Keep your receipt. You will need the receipt from your therapist's office. Make sure it includes your name, the type of visit, and a diagnostic code. Also make sure your therapist’s name, address, telephone number, and provider number are clearly legible on any documentation you submit to your insurance company.
  4. Keep copies. Be sure to keep a copy of everything you submit and record the date you mailed the claim. If you speak to anyone at the insurance company about the claim, keep detailed notes, including names, dates, and times.
  5. Submit your claim. Your insurance company may offer the ability to submit/file a claim electronically from their website, otherwise you will need to send the paper claim form and any receipts through the mail. Be sure to follow your insurance company's instructions for claim submission.

After submitting, your insurance company will send you an Explanation of Benefits (EOB) form detailing their payment to you. Compare the EOB to your copy of the submitted claim to confirm you have been covered as expected for the visit, and make sure you understand the breakdown of how the claim was paid.

Can I pay for therapy using my Health Savings Account (HSA)?

Yes, you can use your HSA card to pay for therapy appointments. Your health savings account works like an IRA for medical bills. You deposit money tax-free, it earns interest tax-free, and your withdrawals are tax-free as long as they're for qualified medical expenses. Anything that the IRS identifies as a deductible health-care expense in Publication 502 qualifies as tax-free HSA spending.

Learn more about Publication 502 at:

How many sessions will I need before I see improvement?

There is no average number of sessions. Some people feel better after an initial consultation and receiving validation. You will likely see improvement after the first session and begin to understand that there are other ways to solve your problems.

Many people stay in therapy because they find it to be beneficial, and it becomes a part of their life. The number of sessions you attend is self-determining, and it's something you decide with your therapist.

How often will I need a session?

As often as needed, and this is something to discuss with your therapist. Many people visit once a week, but it could be less frequently or more frequently depending on your needs.

Can I do my appointment by phone?

Yes, you can do your appointment by phone after you and your therapist have established a relationship. We prefer face-to-face consultations, but we are happy to accommodate appointments by phone when needed.

New patient consultations are always done by phone. Click HERE to learn more about requesting a free 15-minute phone consultation.

I have a security clearance. Will counseling impact my clearance?

We can't answer that yes or no, but it usually doesn't impact a security clearance. If this is a concern, you should double-check with your employer before beginning counseling.

I am very concerned about anonymity. How private is counseling?

Counseling is extremely private. We follow all counseling and privacy guidelines set forth by the following organizations and regulations:

Patient Portal

We offer our patients secure online access to a Patient Portal, which enables you to safely and easily:

  • Retrieve copies of your bills that may be submitted to insurance for reimbursement based on your coverage
  • Review scheduled / future appointments
  • Read and learn about symptoms and conditions
  • Contact us with non-urgent medical questions

Contact & Location

We are available at 4 locations in Maryland: Silver Spring, Germantown, Rockville, and Frederick.

Phone & Fax

Phone: (301) 273-6611

Fax: (301) 844-6733

If you are a harm to yourself or others, call 911 or go to the nearest emergency room.

Billing questions?

Please call our office: (301) 273-6611


Monday - Friday: 9AM - 5PM
Saturday: 9AM - 3PM
Sunday: urgent appointments only

Silver Spring

Therapists: Rachel Noble, Andrea Zawatsky

1400 Forest Glen Rd, Suite 500
Silver Spring, MD 20910
Metro: Forest Glen
Parking: FREE (we validate)

Conveniently located in the Physician Office Building next to Holy Cross Hospital in Silver Spring, Maryland.



12800 Middlebrook Rd, Suite 480
Germantown, MD 20874
Parking: FREE



Therapist: Chrisine Van Horn

11921 Rockville Pike, Suite 400
Rockville, MD 20852
Parking: $1 - $2



Therapist: Christine Van Horn

77 Thomas Johnson Dr, Suite H
Frederick, MD 21702
Parking: FREE


Shady Grove

Therapist: Andrea Zawatsky

9715 Medical Center Dr, Suite 315
Rockville, MD 20850
Parking: FREE (up to 3 hours)

Located next to Shady Grove Adventist Hospital.