Tera Pareja, licensed therapistOregon & Washington

ESA letters for OR & WA.

A 30-minute phone assessment with licensed therapist Tera Pareja. If an ESA is clinically appropriate, your signed housing letter is issued the same day as your completed assessment.

$129 flat — assessment + letter included. If no letter is issued, you pay $0 total, including the assessment.

PNW ESA Letters · Tera Pareja, LMHC (WA) · LPC (OR). Verify my credentials: WA DOH · OR Board · NPI

Tera Pareja at home with her emotional support dog
What I offer

Care that's clinical, warm, and genuinely yours.

01

ESA Assessment

A thoughtful 30-minute phone evaluation to understand your needs and determine whether an emotional support animal fits your care.

02

Housing Letters

A signed clinical letter, when appropriate, to support your housing accommodation request. A letter does not guarantee approval.

03

Ongoing Support

Renewal check-ins and landlord verification support — so you can ask questions about your documentation.

600+
clients supported
12+
years in practice
2
states licensed
Same day
letter after assessment, if appropriate
How it works

Four simple steps, no run-around.

01

Book online

Pick a time that works. Choose from the current appointment times in the live calendar.

02

Talk by phone

A relaxed 30-minute call — just a real conversation.

03

Get your letter

If an ESA is right for you, your signed letter arrives the same day as your completed assessment.

04

Stay supported

Questions later? I'm here for renewals and landlord follow-ups. New to all this? Read how to get an ESA letter.

Portrait of Tera Pareja, licensed therapist
About Tera

Hi, I'm Tera — I believe the bond with your animal matters.

For over a decade I've worked alongside people navigating anxiety, depression, trauma, and major life transitions. Time and again, I've seen how an emotional support animal can steady someone's days in ways nothing else does.

My role is to listen carefully, evaluate honestly, and — when it's the right fit — give you documentation you can stand behind. No mills, no shortcuts.

PNW ESA Letters is the online home of my ESA therapy practice. Read my profile and verify my credentials. For Washington residents, explore ESA assessments with Tera Pareja, LMHC, available by phone statewide.

Credentials — verify them
Washington LMHC · LH60792032 Oregon LPC · C10756 NPI · 1609257328 Each link opens the official state or federal registry.
Experience
12+ years in practice
Eligibility

You may qualify if…

  • ✓You experience a condition like anxiety, depression, PTSD, or chronic stress.
  • ✓Your animal brings you genuine comfort, grounding, or relief.
  • ✓You're a current resident of Oregon or Washington — see ESA letters in Oregon or ESA letters in Washington.
  • ✓You're ready for an honest conversation with a licensed therapist.

Common reasons people qualify

  • Anxiety
  • Panic attacks
  • Depression
  • PTSD & trauma
  • Chronic stress
  • Social anxiety
  • Grief & major life changes
  • OCD
  • Bipolar disorder
  • ADHD

A diagnosis alone doesn't decide it. The assessment looks at how your symptoms affect daily life and the role your animal plays in easing them.

What an ESA letter does — and doesn't

It can support a housing accommodation request. Your housing provider reviews the request; a letter does not guarantee approval or fee waivers.

It doesn't grant public-access rights (that's a service animal), and since 2021 airlines are no longer required to accommodate ESAs. I'll always tell you straight what your letter covers.

Ready to feel more at home?

Phone appointments for Oregon & Washington residents. See current times in the calendar.

Schedule a Session
Pricing

Transparent, flat pricing.

No hidden fees. If no letter is issued, your total cost is $0, including the assessment.

Annual Renewal
$69
per year

Only for people Tera has previously seen:

  • Brief renewal check-in by phone
  • Updated letter, if clinically appropriate
  • Landlord follow-up included

New to Tera, including with another provider's letter? Start with the $129 initial assessment. Renewal is a practice service, not a universal legal expiry rule. Check renewal eligibility and process.

Renew letter
Schedule a session

Let's find a time.

Pick a time that works for you — booking takes about a minute, and you'll get an instant confirmation. Prefer to reach out first? I'm a message away. Using ChatGPT? If your assistant can browse websites, it may be able to help you check the live calendar. You can always book here yourself.

FAQ

ESA letter questions, honest answers.

Assessment costs, renewals and landlord verification. Still unsure? Reach out anytime — there's no obligation.

Practice information · content updated October 10, 2026 · Tera Pareja, LMHC (WA) · LPC (OR)

An ESA letter is clinical documentation from a licensed mental health professional about an animal's role in your care. When clinically appropriate, it can support a housing accommodation request. The housing provider reviews the request separately; a letter does not guarantee approval.

A letter can support your housing accommodation request, but it does not guarantee landlord acceptance. Each letter I issue follows a real clinical assessment and includes my license number, NPI and signature. HUD's May 22, 2026 memo limits FHEO findings and recommended charges for animal complaints under the Fair Housing Act to trained disability-related assistance animals. State-law protections and private court rights are separate; see the current HUD guidance and housing-request limits. I provide letter verification support at no additional charge.

I take landlord verification calls and respond to written verification requests at no extra charge. A landlord may confirm that your letter is genuine and that I'm licensed — but they're not entitled to your diagnosis or records, and I never share them.

PNW ESA Letters conducts assessments by phone for adults in Oregon and Washington. I am licensed in both states, and a letter is issued only when clinically appropriate after a real assessment. Telehealth does not guarantee that a housing provider will approve an accommodation request.

PNW ESA Letters is the online home of my practice, Tera Pareja · ESA Therapy. I am licensed in Washington (LMHC LH60792032) and Oregon (LPC C10756), with NPI 1609257328. You can verify my credentials in official registries. Every letter follows a real 30-minute phone assessment and includes my license information, NPI and signature. If no letter is issued, your total cost is $0, including the assessment. Registrations, certificates and ID cards do not replace a clinical evaluation or grant housing approval. A letter supports a request; it cannot guarantee an accommodation.

Sometimes — and if yours will, that's often the best option. In practice, many therapists and group practices don't write ESA letters, usually because of employer policy or unfamiliarity with Fair Housing documentation requirements. My assessment is designed as a standalone evaluation: one 30-minute phone session focused specifically on whether an emotional support animal fits your care. You don't have to leave your current therapist or commit to ongoing sessions with me, and I'm glad to coordinate with your existing care if you'd like. If a letter is clinically appropriate, it is issued the same day as your completed assessment.

Yes. I offer phone assessments for adults who live in Oregon or Washington and are located in one of those states for the session. I am licensed in both states.

No — and I'll always be upfront about this. Since 2021, airlines are no longer required to accommodate emotional support animals. An ESA letter is for housing, not flights.

Check the live calendar for current appointment times. If an ESA is clinically appropriate, your signed letter is issued the same day as your completed assessment. Same-day letter delivery is not a promise of a same-day appointment.

If no letter is issued, your total cost is $0, including the assessment. We'll use the time to talk through other options that might help.

Students can ask their school's disability or accessibility office about an ESA housing accommodation. Requirements and review timelines vary, and a letter does not guarantee acceptance. Wait for school approval before moving the animal into campus housing. See the college students page for the request process and school resources.

It's a relaxed 30-minute phone conversation, not a test. I'll ask about what you've been dealing with, how your animal helps you day to day, and your housing situation. There's nothing to prepare, no forms to fill out ahead of time, and you don't need a prior diagnosis on paper. If an ESA is a good fit, I'll tell you on the call and your signed letter goes out the same day as your completed assessment. If no letter is issued, I'll explain why and your total cost is $0, including the assessment.

Schedule a Session