top of page

No Surprise Act and Good Faith Estimate

Insurances and fees

Limited Insurances Contracted with

 Please call to check openings for appointments.

** It is the Clients responsibility to know their Mental Health Coverage.


If you have out-of-network coverage, you can choose to receive a super-bill (medical receipt) that can be submitted to your insurance company for reimbursement.

Price Information for Private Pay

Intake = $ 225

45 Min Session = $160

60 Min Session = $180

Crisis Counseling = $280

Family Counseling W/PT 60 Min = $200

Family Counseling W/O PT 60 Min= $150

  • Consultation with other Professionals via phone, email, or other platforms

  • IEP Meetings

  • Family Consultation outside of sessions

  • Others : TBD

$175 an hour

Billed in 15 Min Increments 

    Summary of Progress Notes = Flat Rate $75

    Services: Accepted Insurance

    Good Faith Estimate

    As of January 1, 2022, all healthcare providers are required to provide estimates for the costs of your care. The Good Faith Estimate shows the costs of items and/or services that are reasonably expected for your healthcare needs and treatment. This will be provided by this office upon scheduling and/or as requested. The Good Faith Estimate does not include unexpected costs that could arise during treatment.

    Under the No Surprises Act (H.R. 133, in effect as of January 1, 2022), health care providers need to give clients or patients who do not have insurance or who are not using insurance an estimate of the bill for medical items and services.
    • This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. The estimate is based on information known at the time the estimate was created.
    • You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes (under the law/when applicable) related costs like medical tests, prescription drugs, equipment, and hospital fees.
    • The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill.
    • If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
    o You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available.
    o You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill.
    o There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount.
    • Make sure your health care provider gives you a Good Faith Estimate within the following timeframes:
    o If the service is scheduled at least three business days before the appointment date, no later than one business day after the date of scheduling;
    o If the service is scheduled at least 10 business days before the appointment date, no later than three business days after the date of scheduling; or
    o If the uninsured or self-pay patient requests a good faith estimate (without scheduling the service), no later than three business days after the date of the request. A new good faith estimate must be provided, within the specified timeframes if the patient reschedules the requested item or service.
    Note: A Good Faith Estimate is for your awareness only. It does NOT involve you needing to make any type of commitment.
    To learn more and get a form to start the process, go to or call 800-985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit or call 800-985-3059. Keep a copy of this Good Faith Estimate in a safe place or take pictures of it. You may need it if you are billed a higher amount.
    If you have questions or concerns, please reach out.

    Services: Text

    Cancellation Policy

    You may choose to receive reminders from me prior to your scheduled appointment. Please keep in mind that automated reminder services are not a guarantee and that it is your responsibility to attend your sessions or provide notice if you need to cancel or reschedule your appointment. When possible, a 24-hour notice is requested if you are unable to keep your scheduled appointment. If you do not attend your scheduled appointment, and you have not notified me in advance, you will be charged a $100 late cancellation or no-show fee. Please be aware that this fee cannot be reimbursed by your insurance.

    However, I do understand that life happens and that you may not always be able to give this advanced notice. These instances will be evaluated on a case by case basis. I do request that contact be made with me through phone, text, or email if you will not be at your scheduled appointment. If late cancellations or no shows become a habit, services may be terminated.

    Services: Text
    bottom of page