Good Faith Estimate

In compliance with the recent rollout of the No Surprises Act, a Good Faith Estimate is provided below. This estimate details the cost of one year of sessions with me, at a frequency of once weekly, and is meant to keep clients informed of the potential total cost of services.

Obviously, depending upon frequency of sessions, the estimated total payment may be more or less than what is detailed below. The information below is meant to serve as a guideline for potential clients seeking regular therapy services.


53 minute psychotherapy session (CPT 90837)






$8160.00 based on 12 months of treatment at 1x/week for 48 weeks, with holidays/vacations taken. This estimate does not include unexpected fees such as: paperwork fees, cancellation fees, no-show fees, and consultation fees. 

This Good Faith Estimate shows the cost of services that are reasonable expected for your health care needs for a service. This estimate is based on information known at the time the estimate was created. The estimate does not include any unknown or unexpected costs that may arise during treatment, such as no-show fees, late cancel fees, and emergency sessions. In no way does this estimate hold you to a set number of sessions. You may opt out of treatment at any time. 

Separate good faith estimates will be issued to you upon request. If there is an update to the charges for services, I will provide you with 30 days notice of the change of fee and provide options regarding continuing, transferring, or discontinuing services.

Although the information provided in the GFE is only an estimate, and the actual items, services, or charges may differ from what is included in it, individuals may challenge a bill from a provider through a new patient-provider dispute resolution (PPDR) process if the billed charges substantially exceed the expected charges in the GFE. “Substantially exceeds” means an amount that is at least $400 more than the expected charges listed on the GFE (above). 


Useful Information

Some frequently asked questions and useful answers.

Online therapy works in the same way as in-office therapy, but is done online, similar to a Skype or FaceTime conversation. Clients are able to have sessions from home, work, or any other convenient location. We meet with clients using a HIPAA-compliant secure platform.

Online therapy allows you to work with us from the comfort of home, or any private location of your choosing. For some, the screen provides an added layer of comfort that makes the challenging work of being vulnerable in therapy a little easier.

Online therapy also creates the unique opportunity for you to work with us without the constraints of proximity! The practice was born in Keene, New Hampshire, but has since grown to service clients anywhere in Massachusetts, Pennsylvania, Connecticut, Vermont, New Jersey, Florida, and New Hampshire.

Online therapy is a great option for clients that travel for work, for college students that go home during the summertime and do not want a break in their sessions, and for anyone with a challenging or inconsistent day-to-day schedule. It is an excellent choice for clients seeking a therapist with a particular specialty that they are unable to find support for locally. Some of our clients report that online therapy makes the vulnerability element of therapy a bit less intimidating.

No. For some clients with more complex symptoms or safety concerns, having a local therapist that is readily available is important in case of crisis or the need for a higher level of care. Online therapy is also a challenge for clients that do not have access to a private, quiet space to be “in session” for the hour, or for those that do not have adequate internet connectivity.

There are several reasons why we don’t accept insurance. The most important are:

Confidentiality. Insurance companies require that your information be shared with them in order to pay for services. We prefer that clients’ information is kept as confidential as possible.

The pressure to diagnose. Insurance companies require that clients are given a mental health diagnosis in order to pay for therapy. We have found that many clients benefit from therapy, but do not meet criteria for a diagnosis. Not using insurance allows clients to access therapy without being given a mental health diagnosis.

Flexibility and freedom. Insurance companies dictate the length and number of sessions they will authorize, as well as when a client is no longer eligible for the benefits of therapy. Because we do not work with insurance panels, you and we can collaborate to determine your individual needs regarding session length, frequency of sessions, and when to terminate therapy.

While we do not accept insurance, many clients choose to submit receipts to their insurance companies to receive reimbursement via out-of-network benefits. We are happy to provide these receipts for you! Please check with your insurance company for details on your benefits.



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