Good Faith Estimate

Effective Date: 09/01/25

Under the No Surprises Act, you have the right to receive a Good Faith Estimate (GFE) of expected charges for health care services when paying out-of-pocket (without using insurance). This helps you understand costs before beginning therapy.

Our Services and Fees

Therapy Fee: $200 per 50-55 minute session.

Note: These fees are estimates. Actual charges may vary depending on your specific clinical needs.

Additional Information

  • Payment Methods: We accept credit card, checks, or other form of payment depending on agreement with therapist.

  • Sliding Scale: A limited number of sessions may be available at a reduced fee for clients with financial hardship. Please inquire directly.

  • Superbills for Insurance: If you choose to submit claims to your insurance out-of-network, we provide Superbills to assist with reimbursement.

Requesting a Written Good Faith Estimate

You may request a formal written GFE at any time before scheduling therapy sessions. To request your GFE, contact us at:
Email: arielmantzoorlcsw@gmail.com

This GFE is provided in good faith and reflects the expected cost of services based on standard fees at the time of publication. Actual charges may vary depending on the type and duration of therapy, any additional services provided, and your specific treatment plan.