Good Faith Estimate
The 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, and does not include any unknown or unexpected costs that may arise during treatment.
Provider estimate for working with Kristin Dickie:
This is the cost of 55 minute individual sessions based on frequency per month up until December 31, 2026
One month of services: Weekly $900 Bi-weekly $450 Monthly $225
Two consecutive months: Weekly $1,800 Bi-weekly $900 Monthly $450
Four consecutive months: Weekly $3,600 Bi-weekly $1,800 Monthly $900
Six consecutive months: Weekly $5,400 Bi-weekly $2,700 Monthly $1,350
This estimated list of charges does not include 90 minute sessions or other services such as intensives. This estimate also does not include no show or late cancellation fees. Sessions not canceled within 48 hours are subject to a cancellation fee of $225.
Provider estimate for working with Callie Ann Munson:
This is the cost of 55 minute individual sessions based on frequency per month up until December 31, 2026
One month of services: Weekly $800 Bi-weekly $400 Monthly $200
Two consecutive months: Weekly $1,600 Bi-weekly $800 Monthly $400
Four consecutive months: Weekly $3,200 Bi-weekly $1,600 Monthly $800
Six consecutive months: Weekly $4,800 Bi-weekly $2,400 Monthly $1,200
This estimated list of charges does not include 90 minute sessions or other services such as intensives. This estimate also does not include no show or late cancellation fees. Sessions not canceled within 48 hours are subject to a cancellation fee of $200.
Provider estimate for working with Hannah Bennett-Chew:
This is the cost of 55 minute individual sessions based on frequency per month up until December 31, 2026
One month of services: Weekly $680 Bi-weekly $340 Monthly $170
Two consecutive months: Weekly $1,360 Bi-weekly $680 Monthly $340
Four consecutive months: Weekly $2,720 Bi-weekly $1,360 Monthly $680
Six consecutive months: Weekly $4,080 Bi-weekly $2,040 Monthly $1,020
This estimated list of charges does not include 90 minute sessions or other services such as intensives. This estimate also does not include no show or late cancellation fees. Sessions not canceled within 48 hours are subject to a cancellation fee of $170.
Provider estimate for working with Hannah Kohlmetz:
This is the cost of 55 minute individual sessions based on frequency per month up until December 31, 2026
One month of services: Weekly $680 Bi-weekly $340 Monthly $170
Two consecutive months: Weekly $1,360 Bi-weekly $680 Monthly $340
Four consecutive months: Weekly $2,720 Bi-weekly $1,360 Monthly $680
Six consecutive months: Weekly $4,080 Bi-weekly $2,040 Monthly $1,020
This estimated list of charges does not include 90 minute sessions or other services such as intensives. This estimate also does not include no show or late cancellation fees. Sessions not canceled within 48 hours are subject to a cancellation fee of $170.
Provider estimate for working with Stephanie Behuniak:
This is the cost of 55 minute individual sessions based on frequency per month up until December 31, 2026
One month of services: Weekly $640 Bi-weekly $320 Monthly $160
Two consecutive months: Weekly $1,280 Bi-weekly $640 Monthly $320
Four consecutive months: Weekly $2,560 Bi-weekly $1,280 Monthly $640
Six consecutive months: Weekly $3,840 Bi-weekly $1,920 Monthly $960
This estimated list of charges does not include 90 minute sessions or other services such as intensives. This estimate also does not include no show or late cancellation fees. Sessions not canceled within 48 hours are subject to a cancellation fee of $160.
Throughout your treatment, the provider may recommend additional items or services as part of your treatment that are not reflected in this estimate. These would need to be scheduled separately with your consent and the understanding that any additional service costs are in addition to the Good Faith Estimate. If your needs change during treatment, your provider should supply a new, updated Good Faith Estimate to reflect the changes to treatment, and the accompanying cost changes. 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. The Good Faith Estimate is not a contract between provider and client and does not obligate or require the client to obtain any of the listed services from the provider. 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. 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. To learn more and get a form to start the process, go to www.cms.gov/nosurprises or call HHS at (800) 985-3059. For questions or more information about your right to a Good Faith Estimate or the dispute process, visit www.cms.gov/nosurprises 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.