Greenlake Wellness | Mental Health Therapy in Seattle and Across Washington

Greenlake Wellness Group

Good Faith Estimate

(No Surprises Act)

 

Starting January 1, 2022, health care providers are required to give a Good Faith Estimate of expected charges to all clients who are uninsured or who choose not to use insurance for services. A Good Faith Estimate explains how much your medical and mental health care is expected to cost.

You may request a Good Faith Estimate before scheduling any non-emergency service, including psychotherapy. If you receive a bill that is $400 or more above your Good Faith Estimate, you have the right to dispute the bill.

Please save a copy of your Good Faith Estimate for your records. For more information, visit www.cms.gov/nosurprises.

Greenlake Wellness Group Fees and Billing

We do not set fees based on diagnosis. Fees are based on session length and whether the service is individual or relationship/couples therapy.

Individual therapy

  • 60-minute intake: $175

  • 60-minute psychotherapy: $160

  • 45-minute psychotherapy: $140

Relationship/Couples therapy (more than one person present)

  • 60-minute intake: $185

  • 60-minute session: $185

  • 75-minute session: $200

Estimating your total cost

Many clients attend weekly therapy, but frequency may be more or less depending on your needs.

To estimate your cost over time, multiply your session fee by the number of sessions you expect to attend:

  • Weekly therapy: up to 50 sessions/year

  • Bi-weekly therapy: up to 25 sessions/year

You may request a detailed, individualized cost estimate at any time in accordance with the Good Faith Estimate requirements.

Facility Information for Greenlake Wellness Group

Tax ID Number: 822542501

Group NPI: 1396306973

Individual therapist license numbers are found in their disclosure documents.

Step-by-step: How to request a Good Faith Estimate (GFE)

Decide if you qualify.

    • Request a GFE if you are uninsured or you do not plan to bill insurance (self-pay or out-of-network where you’re not submitting claims).

Choose the service(s) you want estimated.

      • Example: 60-minute intake, 60-minute individual therapy, 45-minute therapy, couples/relationship sessions, or telehealth vs. in-person.

    Estimate how often you expect to attend.

      • Weekly, bi-weekly, or monthly (even a rough guess is fine).

    Contact Greenlake Wellness Group to request it.

      • Use the contact form on the website (or call/email if you prefer).
      • In your message, write: “I am requesting a Good Faith Estimate for psychotherapy services.”

    Include the key details in your request.

      • Your full name
      • Whether you want in-person or telehealth
      • The type of service (individual or couples/relationship)
      • The session length (45/60/75 minutes)
      • Whether this is an intake or ongoing therapy
      • Your preferred start date (or “as soon as available”)
      • The frequency you expect (weekly/bi-weekly/monthly)

    Ask for both the short-term and total estimate.

      • Example: cost for the first appointment, plus a projected total for a set time period (e.g., 4 weeks, 12 weeks, or 1 year) based on your planned frequency.

    Review the estimate and ask questions.

      • Confirm what’s included (session fee, any additional charges, and the cancellation/no-show fee if applicable).

    Save a copy for your records.

      • Download it, print it, or take a screenshot so you can reference it later.

    Know your dispute rights.

      • If you receive a bill that is $400 or more above your Good Faith Estimate, you can dispute the bill through the No Surprises Act process.
    How to request via contact form

    Option 1 (shortest)

    Hi, I am requesting a Good Faith Estimate for psychotherapy services. I plan to self-pay (not use insurance). I am seeking [individual/couples] therapy with [45/60/75]-minute sessions, starting around [date], at a frequency of [weekly/bi-weekly]. Please send my Good Faith Estimate and let me know next steps to schedule. Thank you.

    Option 2 (slightly more detail)

    Hello, I would like to request a Good Faith Estimate under the No Surprises Act. I am uninsured/not using insurance and plan to self-pay. Service requested: [intake + ongoing therapy / ongoing therapy only], [individual or couples], [session length], [telehealth or in-person]. Estimated frequency: [weekly/bi-weekly/monthly]. Preferred start date: [date]. Thank you.

    Contact Form