MENTAL HEALTH
Harini Sukumaran, LMFT
Licensed Individual (Women), Children & Family Counselor:
Intake Assessment 90 min – $325
Counseling session 50 min – $205
Counseling session 90 min – $275
Ayurvedic Consultation:
Initial Consultation 90 min – $275
Follow up session 30 min – $125
Reiki Energy Healing for Children & Women
50 min session – $175
Insurance:
In-Network – Pacific Source
Other Insurances – Out of Network Provider – Super bill for Insurance reimbursement (counseling services only)
[email protected]
(503) 966-1556
Melika Biglarpour-Watson, LMFT
Licensed Marriage & Family Therapist:
Intake appointment 60 min – $250
Individual Therapy appointment – $185
Couples Therapy Intake appointment 90 min – $315
(Cash Pay Only)
Couples Therapy appointment 90 min – $275
(Cash Pay Only)
Couples Therapy appointment 50 min – $235
(Cash Pay Only)
Insurance:
In-Network: Aetna, Blue Cross Blue Shield, First Choice, Pacific Source
Other Insurances – Out of Network Provider – Superbill for Insurance reimbursement or can bill out of network (except couples therapy)
[email protected]
(503) 966-1556
Monica Fuentes Carbonetto
Licensed Professional Counselor:
Intake Assessment 60 min – $220
Counseling session 50 min – $200
Insurance:
Monica is in network with: Pacific Source, First Choice, BCBS, Aetna
In process of Insurance credentialing: Moda
Other Insurances – Out of Network Provider – Super bill for Insurance reimbursement or can bill out of network
[email protected]
(503) 966-1556
Marena Passarelli
Licensed Professional Counselor:
Intake Assessment 60 min – $200
Counseling session 50 min – $175
Insurance:
Marena is in network with: BCBS
In process of Insurance credentialing: Aetna, First Choice, Pacific Source
Other Insurances – Out of Network Provider – Super bill for Insurance reimbursement or can bill out of network
[email protected]
(503) 966-1556
WELLNESS PROFESSIONALS
Kristin Fein
Certified Yoga Teacher
In-Person Group Yoga Class
Wednesdays, 5:30-6:45 *Registration required
$15 per class or $130 for 10 classes
Private Hatha & Prenatal Yoga:
60 min Session – $120
4 Session Package 60 min each – $400
Hypnotherapy & Neuro-linguistic Services:
Initial Consult 90 min – $120
Follow Up Session 60 min – $120
[email protected]
(503) 966-1556
Bianca Navarrete
Certified Reiki Practitioner
Initial Reiki Healing Assessment — 90 min session $255
Reiki Healing — 50 min session $155
[email protected]
(503) 966-1556
Cancellations at MindTree
A 48 business-hour notice is required for cancellations. If you miss an appointment or cancel with less than a 48 business-hour notice, this is time that could be spent with another client; therefore, it is necessary to charge a full fee. Business hours do not include weekends. Please be aware that most insurance companies will not reimburse your missed appointment fee.
Good Faith Estimate
You are entitled to receive a Good Faith Estimate that 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.
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 are billed for more than this Good Faith Estimate, you have the right to dispute the bill.
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.
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 (800) 368-1019.
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) 368-1019.