Service Fee Schedule & Billing Policy

We hope that this description of our services, fees, insurance and billing procedures will answer your questions about fees, billing and Office practices and policies. If not, please ask any questions you may have.

Hourly rates apply to initial sessions, psychotherapy, in-person or telephone consultations, record review, school visits, report writing, and consultation with other professionals. There is a two-hour minimum for school visits.

Our intake appointments are typically 90 minutes. When we are unable to schedule a 90 minute opening, we will often schedule either a 45 or 60 minute session. Most therapy sessions are 50 – 60 minutes.


$300 – The first session Diagnostic Assessment.
$150 – All following general therapy sessions
Free – Cancellation before 24 hours
Full charge – Cancellation in less than 24 hours (self-pay for all)
Full charge – No Show (self-pay for all)|
$10/month – Past due balance payment plans|
$5.00 – invalid credit card per attempt
$35 – insufficient funds

Note: You must keep an active credit card on file at all times to access your services.


For all insured, you would be responsible for the full cost of service if you cancel your insurance, your insurance company denies a claim, or your insurance lapses (which is when they suspend services because you have not paid your premiums). Late cancelations and no-shows are billed the full amount. Please see for details. You must keep a valid credit card on file at all times in order to access your service. Log into your client portal to update any changes to your insurance information or credit card information.

Looking for a holistic psychologist and asking yourself “How much does it cost to see a psychologist, which psychologist accepts my insurance, will my insurance cover the costs of seeing a psychologist, or how much is mental therapy out of pocket? Get the answers here so you can then get the help you are looking for.

The testing fees listed above are an estimate based on the average amount of time an evaluation takes. These costs are almost always accurate. In those cases where it is determined that the time spent on an evaluation will go excessively over the average, additional fees will apply. Fees for testing greater than those listed above will be discussed prior to the additional testing.

ADD Coaching –    $100/hour | Professional Organizing (3 hour minimum)   – $90/hour | Consulting Services $200/hr. (2 hr. minimum)

Questions & Concerns

Counseling/psychotherapy appointments must be canceled more than 48 hours in advance, except in the case of true emergency (accident, acute sickness, etc). Our full, standard fee will be charged for last minute cancellations that are not due to a true emergency.

Testing appointments must be canceled at least 3 business days in advance, except in the case of true emergencies. Testing cancellations made less than 3 days in advance will result in a charge of $275. Our psychologists set aside many hours in their schedule to accommodate testing, and this fee is only a partial reimbursement for the time.

Fee increases: During the course of treatment, it may become necessary to increase fees. Fees will be reviewed periodically and will be increased no more than once during any calendar year.

Fee reductions: Onipa does not have a sliding fee scale; however, Onipa, may agree to reduced fees under certain circumstances, such as sudden unemployment, loss of health insurance, etc., that occur during the course of treatment. Such fee reductions should be documented in writing with a signed agreement kept in your records to avoid misunderstanding about fees and payment schedule.

Payment is due in full at the time of service. Testing services must be paid in advance.

Payment can be made by check, cash, or credit card (Visa, MasterCard, Discover, or American Express). The clinician has the right to refuse checks.

Checks should be made out to the Onipa. $35 will be charged for checks with insufficient funds.

We ask all clients, including those who prefer to pay by check or cash, to provide us with a valid credit card number so that in the event that payment is not made by check or cash at the time of service we can apply the appropriate charge to your credit card. For any account that has an outstanding balance at the end of each month, that balance will be charged to your credit card account.

Monthly statements, appropriate for submission to insurance companies, reflecting all charges, payments, diagnostic codes, and procedure codes, are provided for self-pay that can be turned in to your insurance company for out-of-network reimbursement. These statements suitable for insurance submission can be provided at the time of visits in most cases, and will be mailed at the end of the month otherwise. Please note that if the person paying for services is not the identified client and the identified client is over the age of 18, then we must have the identified client’s signature giving the office permission to discuss billing information with the person making payment. If we do not have a signature on file we cannot send statements to anyone but the identified client.

Onipa Psychological and Consulting Services may use or disclose PHI for other purposes when your appropriate authorization is obtained. For your own protection, we cannot accept verbal authorization for release of information.

You may revoke all authorizations at any time, provided each revocation is in writing. You may not revoke an authorization to the extent that we have relied on that authorization.

  • Right to request restrictions — You have the right to request restrictions on certain uses and disclosures of protected health information. However, we are not required to agree to a restriction you request.
  • Right to receive confidential communications by alternative means and at alternative locations — You have the right to request and receive confidential communications of PHI by alternative means and at alternative locations. (For example, you may not want a family member to know that you are receiving services here.) On your request, the Onipa can send your bills to another address.
  • Right to inspect and copy — You have the right to inspect or obtain a copy (or both) of PHI in our mental health and billing records used to make decisions about you for as long as the PHI is maintained in the record. We may deny your access to PHI under certain circumstances, but in some cases you may have this decision reviewed. You have the right to inspect or obtain a copy (or both) of psychotherapy notes unless we believe the disclosure of the record will be injurious to your health. On your request, we will discuss with you the details of the request and denial process for both PHI and psychotherapy notes.
  • Right to amend — You have the right to request an amendment of PHI for as long as the PHI is maintained in the record. We may deny your request. If you make such a request, we will discuss with you the details of the amendment process.
  • Right to an accounting — You generally have the right to receive an accounting of disclosures of PHI. On your request, your clinician will discuss with you the details of the accounting process.
  • Right to a paper copy — You have the right to obtain a paper copy of the notice from Onipa, even if you have agreed to receive the notice electronically.

If the office is open for business, we will follow our normal cancellation policy and will charge for missed appointments. You will not be charged if the County issues warnings to stay off the roads.

Presently Onipa Psychological and Consulting Services is an in-network provider with BlueCross Blue Shield and Cigna. Our services are covered by most health insurance plans that cover out-of-network providers. It is the responsibility of the client to communicate directly with his or her insurance company regarding coverage or reimbursement issues.

Privacy Policy and HIPAA

The following information describes how psychological and medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. This information is part of our clinic’s compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Uses and disclosures for treatment, payment and health care operations

Onipa Psychological and Consulting Services may use or disclose your protected health information (PHI) for treatment, payment and health care operations purposes only with your written authorization.

Your clinician may use or disclose PHI without your consent or authorization in the following circumstances:

  • Child abuse — If your clinician has reason to believe that a child has been subjected to abuse or neglect, they must, by law, report this belief to the appropriate authorities.
  • Abuse of dependent adult — Your clinician may disclose protected health information if they reasonably believe that you are a victim or perpetrator of abuse, neglect, or exploitation of a dependent adult.
  • Health oversight activities — If your clinician receives a subpoena from any professional Board of Examiners investigating this practice, your clinician must disclose any PHI requested by the Board.
  • Judicial and administrative proceedings — If you are involved in a court proceeding and a request is made for information about your diagnosis and treatment or the records thereof, such information is privileged under state law. Onipa Psychological and Consulting Services will not release information without your written authorization or a court order. However, the privacy privilege does not apply when you are being evaluated by a third party or where the evaluation is court-ordered. You will be informed of this in advance if this is the case. Your PHI might also be required to be disclosed in legal proceedings where the judge believes that confidential information is necessary to the proper administration of justice; in legal proceedings where a client’s mental status is at issue; in legal proceedings requesting information on therapy sessions that took place in a family or couples session.
  • Serious threat to health or safety — If you communicate to your clinician a specific threat of imminent harm against yourself or another individual, or if your clinician believes that there is clear, imminent risk of physical or mental injury being inflicted, your clinician may make disclosures necessary to protect you or that individual from harm.
  • Competent health care practice — If you are a licensed health care provider and a therapist believes that you are unable to practice competently, or pose a danger to your patients/clients due to substance abuse and/or emotional disturbance.
  • We are required by law to maintain the privacy of PHI and to provide you with a notice of legal duties and privacy practices with respect to PHI.
  • We reserve the right to change the privacy policies and practices described in this notice. Unless we notify you of such changes, however, we are required to abide by the terms currently in effect.
  • If we revise our policies and procedures, a notice of updated procedures will be sent to the address we have on file for you.
If you are concerned that your privacy rights have been violated or you disagree with a decision that has been made regarding access to your records, you may contact: NC Psychology Board, 895 State Farm Rd #101, Boone, NC 28607 You may also send a written complaint to the Secretary of the US Department of Health and Human Services.