Your Right to a Good Faith Estimate
Under Section 2799B-6 of the Public Health Service Act (the No Surprises Act), healthcare providers are required to give clients who are uninsured, or who are not using insurance for a particular service, a Good Faith Estimate of expected charges before services are provided.
You have the right to receive this estimate in writing before your first scheduled service. If you would like a personalized written Good Faith Estimate prior to your first appointment, please request one through the contact form and one will be provided to you within one business day.
Provider Information
Provider: Jackson Michener, LMHCA
Practice: Jackson Michener Psychotherapy
Location: Seattle, WA
License: Licensed Mental Health Counseling Associate, Washington State
NPI: 1104763481
Standard Service Fees
The following fees represent the standard per-session rates for services offered through this practice. These fees apply to all self-pay clients. Sliding scale rates may be available — please inquire directly.
| Service | Session Length | Standard Fee |
|---|---|---|
| Individual Therapy CPT Code 90837 |
55 minutes | $150 |
| Couples Therapy CPT Code 90847 |
55 minutes | $190 |
| Family Therapy CPT Code 90847 |
55 minutes | $190 |
| Chronic Illness Coaching Not a clinical service · Not billable to insurance |
25 minutes | $85 |
| Chronic Illness Coaching Not a clinical service · Not billable to insurance |
50 minutes | $150 |
| 6-Week Chronic Illness Program 6 × 50-min sessions · Not a clinical service |
Program | Inquire |
Estimated Annual Cost
The total cost of your care will depend on the frequency and duration of services. The following are illustrative estimates based on common treatment cadences. These are estimates only — your actual course of treatment will be determined collaboratively.
- Weekly individual therapy for 12 weeks: approximately $1,800
- Weekly individual therapy for 6 months: approximately $3,600
- Biweekly individual therapy for 6 months: approximately $1,800
- Weekly couples therapy for 12 weeks: approximately $2,280
These estimates do not include any fees for late cancellations or missed appointments. Cancellation and rescheduling policies will be provided in your intake documentation.
Insurance
Jackson Michener Psychotherapy is currently a self-pay practice and does not bill insurance directly. If you have out-of-network benefits, you may be able to submit a superbill (a detailed receipt) to your insurance company for potential partial reimbursement. Please contact your insurance provider to understand your out-of-network mental health benefits before beginning services.
Coaching services are not clinical services and are not eligible for insurance reimbursement of any kind.
Your Rights Under the No Surprises Act
If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
For questions or more information about your right to a Good Faith Estimate, visit cms.gov/nosurprises or call 1-800-985-3059.
A Good Faith Estimate is not a contract and does not obligate you to obtain services. It does not include any unknown or unanticipated costs that may arise during treatment. You are entitled to a written Good Faith Estimate specific to your situation before beginning services — please request one if you would like one.
Questions
If you have any questions about fees, billing, or your rights as a client, please reach out through the contact form. You will receive a direct response within two business days.