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 two business days.
Provider Information
Provider: Jackson Michener, LMHCA
Practice: Jackson Michener Psychotherapy, PLLC
Location: Seattle, WA
License: Licensed Mental Health Counseling Associate, Washington State
NPI: 1104763481
Group Practice: Mindful Therapy Group (credentialing & insurance billing)
Services Offered
Jackson Michener Psychotherapy currently offers the following clinical services. All sessions are 50 minutes in length.
| Service | CPT Code | Session Length | Standard Fee |
|---|---|---|---|
| Individual Therapy | 90837 | 50 minutes | $150 |
| Couples Therapy | 90847 | 50 minutes | $185 |
| Family Therapy | 90847 | 50 minutes | $200 |
A sliding scale may be available for clients who qualify. Please inquire directly.
Accepted Insurance Plans
Jackson Michener is currently credentialed through Mindful Therapy Group to accept the following insurance plans in Washington State. Coverage varies by plan and individual benefits. Please contact your insurance provider to confirm your mental health benefits before your first appointment.
- Aetna
- Cigna
- Cigna EAP
- Kaiser Permanente
- Kaiser Permanente Northwest
- Premera Blue Cross
- Regence
- United Healthcare
- United Healthcare EAP
If you are using insurance, your actual out-of-pocket cost will depend on your specific plan, deductible, copay, and coinsurance. The fees listed above reflect the standard self-pay rate and may differ from what you owe after insurance applies.
Estimated Cost of Treatment
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 $2,220
- Weekly family therapy for 12 weeks: approximately $2,400
These estimates do not include fees for late cancellations or missed appointments. Cancellation and rescheduling policies will be provided in your intake documentation.
Self-Pay Clients
If you are not using insurance, you will be billed at the standard self-pay rates listed above. If you have out-of-network benefits, you may be able to submit a superbill (a detailed receipt) to your insurance provider for potential partial reimbursement. Please contact your insurer to understand your out-of-network mental health benefits before beginning services.
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 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 questions about fees, billing, insurance, or your rights as a client, please reach out through the contact form or email jackson@jacksonmichener.com directly. You will receive a response within two business days.