Good Faith Estimate for Health Care Services
Under the No Surprises Act, health care providers are required to give clients who are not using
insurance an estimate of the expected charges for services.
This Good Faith Estimate shows the expected costs of therapy services based on the frequency of
sessions you choose. The actual number of sessions you attend may vary depending on your needs,
goals, and treatment plan.
Inner Strength Counseling Services, LLC
Provider: Ashley Tacheny, MA, LPC
Service: Individual Psychotherapy
Fee Per Session: $165.00
Session Length: Typically 50–55 minutes
Estimated Costs
Weekly Therapy (1 session per week)
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Cost per session: $165
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Estimated monthly cost (4 sessions): $660
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Estimated yearly cost (52 sessions): $8,580
​Bi-Weekly Therapy (1 session every two weeks)
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Cost per session: $165
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Estimated monthly cost (2 sessions): $330
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Estimated yearly cost (26 sessions): $4,290
Monthly Therapy (1 session per month)
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Cost per session: $165
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Estimated monthly cost: $165
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Estimated yearly cost (12 sessions): $1,980
Important Information About Your Estimate
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This Good Faith Estimate is not a contract and does not require you to obtain services from InnerStrength Counseling Services, LLC.
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The number of sessions you receive will depend on your individual needs and treatment progress.
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Additional services (such as letters, forms, or extended sessions) may have separate fees and are notincluded in this estimate unless discussed in advance.
Your Rights
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If you receive a bill that is at least $400 more than your Good Faith Estimate, you have the right to dispute the bill.
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You may contact the U.S. Department of Health and Human Services (HHS) to begin a dispute resolution process. More information is available at www.cms.gov/nosurprises or by calling 1-800-985-3059.