Fees


Therapy is worth the effort, the time, and the investment because you are worth getting to know and grow.

I am currently accepting new clients for individual and couple therapy

​Free initial phone or video consultation

$180 per 50-minute session

Please feel free to ask about sliding scale availability based on what is affordable for you.
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Sliding Scale

I believe therapy should be accessible and I keep my fee as low as I can afford to. I also offer a limited number of sliding-scale spots for clients who may need an even lower fee. When you are able to pay my full fee it means you are also making it possible for me to support those with less financial privilege.

To help you consider what is sustainable financially, you may find it helpful to reflect on your current financial circumstances. The framework below is adapted from The Green Bottle Method, a simple way to reflect on your current finances and determine where you fit on the sliding scale.

Limited Resources:

Meeting basic needs such as food, housing, healthcare, and transportation may feel difficult or uncertain. If this reflects your situation, you may fall toward the lower end of the sliding scale.

Moderate Resources:

Basic needs are generally met, though finances may still feel stressful, with limited flexibility for extras or unexpected expenses. This often aligns with the mid-range of the sliding scale.

Ample Resources:

Basic needs are comfortably met, with room for savings, non-essentials, or occasional extras. If this best describes your situation, sessions are typically billed at the standard rate rather than the sliding scale. Paying the full fee when you’re able helps support the sustainability of the practice and allows me to offer reduced-fee spots to others in the community. Sliding-scale spots are limited, but I welcome open conversations about finances. If no sliding-scale openings are currently available, I’m happy to help explore other options or referrals.
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Insurance

I do not accept insurance but can provide a monthly superbill that you may submit to your insurance company for potential reimbursement. Coverage and reimbursement rates vary, so it's important to check with your insurance provider in advance.

Helpful questions to ask your insurance provider:

Do I have mental health or behavioral health benefits?
Does my plan include out-of-network coverage for therapy? If so, what percentage is reimbursed?
How many sessions are covered each year?
What is my deductible, and has it been met?
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Free Consultation Process

During our initial contact over the phone or video I will check in with you about what is happening for you and what you would like from therapy. With your permission I will also gather some basic contact information and ask a list of questions that will let me know more about you, including your history of therapy, if any, history of medical or mental health issues, substance use, sleep patterns, coping strategies, and any other history or information you would like me to know about. I will also let you know if I think I can be of service to you, and I will answer any questions you may have.

Initial Therapy Session

A first session is a chance for us to meet in person and for me to hear in more detail about what is happening for you and what you want from therapy. I will help you formulate clear therapy goals and support any goals you already have. We will also have a good chance to sit together and find out if we feel a genuine therapeutic fit. I strongly support people who come for services to find a clear sense of knowing about whether I am the right therapist. Sometimes the best way I can help is to offer some solid psychotherapy referrals.

Notice to clients and prospective clients:

As of January 1, 2022, health care providers are required by the No Surprises Act, to give clients who do not have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services. You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services. You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate.  For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.


HIPAA NOTICE OF PRIVACY PRACTICES 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
 
I am required by law to maintain the privacy and security of your protected health information (“PHI”) and to provide you with this Notice of Privacy Practices (“Notice”). I must abide by the terms of this Notice, and I must notify you if a breach of your unsecured PHI occurs. I can change the terms of this Notice, and such changes will apply to all information I have about you. The new Notice will be available upon request, in my office, and on my website.
 
Except for the specific purposes set forth below, I will use and disclose your PHI only with your written authorization (“Authorization”). It is your right to revoke such Authorization at any time by giving me written notice of your revocation.
 
Uses (Inside Practice) and Disclosures (Outside Practice) Relating to Treatment, Payment, or Health Care Operations Do Not Require Your Written Consent. 
I can use and disclose your PHI without your Authorization for the following reasons:

  1. For your treatment. I can use and disclose your PHI to treat you, which may include disclosing your PHI to another health care professional. For example, if you are being treated by a physician or a psychiatrist, I can disclose your PHI to him or her to help coordinate your care, although my preference is for you to give me an Authorization to do so.
  2. To obtain payment for your treatment. I can use and disclose your PHI to bill and collect payment for the treatment and services provided by me to you. For example, I might send your PHI to your insurance company to get paid for the health care services that I have provided to you, although my preference is for you to give me an Authorization to do so.
  3. For health care operations. I can use and disclose your PHI for purposes of conducting health care operations pertaining to my practice, including contacting you when necessary. For example, I may need to disclose your PHI to my attorney to obtain advice about complying with applicable laws.
 
Note: In all situations, including situations involving the uses and disclosures of information listed in this section and the following section, if I have your substance use disorder treatment records, subject to 42 CFR part 2, I am not able to use or disclose information within those treatment records in civil, criminal, administrative, or legislative proceedings brought against you without receiving your written consent or a court order accompanied by a subpoena.
 
Certain Uses and Disclosures Do Not Require Your Authorization. Subject to certain limitations in the law, I can use and disclose your PHI without your Authorization for the following reasons:

  1. When disclosure is required by state or federal law, and the use or disclosure complies with and is limited to the relevant requirements of such law.
  2. For public health activities, including reporting suspected child, elder, or dependent adult abuse, or preventing or reducing a serious threat to anyone’s health or safety.
    1. For health oversight activities, including audits and investigations.
  3. For judicial and administrative proceedings, including responding to a court or administrative order, although my preference is to obtain an Authorization from you before doing so.
    1. For law enforcement purposes, including reporting crimes occurring on my premises.
  4. To coroners or medical examiners, when such individuals are performing duties authorized by law.
  5. For research purposes, including studying and comparing the mental health of patients who received one form of therapy versus those who received another form of therapy for the same condition.
 
  1. Specialized government functions, including, ensuring the proper execution of military missions; protecting the President of the United States; conducting intelligence or counter- intelligence operations; or, helping to ensure the safety of those working within or housed in correctional institutions.
  2. For workers' compensation purposes. Although my preference is to obtain an Authorization from you, I may provide your PHI in order to comply with workers' compensation laws.
  3. .Appointment reminders and health related benefits or services. I may use and disclose your PHI to contact you to remind you that you have an appointment with me. I may also use and disclose your PHI to tell you about treatment alternatives, or other health care services or benefits that I offer.
 
Marketing. As a psychotherapist, I will not use or disclose your PHI for marketing purposes.
 
Sale of PHI. As a psychotherapist, I will not sell your PHI in the regular course of my business.
 
Restrictions on Use and Disclosure of Health Information Under California Law.  As a California provider, I am required to follow several California laws that place greater restrictions on my ability to use and disclose certain types of health information than HIPAA. These California laws generally require or permit me to deny certain parties access to health information pertaining to: treatment of minor patients, immigration status and place of birth, reproductive health, and gender affirming care services.
 
Psychotherapy Notes: I do not keep “psychotherapy notes” as that term is defined in 45 CFR§ 164.501. I maintain a record of your treatment and you may request a copy of such record at any time, or you may request that I prepare a summary of your treatment.
There may be reasonable, cost-based fees involved with copying the record or preparing a summary.
 
Certain Uses and Disclosures Require You to Have the Opportunity to Object. 
Disclosures to family, friends, or others. I may provide your PHI to a family member, friend, or other person that you indicate is involved in your care or the payment for your health care, unless you object in whole or in part. The opportunity to consent may be obtained retroactively in emergency situations.
 
Substance Use Disorder Treatment Records and the Legal Process. If I have your substance use disorder treatment records, subject to 42 CFR part 2, I will not disclose that information in civil, criminal, administrative, or legislative proceedings brought against you without receiving your written consent or a court order accompanied by a subpoena.
 
Substance Use Disorder Treatment Records and Fundraising Activities. If I have your substance use disorder treatment records, subject to 42 CFR part 2, I will provide you with clear and obvious prior notice and an opportunity to choose whether to receive fundraising communications that use your substance use disorder treatment information.
 
YOUR RIGHTS YOUR REGARDING YOUR PHI You have the following rights with respect to your PHI:

  1. The Right to Request Limits on Uses and Disclosures of Your PHI. You have the right to ask me not to use or disclose certain PHI for treatment, payment, or health care operations purposes. I am not required to agree to your request, and I may say “no” if I believe it would affect your health care.
  2. The Right to Request Restrictions for Out-of-Pocket Expenses Paid for In Full. You have the right to request restrictions on disclosures of your PHI to health plans for payment or health care operations purposes if the PHI pertains solely to a health care item or a health care service that you have paid for out-of-pocket in full.
  3. The Right to Choose How I Send PHI to You. You have the right to ask me to contact you in a specific way (for example, home or office phone) or to send mail to a different address, and I will agree to all reasonable requests.
  4. The Right to See and Get a Copy of Your PHI. You have the right to get an electronic or paper copy of your medical record and other information that I have about you.
Unless I have valid legal grounds to deny your request for a copy of your record, I will provide you with a copy of your record within 15 calendar days. Alternatively, if you agree, I can provide you with a treatment summary. I may charge you a reasonable cost-based fee for providing you with a copy of the record or treatment summary.

5. The Right to Get a List of the Disclosures I Have Made. You have the right to request a list of instances in which I have disclosed your PHI for purposes other than treatment, payment, or health care operations, or for which you provided me with an Authorization. I will respond to your request for an accounting of disclosures within 60 days of receiving your request. The list I will give you will include disclosures made in the last six years unless you request a shorter time. I will provide the list to you at no charge, but if you make more than one request in the same year, I will charge you a reasonable cost based fee for each additional request.

6. The Right to Correct or Update Your PHI. If you believe that there is a mistake in your PHI, or that a piece of important information is missing from your PHI, you have the right to request that I correct the existing information or add the missing information. I may say “no” to your request, but I will tell you why in writing within 60 days of receiving your request.

7. The Right to Get a Paper or Electronic Copy of this Notice. You have the right get a paper copy of this Notice, and you have the right to get a copy of this notice by e-mail. And, even if you have agreed to receive this Notice via e-mail, you also have the right to request a paper copy of it.
 
HOW TO COMPLAIN ABOUT MY PRIVACY PRACTICES If you think I may have violated your privacy rights, you may file a complaint with me, as the Privacy Officer for my practice, and my address and phone number are:
 
Sean Monsarrat
CA LMFT #121605
12218 Gayle Lane
Nevada City, CA 95959

You can also file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by:

1. Sending a letter to 200 Independence Avenue, S.W., Washington, D.C. 20201;
2. Calling 1-877-696-6775; or,
3. Visiting www.hhs.gov/ocr/privacy/hipaa/complaints.
 
I will not retaliate against you if you file a complaint about my privacy practices.
 
EFFECTIVE DATE OF THIS NOTICE
This notice went into effect: April 21, 2026
 



Sean Monsarrat, © 2021