Good Faith Estimate

Provider Name: Lindsay Merrell, LCSW
Practice Name: Oak Harbor Wellness, LLC
Contact Person: Lindsay Merrell, LCSW
Phone: 210-642-1856
National Provider Identifier (NPI): 1629559851

Details of Services and Expected Costs

This estimate is for individual therapy sessions with Lindsay Merrell, LCSW, if you are not using insurance. Session frequency may vary depending on your needs. Ninety-minute sessions are also available at a rate of $225 as needed.

Session Type: 55-minute session
Cost per Session: $150
Monthly Cost (Biweekly): $300
Monthly Cost (Weekly): $600
Yearly Cost (Biweekly, 23 sessions): $3,450
Yearly Cost (Weekly, 46 sessions): $6,900

Other Fees:

No-Show Fee: $150

Late Cancellation Fee (within 24 hours): $100

Important Information & Disclaimer

Every client’s journey is unique. How often you engage in therapy depends on factors such as your schedule, therapeutic needs, therapist availability, ongoing life challenges, and personal finances. Frequency and session length may be adjusted over time, which can affect overall costs. Typically, clients start with weekly sessions and transition to biweekly or longer sessions as progress is made.

This Good Faith Estimate shows the expected costs for services based on current information. It does not include unexpected or additional charges that may arise during treatment. You could be billed more if special circumstances occur.

If you are billed more than this estimate, federal law gives you the right to dispute the charges:

  1. Contact Oak Harbor Wellness, LLC to discuss the billed charges. You may request:

    • An updated bill that matches this estimate

    • Negotiation of the bill

    • Information about financial assistance options

  2. You may also use the dispute resolution process through the U.S. Department of Health and Human Services (HHS). The dispute process must be started within 120 calendar days (about 4 months) from the date on your bill.

    • There is a $25 fee to use the dispute process.

    • If the reviewing agency agrees with you, you pay the price on this Good Faith Estimate.

    • If the agency agrees with the provider, you may be required to pay the higher billed amount.

To learn more and access dispute forms, visit: www.cms.gov/nosurprises or call HHS at (800) 368-1019.

Keep a copy of this Good Faith Estimate for your records or take a photo. It may be needed if you are billed a higher amount.