Good Faith Estimate

For megan o’laughlin therapy + consultation

Megan O'Laughlin LICSW | Megan O'Laughlin Therapy + Consultation PLLC

Address: 8202 State Hwy 104 #102-301 Kingston, WA 98346
Phone: 360-818-4814 NPI: 1720369523 EIN: 832682563

The Federal No Surprises Act has created several new obligations for health care providers, facilities, plans, and insurers that are intended to protect patients and clients from receiving unexpected or “surprise” medical bills. These surprise billing protections take effect on January 1, 2022. One of the obligations under the No Surprises Act is for health care providers to provide all uninsured and self-pay patients with a Good Faith Estimate of expected charges. The estimate is based on information known at the time the estimate was created.


Service Information

Common Services with Megan O'Laughlin, LICSW
90791: Initial therapy intake $200
90837: 50 minute therapy session $175
90832: 30 minute therapy session $100
Cancellation Fee: $100 (48 hour cancellation notice is required or there will be a charge)
Legal Fees: $350 per hour, including preparation of materials
other: for additional services such as phone calls over 10 minutes, longer sessions, is a prorated amount based on hourly fee of $175.

Where Services will be Received
Online, via telehealth or in person in Poulsbo office 


Estimate for Costs of Services

Due to the highly personal nature of therapy, it is difficult (if not impossible) to predict how long we will be meeting and how often. These are decisions that we will make collaboratively and we will discuss throughout the course of our work together. Per the Disclosure and Consent form, you have the right to discontinue services at any time.


Disclaimers and Your Rights

  • Additional items or services that are recommended must be scheduled or requested separately.

  • The good faith estimate is only an estimate and that actual charges may differ.

  • You have the right to initiate a dispute resolution process if the actual billed charges substantially exceed the expected charges in the good faith estimate.

  • This good faith estimate is not a contract and does not require you to obtain the healthcare services that are being offered.

With any questions please contact hello@meganolaughlintherapy.com or for more information about the Good Faith Estimate go to: https://www.cms.gov