No Surprises Act

National Provider Identifier: 1467147538 | Taxpayer Identification Number: 86-1400565

*Client Diagnosis: To be determined or provided by request.

Below is a detailed breakdown of anticipated charges for counseling services, along with a list of available wellness services offered at our Mental Health Sanctuary as of 9/3/2025:

IH Menu of Services

All fees are subject to change with a 30-day written notice.

Your care will require anywhere from once weekly to monthly therapy sessions. Although the total number of sessions that are required to meet your goals are unknown at this time, the maximum number of sessions for a diagnosis of Z71.1/R69 (where there is a feared complaint but no diagnosis is made at this time/illness unspecified) is 52 sessions.

Therapy Estimated Costs

Actual number of sessions may vary depending on treatment needs.

This estimate outlines the expected costs for your mental health counseling services based on the information available at the time.

It does not include our add-on wellness services. It does not include unexpected or additional charges that may arise during treatment.

Dispute Rights

If your final bill is $400 or more above this estimate (per provider), you have the right to dispute it.

You can: Contact Infinite Healing to discuss the charges, request a corrected bill, or ask about financial assistance.

You may also file a formal dispute with the U.S. Department of Health and Human Services (HHS) within 120 days of the billing date.

A $25 fee applies. If the agency agrees with you, you'll only pay the amount on the Good Faith Estimate.

This estimate is not a contract, and you're not obligated to receive services. Keep a copy for your records in case you need it later.