Good Faith Estimate & No Surprises Act Notice

Last updated 5/23/26

Under the No Surprises Act (effective January 1, 2022), all healthcare providers — including licensed therapists in private practice — are required to provide uninsured and self-pay clients with a Good Faith Estimate (GFE) of expected costs before services begin. Erin Reddinger, LCSW-C operates as a private-pay, out-of-network practice and is therefore required to comply with this federal law for all clients.

Notice of Right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your medical and mental health care will cost. Under the law, health care providers need to give patients who don't 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 sessions, before your service is scheduled.

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, visit www.cms.gov/nosurprises.

Provider Information

Provider Name:  Erin Reddinger, LCSW-C

Practice Name:  Transformative Therapy

Website:  transformative-therapy.org

Email:  [FILL IN — e.g. erin@transformative-therapy.org]

Phone:  [FILL IN]

Mailing Address:  [FILL IN — required for federal compliance]

Maryland License:  22542

Virginia License:  0904016230

Washington D.C. License:  LC200003109

NPI Number:  [FILL IN — required for GFE compliance]

Services Provided:  Online/telehealth only — Maryland, Virginia, and Washington D.C.

Payment Model:  Private pay (self-pay). Out-of-network with all insurance companies.

Expected Services & Fee Schedule

The following is a good faith estimate of the services Erin Reddinger, LCSW-C may provide and their associated fees. This estimate covers a 12-month period from the date of your first session.

Initial Intake/Assessment (60 min) - CPT Code 90791 Fee per session:

Individual Psychotherapy (45 min) - CPT Code 90834 Fee per session:

Individual Psychotherapy (60 min) - CPT Code 90837 Fee per session:

EMDR Processing Session (60 min) - CPT Code 90837 Fee per session:

Family/Parent Coaching Session 60 min) - CPT Code 90847 Fee per session:

Sliding Scale: A limited number of sliding scale slots are available. Please inquire directly to determine eligibility.

Superbills: Upon request, a superbill will be provided following each session that you may submit to your insurance company for potential out-of-network reimbursement. Reimbursement is not guaranteed and depends on your individual plan.

Estimated Number of Sessions

The total number of sessions and overall cost of therapy varies depending on each client's individual needs, goals, and clinical presentation. A Good Faith Estimate is not a guarantee of treatment length or cost.

As a general estimate:

  • Initial assessment: 1 session

  • Short-term focused work: 8 to 16 sessions

  • Ongoing therapy for complex presentations: 16 sessions or more

An updated Good Faith Estimate will be provided after 12 months if treatment continues beyond that period.

Important Disclosures

  • This Good Faith Estimate is not a contract and does not obligate you to receive services from this provider.

  • Actual costs may differ from this estimate if your clinical needs change during the course of treatment.

  • This estimate does not include charges for unanticipated services that may arise due to unforeseen clinical needs.

  • If your bill is $400 or more above this estimate, you have the right to initiate a patient-provider dispute resolution process through the U.S. Department of Health and Human Services. This process will not affect the quality of care you receive.

  • For more information about the dispute resolution process, visit: www.cms.gov/nosurprises

How to Request Your Good Faith Estimate

  • You are entitled to receive a written Good Faith Estimate before your first scheduled appointment, or at any time upon request. To request a Good Faith Estimate:

    Email:  [FILL IN]

    Phone:  [FILL IN]

    Good Faith Estimates will be provided in writing within the timeframes required by federal law: within 1 business day if the service is scheduled at least 3 days in advance; within 3 business days if scheduled at least 10 days in advance.