Good Faith Estimate for Therapeutic Services Rendered,
Gabrielle Shirdon, LPC,
incompliance with the “No Surprises” Act

This document outlines the weekly therapy expenses with Gabrielle Shirdon, LPC, as of January 2025.
Please note that this outlines what one year in therapy could look like; the actual duration of time spent in
therapy depends upon various factors, including but not limited to:
• Client's presenting issue(s)
• Client's compliance with therapeutic suggestions and interventions
• Client's engagement in therapy
• Scheduling issues/availability
Standard intake session rate: $155 (75 minutes)
Follow up 60-minute session: $124 (60 minutes)
EMDR therapy Session: $165 (90 minutes)
A typical therapy experience through my practice may consist of:
Weekly therapy sessions for the first two months, comprising eight sessions at $155 for the first session, and a rate of $124 for sessions 2-8:
• 1 session x $155 = $155
• 7 sessions x $124 = $868

Total for the first two months: $1,023 (months one and two of therapy)
After two months, clients may transition to every other week sessions, totaling two sessions per month for
the next six months:
• 2 sessions x $124 x 6 months = $1,488 for months 3-8 of the therapeutic relationship
For months 9-12, based on treatment for one year, one appointment per month:
• 4 sessions x $124 = $496 (months 9-12 of therapy)

Totals:
• First two months of therapy: $1,023 (acute period)
• Months 3-8 of therapy: $1,488 (resolution period)
• Months 9-12 of therapy: $496 (maintenance period)
• One year of therapy total, based on average total sessions: $3,007
*** Please note that there is no "one size fits all" approach to therapy, and each client's experience is unique.
***Please note: If you receive a bill of 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