GOOD FAITH ESTIMATE

Greenhouse Therapy Services, LLC (“The Practice”)

9210 Cypress Green Dr, 

Jacksonville, FL 32256

(904) 206-8405

We want you to understand your financial investment in therapy and strive for transparency around billing practices. Therapy works best when there is trust and communication between client and provider, which includes billing concerns. We are happy to discuss your particular situation and provide personalized estimates for services at your request. Please do not hesitate to discuss any questions or concerns with our admin team.

You are entitled to receive this Good Faith Estimate of what the charges could be for services provided to you. While it is not possible for the Practice to know, in advance, how many therapy or counseling sessions may be necessary or appropriate for a given person, this form provides an estimate of the cost of services provided. Your total cost of services will depend upon the number of psychotherapy sessions you attend, your individual circumstances, and the type and amount of services that are provided to you. 

This Good Faith Estimate shows the costs of items and services that are reasonably expected for your health care needs for an item or service. This estimate is not a contract and does not obligate you to obtain any services from the provider(s) listed, nor does it include any services rendered to you that are not identified here. The estimate is based on information known at the time the estimate was created. The Good Faith Estimate does not include any unknown or unexpected costs that may arise during treatment. There may be additional items or services recommended as part of your care that must be scheduled or requested separately and are not reflected in this Good Faith Estimate. You could be charged more if complications or special circumstances occur. If this happens, federal law allows you to dispute (appeal) the bill. 

You have the right to initiate a dispute resolution process if the actual amount charged to you substantially exceeds the estimated charges stated in your Good Faith Estimate (which means $400 or more beyond the estimated charges). You may contact the health care provider or facility listed to let them know the billed charges are higher than the Good Faith Estimate. You can ask them to update the bill to match the Good Faith Estimate, ask to negotiate the bill, or ask if there is financial assistance available. You may also start a dispute resolution process with the U.S. Department of Health and Human Services (HHS). If you choose to use the dispute resolution process, you must start the dispute process within 120 calendar days (about 4 months) of the date on the original bill. There is a $25 fee to use the dispute process. If the agency reviewing your dispute agrees with you, you will have to pay the price on this Good Faith Estimate. If the agency disagrees with you and agrees with the health care provider or facility, you will have to pay the higher amount. For questions or more information about your right to a Good Faith Estimate or the dispute resolution process, visit https://www.cms.gov/nosurprises/consumers or call 1- 800-985-3059. The initiation of the patient-provider dispute resolution process will not adversely affect the quality of the services furnished to you. 

Individual Therapy (Adult, Teen, Play Therapy)

The fee for a 50-60 minute psychotherapy session (in person or via telehealth) with a registered intern is $125. The fee for a 50-60 minute psychotherapy session (in-person or telehealth) with a licensed provider is $150. Most new clients begin treatment with weekly sessions for 6-12 months. Depending on diagnosis, treating provider, additional treatment modalities, complexity of treatment required, speed of progress, and other unforeseeable variables, the exact number of sessions required for your individual treatment may vary considerably. 

Based on a fee of $150 per session with a licensed provider, the following are the total estimated costs for individual therapy based on the frequency of sessions:

Estimated Cost For Weekly Sessions

1 Week of Service $150

13 Weeks of Service (Approx. 3 months) $1950

26 Weeks of Service (Approx. 6 months) $3900

39 Weeks of Service (Approx. 9 months) $5850

52 Weeks of Service (Approx. 12 Months) $7800

Based on a fee of $125 per session with a registered intern, the following are the total estimated costs for care based on the frequency of sessions:

Estimated Cost For Twice-Weekly Sessions

1 Week of Service $300

13 Weeks of Service (Approx. 3 months) $3900

26 Weeks of Service (Approx. 6 months) $7800

39 Weeks of Service (Approx. 9 months) $11700

52 Weeks of Service (Approx. 12 Months) $15600

Relationship Counseling

The fee for a 50-60 minute relationship counseling session (in-person or telehealth) is $135. Most new relationship counseling clients begin with weekly sessions for 6-12 months. Depending on the treating provider, additional treatment modalities needed, complexity of treatment required, speed of progress, and other unforeseeable variables, the exact number of sessions required for your relationship counseling may vary considerably. 

Based on a fee of $135 per session, the following are the total estimated costs for care based on frequency of sessions:

Group Therapy (Adult & Teens)

The average fee for a 50-60 minute group therapy session (in-person or telehealth) is $35. Groups typically meet weekly for 3-6 months. Depending on the treating provider, additional treatment modalities needed, complexity of treatment required, speed of progress, and other unforeseeable variables, the exact number of group therapy sessions needed may vary considerably. 

Based on a fee of $35 per session, the following are the total estimated costs for group therapy:

This Good Faith Estimate is not intended to serve as a recommendation for treatment or a prediction that you may need to attend a specified number of psychotherapy visits. The number of visits that are appropriate in your case, and the estimated cost for those services, depends on your needs and what you agree to in consultation with your therapist. You are entitled to disagree with any recommendations made to you concerning your treatment, and you may discontinue treatment at any time. You are encouraged to speak with your provider at any time about any questions you may have regarding your treatment plan and to our admin team about the information provided to you in this Good Faith Estimate. 

Effective Date: 12/14/25