In our first session, I’ll listen to what brings you to therapy. You’ll have the opportunity to ask questions about how I practice and about the process of therapy.  If we agree to work together we’ll discuss how often to meet based on your schedule and preference. Sessions are usually 55 minutes long.


I accept POMCO, Excellus Blue Cross Blue Shield, Fidelis Care and EBS RMSCO insurances.

To confirm your coverage and copay, please call O’Brien’s Billing  at 315-437-1451 or email them at https://obriensbilling.com/contact-us/patients/.   You must do this before scheduling your first appointment even if you think you know your mental health benefits.

I am also an out-of-network provider for many other health insurance plans.  I’ll provide you with receipts of payment for my services so that you can submit claims to your insurance company for available reimbursement.  O’Brien’s Billing can also confirm out-of-network benefits for you.

I recommend you check with your insurance company by calling the number on the back of your insurance card and asking:

  • Do I have out-of-network mental health insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per therapy session?
  • Is approval required from my primary care physician?

I charge $110 a session for clients paying out of pocket.   I accept cash, checks and credit/debit cards and expect payment or co-payment at the time of your appointment.

If you find paying out of pocket financially challenging, I’m also a member of Open Path Psychotherapy Collective and accept 1-2 Open Path clients at a time. Open Path is a collective of therapists who have agreed to provide in-office treatment for $30 to $50 a session. Open Path clients first pay a one-time membership fee to work with an Open Path therapist at a significantly reduced rate. Because the rate is so low, clients gain back their membership fee after just one session. Open Path is a 501(c)(3) tax-exempt organization.  To become a member, you fill out a simple online client info sheet and pay a one-time, lifetime membership fee of just $49.  For more information go to:  https://openpathcollective.org/

Cancellation Policy

Keeping your appointments is an important part of therapy.  If you don’t come to your scheduled therapy appointment, or provide less than 48-hours notice to cancel, except for emergencies or severe weather,  you will pay a $50 fee.

Phone or text:  (315) 870-0154

Email:  brenda@hartmansouder.com