Frequently Asked Questions

You want to "GO" to therapy. In an office. A place that is separate from the rest of your life. Our office is located at 606 Pinetree Drive in New Bern. A comfortable office to unload the stuff that has been weighing you down. Click here for directions. 

You want therapy online.  We offer online appointments, too. Wherever you are within North Carolina, we can meet with you online. Use your phone, tablet, or laptop with video and audio. You can be wherever you can chat with plenty of privacy and with no interruptions. We will provide the HIPAA compliant secure portal, of course. 

Sometimes you can make it to the office, and other times you want to do therapy online. You can do that, too. We are happy to switch between in-person and online. 

You are making therapy a top priority.  We want you to get the help and support you deserve! 

Didn't see your insurance above? 

If you don't see your insurance company listed above, you can still receive services. You will be asked to pay at the time of services, and we will provide you with a receipt you can submit to your insurance company. Some insurance companies will reimburse you for part of the bill for services you received on an out-of-network basis. We encourage you to ask your insurance company about out-of-network benefits.

You may want to ask these questions when you call your insurance: 

• Do I have mental health insurance benefits?

• When does my plan period start and end?

• 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?

• Do my insurance benefits cover telehealth sessions?

• Is approval required from my primary care physician?

It's always worth calling your insurance company to get the details. 

One Therapy and Consulting reserves a limited number of sessions for individuals who lack insurance and ability to pay out of pocket. Please give us a call to discuss qualifying for a sliding scale fee.  

We do not accept any other Medicaid or Medicare at this time. 

You sure can. You may have insurance or simply prefer to pay for services. You are welcome to do this. Your expenses may be tax deductible, and we are happy to provide you with a receipt after each session. Talk to you tax advisor to learn more about tax deductions. 

There are several reasons why some clients choose not to use their insurance for therapy services. 

• Maybe you don't want to have a "diagnosis" on your medical record. The bottom line is therapists must identify a "diagnosis" and show the therapy services are "medically necessary" in order to bill your insurance company. 

• Maybe you need more therapy than what your insurance company will authorize. Your insurance company may authorize a certain number sessions, for example, but you need more time to continue your hard work. 

• Maybe you don't want to have a pre-existing condition on your medical record. 

• Maybe you are concerned about a diagnosis on your medical record impacting your career or career options. 

These are just a few of the reasons why folks may opt out of using their health insurance coverage. If you elect not to use your insurance, you will be asked to sign a form to document your decision. 

One Therapy and Consulting reserves a limited number of sessions for individuals who lack insurance and lack ability to pay out of pocket. Please give us a call at 252.288.4045 to discuss qualifying for a sliding scale fee.  

As of January 1, 2022, providers are required to provide an estimate of the costs for services. The final cost of your services will depend on several factors. These factors include the level of severity of your presentation, the number of sessions required to achieve your goals, and whether or not you choose to use your insurance coverage. Please see the Good Faith Estimate page for  more information. 

You may not have insurance and simply prefer to pay for services. You are welcome to do this. Your expenses may be tax deductible, and we are happy to provide you with a receipt after each session. Talk to you tax advisor to learn more about tax deductions. 

One Therapy and Consulting set fees to be accessible for most folks.  Insurance companies typically do not pay the full fee and require the client to make a co-payment. After insurance makes their payment and you pay the co-pay (if you have a co-pay), the remaining balance is  written off. Co-payments are due at the time of service. All clients are required to have a credit or debit card on file. 

Initial assessment $150

Individual about an hour $125

Individual about half an hour $100

Missed appointment fee $125* 

* Insurance does not cover the missed appointment fee. Sliding scale clients are responsible for this fee. If you miss an appointment or do not call to reschedule 48 hours prior to your scheduled appointment time, you will be charged this fee. 

One Therapy and Consulting reserves a limited number of sessions for individuals who lack insurance and ability to pay out of pocket. Please give us a call to discuss qualifying for a sliding scale fee.  

As of January 1, 2022, providers are required to provide an estimate of the costs for services. The final cost of your services will depend on several factors. These factors include the level of severity of your presentation, the number of sessions required to achieve your goals, and whether or not you choose to use your insurance coverage. Please see the Good Faith Estimate page for  more information. 

Initial assessments are typically available within two weeks, sometimes sooner.  You will need to complete all of your intake paperwork online and within 24 hours after your first appointment request is approved. Your therapist will review the paperwork and information you provide prior to your first appointment. This will allow your first appointment to focus on what brings you in, what you want to see improve, and where you want to go from here. 

Follow up sessions are scheduled to align with your schedule and needs. We work with you to schedule follow up sessions on the same day and time whenever possible to make it easier for you to schedule and attend your sessions. We know life gets complicated sometimes! 

We offer both in-person and telehealth sessions. In-person sessions are strongly recommended. Telehealth sessions are available but may not be covered by all insurance companies. We encourage you to check with your insurance company to verify your coverage. 

Telehealth sessions are conducted using a HIPAA compliant secure platform. Your sessions are not recorded, and it is explicitly agreed that you also will not record your sessions. Your sessions are treated with the same level of attention and security as if you were in the office. It is expected that you will treat telehealth sessions in the same manner. If your provider finds that you are distracted or interrupted by people or happenings in the surroundings at your location, your session will be rescheduled. You will still be charged for the co-pay, session fee, or missed appointment fee as applicable. 

The time reserved for your therapy session is exclusively yours. We never double-book. That said, we understand that sometimes life happens. 

Running late? Give us a call to let us know you're running late. We appreciate that. We will use the remaining time reserved for you when you arrive. If we haven't heard from you that you are running late, your appointment will be marked as missed 15 minutes after your scheduled session time. If you unable to keep your session, you will be charged the missed appointment fee. 

Got off work late, traffic is crazy, or can't get out of the house?  If you find that you will be unable to keep your scheduled in person session, consider switching to a telehealth session. You can make the switch with a quick call to the office. It is that easy! You can join your telehealth session from anywhere within the state of North Carolina where you have a great internet connection, a phone, tablet, or computer with a camera and microphone, and of course, plenty of privacy. If you unable to keep your telehealth session, you will be charged the missed appointment fee. 

Not technically. There may be circumstances where your therapist will agree to schedule an appointment outside of our usual business hours. You or your insurance may be billed for services outside of regularly scheduled business hours. 

All appointments are by appointment only, Monday through Friday

First appointment 9:00am  |  Lunch Appointments Available  |  Last appointment 5:00pm  

The time reserved for your therapy session is exclusively yours. You can expect your appointment to start on time. 

Running late? Give us a call to let us know you're running late. We appreciate that. We will use the remaining time reserved for you when you arrive. If we haven't heard from you that you are running late, your appointment will be marked as missed 15 minutes after your scheduled session start time. If you are also not able to make a session, you will be charged the missed appointment fee. 

Got off work late, traffic is crazy, or can't get out of the house? If you find that you will be unable to keep your scheduled in-person session, consider switching to a telehealth session. You can make the switch with a quick call to the office. It is that easy! You can join your telehealth session from anywhere in North Carolina where you have a great internet connection, a phone, tablet, or computer with a camera and microphone, and of course, plenty of privacy. If you are also not able to make a telehealth session, you will be charged the missed appointment fee. 

EMDR stands for Eye Movement Desensitization and Reprocessing. EMDR therapy helps kids and adults of all ages who have been through a stressful or traumatic event. Some folks don’t have words to describe what they have seen or experienced. Other folks just don't want to say it out loud. EMDR is helpful in both of these cases because you don't have to talk about it if you don't want to and you can still get better  -- even if you don't have the words to describe the event or experience.

We do not prescribe medications. If medications are needed, we may refer you to your primary care physician or another medication management provider. 

You can read our Notice of Privacy Practices right here. 

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.

One Therapy and Consulting, PA (the “Practice”) is committed to protecting your privacy. The Practice is required by federal law to maintain the privacy of Protected Health Information (“PHI”), which is information that identifies or could be used to identify you. The Practice is required to provide you with this Notice of Privacy Practices (this “Notice”), which explains the Practice's legal duties and privacy practices and your rights regarding PHI that we collect and maintain.

Your health record contains personal information about you and your health. This information about you that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services is referred to as Protected Health Information (“PHI”). This Notice of Privacy Practices describes how we may use and disclose your PHI in accordance with applicable law, including the Health Insurance Portability and Accountability Act (“HIPAA”), regulations promulgated under HIPAA including the HIPAA Privacy and Security Rules. It also describes your rights regarding how you may gain access to and control your PHI.

YOUR RIGHTS

Your rights regarding PHI are explained below. To exercise these rights, please submit a written request to the Practice at the address noted below.

To inspect and copy PHI.

You can ask for an electronic or paper copy of PHI. The Practice may charge you a reasonable fee. The Practice may deny your request if it believes the disclosure will endanger your life or another person's life. You may have a right to have this decision reviewed.

To amend PHI.

You can ask to correct PHI you believe is incorrect or incomplete. The Practice may require you to make your request in writing and provide a reason for the request. The Practice may deny your request. The Practice will send a written explanation for the denial and allow you to submit a written statement of disagreement.

To request confidential communications.

You can ask the Practice to contact you in a specific way. The Practice will say “yes” to all reasonable requests.

To limit what is used or shared.

You can ask the Practice not to use or share PHI for treatment, payment, or business operations. The Practice is not required to agree if it would affect your care. If you pay for a service or health care item out-of-pocket in full, you can ask the Practice not to share PHI with your health insurer, and you will be asked to sign a document reflecting this decision.

To obtain a list of those with whom your PHI has been shared.

You can ask for a list, called an accounting, of the times your health information has been shared. You canreceive one accounting every 12 months at no charge, but you may be charged a reasonable fee if you ask for one more frequently.

To receive a copy of this Notice.

You can ask for a paper copy of this Notice, even if you agreed to receive the Notice electronically.

To choose someone to act for you.

If you have given someone medical power of attorney or if someone is your legal guardian, that person can exercise your rights.

To file a complaint if you feel your rights are violated.

You can file a complaint with the Practice by sending a letter to:

            One Therapy and Consulting, PA
            606 Pinetree Drive
            Attention Privacy Officer
            Office 252.288.4045

You can also file a complaint by sending a letter to:

            U.S. Department of Health and Human Services
            Office for Civil Rights
            200 Independence Avenue S.W.

            Washington, D.C. 20201
            Phone 1.877.696.6775
            or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.

The Practice will not retaliate against you for filing a complaint.

HOW WE MAY USE AND DISCLOSE HEALTH INFORMATION ABOUT YOU

1. Routine Uses and Disclosures of PHI. 

The Practice is permitted under federal law to use and disclose PHI, without your written authorization, for certain routine uses and disclosures, such as those made for treatment, payment, and the operation of our business. The Practice typically uses or shares your health information in the following ways:

To treat you.

Your PHI may be used and disclosed by those who are involved in your care for the purpose of providing, coordinating, or managing your health care treatment and related services. This includes consultation with clinical supervisors or other treatment team members. We may disclose PHI to any other consultant only with your authorization. • Example: Your primary care doctor asks about your mental health treatment.

To run the health care operations. 

The Practice can use and share PHI to run the business, improve your care, and contact you. The Practice may also use and share PHI as required by the Secretary of Health and Human Services: We may be required to disclose your PHI to the Secretary of Health and Human Services to investigate or determine our compliance with the requirements of the final rule on Standards for Privacy of Individually Identifiable Health Information. • Example: The Practice uses PHI to send you appointment reminders if you choose.

To bill for your services.

The Practice can use and share PHI to bill and get payment from health plans or other entities.• Example: The Practice gives PHI to your health insurance plan so it will pay for your services.

2. Uses and Disclosures of PHI That May Be Made Without Your Authorization or Opportunity to Object.

The Practice may use or disclose PHI without your authorization or an opportunity for you to object, including:

To help with public health and safety issues
• Public health: To prevent the spread of disease, assist in product recalls, and report adverse reactions to medication.
• Required by the Secretary of Health and Human Services: We may be required to disclose your PHI to the Secretary of Health and Human Services to investigate or determine our compliance with the requirements of the final rule on Standards for Privacy of Individually Identifiable Health Information.
• Health oversight: For audits, investigations, and inspections by government agencies that oversee the health care system, government benefit programs, other government regulatory programs, and civil rights laws.
• Serious threat to health or safety: To prevent a serious and imminent threat.
• Abuse or Neglect: To report abuse, neglect, or domestic violence.

To comply with law, law enforcement, or other government requests

Required by law. If required by federal, state or local law.

• Judicial and Administrative Proceedings. We may disclose your PHI pursuant to a subpoena (with your written consent), court order, administrative order, or similar process.

• Law Enforcement. We may disclose PHI to a law enforcement official as required by law, in compliance with a subpoena (with your written consent), court order, administrative order or similar document, for the purpose of identifying a suspect, material witness or missing person, in connection with the victim of a crime, in connection with a deceased person, in connection with the reporting of a crime in an emergency, or in connection with a crime on the premises.

• Deceased Patients. We may disclose PHI regarding deceased patients as mandated by state law, or to a family member or friend that was involved in your care or payment for care prior to death, based on your prior consent. A release of information regarding deceased patients may be limited to an executor or administrator of a deceased person’s estate or the person identified as next-of-kin. PHI of persons that have been deceased for more than fifty (50) years is not protected under HIPAA.

• Specialized Government Functions. We may review requests from U.S. military command authorities if you have served as a member of the armed forces, authorized officials for national security and intelligence reasons and to the Department of State for medical suitability determinations, and disclose your PHI based on your written consent, mandatory disclosure laws and the need to prevent serious harm. National security and intelligence activities: For intelligence, counterintelligence, protection of the President, other authorized persons or foreign heads of state, for purpose of determining your own security clearance and other national security activities authorized by law.

To comply with other requests. 

• Coroners and Funeral Directors: To perform their legally authorized duties.
• Organ Donation: For organ donation or transplantation.
• Research: For research that has been approved by an institutional review board.
• Inmates: The Practice created or received your PHI in the course of providing care.
• Business Associates: To organizations that perform functions, activities or services on our behalf.

3. Uses and Disclosures of PHI That May Be Made With Your Authorization or Opportunity to Object. 

Unless you object, the Practice may disclose PHI:
• To your family, friends, or others if PHI directly relates to that person's involvement in your care.
• If it is in your best interest because you are unable to state your preference.

4. Uses and Disclosures of PHI Based Upon Your Written Authorization
The Practice must obtain your written authorization to use and/or disclose PHI for the following purposes: Marketing, Sale of PHI, or Psychotherapy notes.

5. Use and Disclosure of Substance Use Disorder Records Subject to 42 CFR Part 2:
(A) If applicable, your substance use disorder (“SUD”) records are protected by federal law under 42 C.F.R. Part 2 (“Part 2”). This law provides extra confidentiality protections and requires a separate patient consent for the use and disclosure of SUD counseling notes. Each disclosure made with patient consent must include a copy of the consent or a clear explanation of the scope of the consent. It must also be accompanied by a written notice containing the language in 42 CFR Part 2.32(a). Disclosure of these records requires your explicit written consent, except in limited circumstances such as:

• Medical Emergencies: to the extent necessary to treat you,

• Reporting Crimes on Program Premises,

• Child Abuse Reporting: In connection with incidents of suspected child abuse or neglect to appropriate state or local authorities, and
• Fundraising: We will provide you with an opportunity to decline to receive any fundraising communications prior to making such communications.

You may revoke this consent at any time.

(B) Prohibitions on Use and Disclosure of Part 2 Records:
SUD records received from programs subject to Part 2, or testimony relaying the content of such records, shall not be used or disclosed in civil, criminal, administrative, or legislative proceedings against you unless based on your written consent, or a court order after notice and an opportunity to be heard is provided to you or the holder of the record, as provided in Part 2. A court order authorizing use or disclosure must be accompanied by a subpoena or other legal requirement compelling disclosure before the requested SUD record is used or disclosed. If SUD records are disclosed to us or our business associates pursuant to your written consent for treatment, payment, and healthcare operations, we or our business associates may further use and disclose such health information without your written consent to the extent that the HIPAA regulations permit such uses and disclosures, consistent with the other provisions in this Notice regarding PHI.

You may revoke your authorization, at any time, by contacting the Practice in writing, using the information above. The Practice will not use or share PHI other than as described in Notice unless you give your permission in writing.

OUR RESPONSIBILITIES
• The Practice is required by law to maintain the privacy and security of PHI.
• The Practice is required to abide by the terms of this Notice currently in effect. Where more stringent state or federal law governs PHI, the Practice will abide by the more stringent law.
• The Practice reserves the right to amend Notice. All changes are applicable to PHI collected and maintained by the Practice. Should the Practice make changes, you may obtain a revised Notice by requesting a copy from the Practice, using the information above, or by viewing a copy on the website www.onetherapync.com.
• The Practice will inform you if PHI is compromised in a breach.

This Notice is effective on February 16, 2026.

The No Surprises Act was passed on December 2020, under Section 2799B-6 of the Public Health Service Act, with the aim of protecting consumers from receiving unexpected medical bills. 

The Good Faith Estimate provision of the No Surprises Act federally mandates that healthcare providers must give clients, who do not have insurance or who are not using insurance, an estimate of anticipated healthcare items and services, using what is called a “Good Faith Estimate.” This took effect on January 1, 2022.

You can learn more about the Good Faith Estimate here.