You are seeking some form of support for yourself or with your family. We are poised and ready to respond to you. You may have never engaged in psychotherapy or family support services or you may have had experience with psychotherapy before. We believe that mental health care can and should be accessible and are committed to engaging with each person, family, and colleague with integrity, clarity, and respect. Please read important information below about getting started. Following your review of the information below, please follow one of three steps below to get connected:

1. Submit a New Client Inquiry

2. Send a text message to 910-317-9309

3. Self Schedule a New Client Phone Screening

We are pleased to offer both in-person sessions as well as sessions on our HIPAA-compliant telehealth platform through Simple Practice. In person sessions occur in our historic downtown Hillsborough office in the Cheshire Building on N. Churton Street.

For wheelchair users please note that Obsidian offices are on the second floor but we do have an accessible elevator. There is one step required to enter the building from the Churton Street sidewalk. Our bathrooms single stall and large, with one providing a grab bar next to the toilet.

All in-person sessions will follow mask mirroring COVID safety protocol. That means your provider will ask you what your masking preference is and adhere to your preference in the absence of symptoms. Prior to an in-person session, your Obsidian Care Collective provider will discuss the latest safety protocol informed by current evidence published by trusted research organizations. We ask that you explicitly agree to adhere to safety protocols while on premise for everyone's safety. In-person sessions may be converted with adequate notice to telehealth sessions depending on infection trends and exposure incidents among clients and providers, alike. If you have active cold/flu like symptoms, believe that you may be considered a close contact, or are actively infected, please notify your provider and we are happy to convert your session to our telehealth platform. Conversely, if your provider believes they may be a close contact and needs to convert your session to a telehealth session, we ask that you attend your session as scheduled. Clients who are located anywhere in the State of North Carolina can attend telehealth sessions with your Obsidian Care Collective provider.

Obsidian Care Collective provides all services as fee for service. Our rates meet industry standards and reflect the traditional cost of psychotherapy services commensurate with your provider's license and professional expertise. We are not in network with any private or public insurance panels which means all clients pay the established fees out of pocket.

If you would like to utilize your Out of Network (OON) benefits, you may be eligible for reimbursement of payments you have made for psychotherapy services. Obsidian is partnered with Mentaya, a secure, HIPAA-compliant third party platform, to provide you with a low cost and simple way to get reimbursed by your insurance for out-of-network services. When you pay for your full fee psychotherapy sessions and are registered with Mentaya, the billing platform will automatically file and track your claims with your insurer. You will also have access to their expert customer support team for assistance with insurance benefits checks and claim denial resolution. Your Obsidian Care Collective provider will walk you through utilizing Mentaya to maximize your OON benefits reimbursements. You can enter your insurance information in the form on this page to verify your OON coverage.

Obsidian Care Collective, PLLC has three options for our clients to consider as you are budgeting your mental health care needs:

• You may choose to keep your mental health care services completely confidential by paying full fee for our services and Obsidian will not share your private health information (PHI) with anyone for reasons related to payment.

• You may wish to pay full fee for service and register with Mentaya who will submit documentation to your health insurance provider as an Out of Network provider to initiate a payment-reimbursement cycle to subsidize and reduce the cost to you for your mental health care. Out of Network reimbursements will be paid directly to you from your health insurance provider.

• You may know that you will attend therapy on a regular basis and wish to enroll in one of our two monthly enrollment plans that will allow you to have a monthly flat fee for services so you can budget with predictability and ease. Enrollment plans are not eligible for Out of Network reimbursement or Mentaya reimbursement but do include a deep discount on your fees for services. If you are seeking a specialty service such as Somatic Experiencing®️ or RO-DBT, please note that the pricing for these sessions is fixed and are not eligible for a monthly enrollment plan discount or OON reimbursement. Maureen and Louise do not currently have any openings under the enrollment plan discounts.

• Please note that Kade Collins, MSW, LCSW has a limited number of sliding scale openings. To learn more about Kade’s reduced fee offerings, follow THIS LINK.

• Obsidian provides ‘Pay What You Can’ services through our Equity Care Clinic in our partnership with the UNC Chapel Hill of Social Work graduate program. Clinicians in training at the Equity Care Clinic offer sessions at the cost of $5-$50. The Equity Care Clinic is closed during the summer months. For more information, follow THIS LINK.

If you wish to learn more about your Out of Network Benefits to determine if Mentaya is a good route for you to subsidize and reduce the cost of your psychotherapy sessions please follow THIS LINK or complete the form below.

Full Fee Rates & CPT Codes for Psychotherapy Services Effective January 1st, 2022:

Initial evaluation - individual 60 min. - CPT: 90791 - $200

Psychotherapy - individual 60 min. - CPT: 90837 - $175

Psychotherapy - individual 45 min. - CPT: 90834 - $140

Psychotherapy - individual 30 min. - CPT: 90832 - $120

Initial evaluation - couple/family /parenting 60 min. - CPT: 90791* - $250

Psychotherapy - couples/family/parenting 60 min. - CPT: 90847 - $225

Psychotherapy - couples/family/parenting** 60 min - CPT: 90846 - $225

*subject to complexity add-on codes

**without primary patient present

Monthly Enrollment:

Traction Plan

Cost: $420/month

Paid in full on the date of your preference prior to the delivery of services.

• Four 50 minute individual psychotherapy sessions per month.

• One 15-30 minute phone call, as needed.

• Brief, non-emergent communication via text or patient portal messaging in between sessions, as needed.

Maintenance Plan

Cost: $240/month

Paid in full on the date of your preference prior to the delivery of services.

• Two 50 minute individual psychotherapy sessions per month.

• One 15 minute phone call, as needed.

• Brief, non-emergent communication via text or patient portal messaging in between sessions, as needed.

Enrollment Plans Agreements:

Initial Evaluation sessions with new patients are subject to the standard fee listed above next to CPT code 90791.

Choosing an enrollment plan will be discussed during the Initial Evaluation and can be pro-rated for the first month after the full session cost is met.

You will not be charged a late cancellation or no show fee.

Sessions do not carry over from one month to the next.

Enrollment fees are not eligible for SuperPay OON benefits reimbursement.

Cancelled sessions will be rescheduled based on mutual availability.

Stop or modify enrollment for the following month with 7 business days notice of your next billing date.

Any services provided to you by Obsidian Care Collective will be explicitly discussed and agreed upon before services are rendered. Fees for Somatic Experiencing, forensic clinical social work, supervision, and PCIT are commensurate with your provider's license, training, and professional expertise.

We are thrilled to be a resource to you and join you along your journey after we mutually agree that you will benefit from establishing care or receiving services from Obsidian Care Collective. Please follow one of three steps below to get connected:

1. Submit a New Client Inquiry

2. Send a text message to 910-317-9309

3. Self Schedule a New Client Phone Screening

If you are experiencing a medical emergency please contact 911 or go to your nearest emergency department.

If you are not an established patient we are not able to provide you with crisis stabilization services for your mental health care needs. In the State of North Carolina, you can contact Hopeline by calling or texting 919-231-4525 or 877-235-4525.

You can read more about the NC Hopeline here.