Services

I am licensed in Massachusetts (LICSW #116191) and New York (LCSW #097289) and as an out-of-state telehealth provider both Florida (#TPSW1022) https://flhealthsource.gov/telehealth/ and Vermont (#089.0134835TELE) to provide individual therapy and parent consultation. I also work with athletes and corporate professionals on performance issues. My clients tend to be teens and adults; however, I have experience working with children from age 4 and older.

Additionally, I provide clinical supervision and have over 10 years of experience as a clinical supervisor.

Sessions can be either in person at my office in Acton, MA or telehealth for clients located in Florida, Massachusetts, New York and Vermont.

Specialties

•  Adjustment Challenges

• Anxiety

• Autism-Spectrum/Non-Verbal Learning Disability

• Depression

• Coping Skills

• Dissociation

• Grief/Loss

• Life Transition

• Parenting Support

• Performance Issues

• PTSD/Complex Trauma

• Relationship Issues

• School Issues

• Self-Harming Behaviors

• Social Challenges

• Teen Wellness

• Women’s Issues

Practice Method

I use a holistic and integrative approach that pulls from a variety of evidenced-based methods. We will work together to determine what is the most effective given your or your child’s needs, strengths, skills, and interests. I gravitate towards relational and mind-body approaches taking into account the whole person and their environmental and relational context. Some of the frameworks and modalities include:

Process

First Contact: I schedule a free 20-minute phone consultation to get a sense of what you are hoping for in therapy and if I may be a good fit for your wants and needs. I encourage you to ask me questions about my experience, approach, training, and style to ensure you can make an informed decision about moving forward. If we agree to move forward with meeting in person or via telehealth we would schedule that appointment and I will provide you with several forms including my practice polices, Informed Consent, Client History, and HIPAA information. I appreciate you taking time to review and complete these documents prior to the first appointment as it gives us more time for talking and assessing next steps. For children and tweens, I tend to schedule the first session with a parent or caregiver.

First and Future Meetings: I typically schedule the first meeting for 60 minutes, in which we will discuss general concerns, goals, questions, and relevant history. I may provide some initial feedback about how we might approach the work or strategies would could use. If we agree that future meetings will be helpful, we would schedule a regular standing time. I generally meet with new clients weekly for 45 minutes sessions. However, I have some flexibility about the frequency and length. For example, clients interested in EMDR protocols my find it most useful to schedule 75-minute sessions. Sometimes people visit for a one-time consult, sometimes the work is short-term (8-10 sessions), while other clients prefer to meet longer-term. Other times, we might determine that another treatment modality might be better suited to meet your needs and we would work together to find the right referral.

Fees/Insurance

• 45 minutes: $180

• 60 minutes: $215

• Consultation: $55 per 15 minutes

In order of preference, I accept Cash/Check, Ivy Pay,* PayPal,** and Venmo**

Payment must be submitted at the time services are rendered unless otherwise arranged with me. Please note that I do not accept insurance. This enables you full control of health records, privacy, and allows for unrestricted treatment. Health Savings Accounts and some insurance plans offer out-of-network reimbursement. I can support you in seeking reimbursement by providing a medical invoice of paid sessions to submit to your insurance company. It is your responsibility to find out the information from your company and submit the claim.

I reserve several sliding scale spots that I offer assessed on a need-related basis.

*Ivy Pay is a HIPAA secure, PCI-protected payment service designed for and by therapists. The platform uses industry standard data encryption and advanced security systems to safeguard financial information and client data. Ivy Pay works with debit cards, credit cards, and HSA/FSA accounts.

**If you choose to use Venmo or Paypal, please be aware that these platforms are not HIPAA compliant methods of payment and it is strongly advised that you select the option to make payment transactions for my services private.

STANDARD NOTICE: GOod Faith Estimate

You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

Under the new law, “No Surprises Act,” health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

• You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

• Make sure your health care provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your health care provider, and any other provider you choose for a Good Faith Estimate before you schedule an item or service.

• If you receive a bill that is 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 or contact me at jamie@jamiechiarellilicsw.com or 978.254.7269

Cancellation Policy

When scheduling an appointment, please keep in mind that this appointment has been reserved for you. I require at least a 24-hour notice for a cancellation. If you fail to show for the appointment or cancel with less than 24 hours, you will be responsible for the full cost of the session. There will not be a charge for an urgent situation that affects your or my personal safety (for example: inclement weather, medical or family emergency).