Fees

Fees & Payment Information

Private Pay Practice

Sarah Kourouma Counseling is a private-pay practice. Payment is due at the time services are rendered.

Superbills & Out-of-Network Reimbursement

I do not bill insurance directly; however, I provide monthly Superbills (itemized receipts) for you to submit to your insurance provider. Depending on your health insurance plan and out-of-network benefits, you may be eligible to receive partial or full reimbursement for therapy sessions.

To determine your coverage, I recommend reaching out to your insurance provider before our first session and asking:

• Do I have out-of-network mental health benefits?

• What is my deductible for out-of-network services, and has it been met?

• What is the reimbursement rate or percentage for CPT code 90837 (50-minute individual psychotherapy)?

• How do I submit a Superbill for reimbursement?

Common questions

How much does therapy with you cost?

A 50-minute individual session is $150. A 3-hour EMDR intensive is $455. The BRCA 1 & 2 previvor group is donation based.

Do you take insurance?

I’m a private-pay practice and don’t bill insurance directly. I provide monthly superbills that you can submit to your insurance company for possible out-of-network reimbursement. Lyra Health members are also welcome through their employer’s Lyra benefit.

Is the first conversation free?

Yes. I offer a free 10-minute consultation so we can see whether we’re a good fit. Request one through the contact form or call (201) 565-2697. I reply within 1–2 business days.

Do you offer therapy in person or online?

Both. I see clients in person at my office at 4101 Medical Parkway in Austin, Texas, and online for anyone located in Texas or New York, where I’m licensed as a clinical social worker (LCSW).

Who do you work with?

Older teens and adults healing from grief and loss, trauma, attachment wounds, anxiety and negative beliefs about themselves. I also support people navigating hereditary cancer risk, including BRCA 1 & 2 previvors.

What is EMDR therapy?

EMDR (Eye Movement Desensitization and Reprocessing) is a structured therapy for trauma and painful memories. While you briefly focus on a memory, you experience bilateral stimulation, usually guided eye movements, which helps the memory feel less vivid and less overwhelming. I’m EMDR certified.

What is an EMDR intensive?

An EMDR intensive is a single 3-hour session ($455) that allows more focused EMDR work than a standard 50-minute appointment.

What other approaches do you use?

Alongside EMDR, I use Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). In Austin I also offer walk-and-talk sessions outdoors.

Do you run a BRCA support group?

Yes. I lead a small, donation-based support group for BRCA 1 & 2 carriers and previvors. It meets in person in Austin and online. As a BRCA 1 previvor myself, I bring both professional and personal understanding.

Important Client Disclosures & Rights

Good Faith Estimate (No Surprises Act)

Under Section 2799B-6 of the Public Health Service Act, healthcare providers must inform individuals who are uninsured or self-paying (not using insurance) of their right to receive a Good Faith Estimate outlining the total expected cost of non-emergency healthcare services, including psychotherapy.

You have the right to receive a written Good Faith Estimate prior to your scheduled appointment. For details regarding your rights, visit www.cms.gov/nosurprises.

State Regulatory & Board Notices

• Texas Clients: Licensed Clinical Social Workers are regulated by the Texas Behavioral Health Executive Council (BHEC) / Texas State Board of Social Worker Examiners. For inquiries or concerns, you may contact BHEC at 1801 Congress Ave., Suite 7.300, Austin, TX 78701, or call (800) 821-3205.

• New York Clients: Licensed Clinical Social Workers are licensed and regulated by the New York State Education Department (NYSED) Office of the Professions. You can verify licensure and professional standards through the NYSED Board for Social Work.

Book a free 10-minute consultation