Services & Fees

Services & Fees

Services & Fees

This is a private-pay, out-of-network practice. Payment is due at the time of service.

This is a private-pay, out-of-network practice. Payment is due at the time of service.

This is a private-pay, out-of-network practice. Payment is due at the time of service.

Fees /

Sliding Scale /

Insurance /

Payment Details

A wide mountain landscape

Services

Services

I offer psychoanalytic and psychodynamic psychotherapy, integrative psychiatric care, and a few specialized services. Each is described briefly below.

Psychodynamic psychotherapy

typically one to two sessions a week, exploring the patterns, relationships, and history that shape how you feel and live.

typically one to two sessions a week, exploring the patterns, relationships, and history that shape how you feel and live.

Psychoanalysis

three to four sessions a week: a deeper, fuller exploration of your inner life, including dreams, fantasies, imagery, and the feelings that arise between us, along with how that understanding takes root in your outer life.

three to four sessions a week: a deeper, fuller exploration of your inner life, including dreams, fantasies, imagery, and the feelings that arise between us, along with how that understanding takes root in your outer life.

Integrative psychiatric evaluation

our first visit, ninety minutes long, where I get to know you as a whole person, from your psychiatric and medical history to your sleep, nutrition, and current medications, herbs, and supplements.

our first visit, ninety minutes long, where I get to know you as a whole person, from your psychiatric and medical history to your sleep, nutrition, and current medications, herbs, and supplements.

Medication management

thoughtful prescribing that attends not only to whether a medication helps, but to what it means to you. When it makes sense, I also help people reduce or come off medications they may no longer need.

thoughtful prescribing that attends not only to whether a medication helps, but to what it means to you. When it makes sense, I also help people reduce or come off medications they may no longer need.

Ketamine-assisted psychotherapy (KAP)

for established patients, a three-hour session pairing legally prescribed ketamine with psychotherapy, with preparation beforehand and integration afterward.

for established patients, a three-hour session pairing legally prescribed ketamine with psychotherapy, with preparation beforehand and integration afterward.

EMDR (eye movement desensitization and reprocessing) therapy

a structured approach to processing traumatic memories, which I offer with an expressive arts focus, drawing on imagery, movement, and creative work alongside the standard protocol.

a structured approach to processing traumatic memories, which I offer with an expressive arts focus, drawing on imagery, movement, and creative work alongside the standard protocol.

Psychedelic preparation & integration

support before and after non-ordinary states of consciousness, grounded in harm reduction and depth psychology. Because most psychedelic substances remain illegal under federal law, I do not provide, administer, or supply them; my role is to help you prepare, stay safe, and make meaning of what you experience.

support before and after non-ordinary states of consciousness, grounded in harm reduction and depth psychology. Because most psychedelic substances remain illegal under federal law, I do not provide, administer, or supply them; my role is to help you prepare, stay safe, and make meaning of what you experience.

Extended sessions & couples

eighty-minute sessions for couples, or for individuals who find a longer session allows the work to deepen.

eighty-minute sessions for couples, or for individuals who find a longer session allows the work to deepen.

Nature-based & expressive therapy

sessions held outdoors, walking or sitting on the land, or working with clay, for people who find the natural world helps the work unfold. In person, Massachusetts, coming soon.

sessions held outdoors, walking or sitting on the land, or working with clay, for people who find the natural world helps the work unfold. In person, Massachusetts, coming soon.

Animal-assisted therapy

sessions in the company of animals, whose presence can quiet the nervous system and open a way into feelings that are hard to reach in words. In person, Massachusetts, coming soon.

sessions in the company of animals, whose presence can quiet the nervous system and open a way into feelings that are hard to reach in words. In person, Massachusetts, coming soon.

Fees

Fees

INITIAL CARE

Initial psychiatric evaluation

A comprehensive evaluation of your history, concerns, and goals.

90 minutes

$350

ONGOING CARE

Psychotherapy session

Depth-oriented psychotherapy, held in an ongoing therapeutic relationship.

50 minutes

$200

EMDR (eye movement desensitization and reprocessing) therapy

A structured approach to processing traumatic memories

50 minutes

$200

Follow-up · medication management

Thoughtful, collaborative medication management, including deprescribing.

45 minutes

$200

Extended session / couples

Additional time for extended individual or couples work.

80/50 minutes

$300

SPECIALIZED / EMERGING SERVICES

Ketamine-assisted psychotherapy

Preparation, supported medicine sessions, and integration.

3 hours

$500

Psychedelic preparation / integration

Therapeutic support before or after a psychedelic experience.

50 minutes

$200

Group session

Small groups and shared spaces for reflection. See Gatherings for group settings.

Varies

CONTACT →

Sliding Scale

Sliding Scale

A portion of this practice is always reserved for sliding scale care. If the full fee is out of reach, say so when you reach out.

Insurance

Insurance

Working outside insurance panels lets me offer patients full confidentiality, with no diagnosis or treatment record submitted to a third party.

Working outside insurance panels lets me offer patients full confidentiality, with no diagnosis or treatment record submitted to a third party.

I do not participate directly with insurance panels. I can provide superbills for eligible services that you may submit to your insurance company for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on your specific plan, deductible, out-of-network benefits, and allowed reimbursement rates.

I do not participate directly with insurance panels. I can provide superbills for eligible services that you may submit to your insurance company for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on your specific plan, deductible, out-of-network benefits, and allowed reimbursement rates.

QUESTIONS TO ASK YOUR INSURER

01

Do I have out-of-network benefits for outpatient mental health services?

02

Is psychotherapy with a psychiatric mental health nurse practitioner covered?

03

Is CPT code 90837 covered under my plan?

04

Do I have an out-of-network deductible? How much has already been met?

05

What percentage of the allowed amount is reimbursed after my deductible is met?

06

What is the allowed amount for CPT code 90837?

07

Do I need prior authorization, a referral, or a diagnosis for reimbursement?

08

How do I submit superbills, and what documentation is required?

Providing a superbill does not guarantee reimbursement.

Payment Details

Payment Details

Payment Details

Whenever you're ready

01

Reach out

Contact me to begin a free 15-minute phone consultation to see whether working together feels right.

02

Begin your care

A 90-minute evaluation helps us understand your history, context, and goals. From there, we decide on care together.

03

Ongoing care

We'll meet together at a frequency that's right for you, with each session tailored around your needs.

CONTACT →

A quiet path through a sunlit forest

Whenever you're ready

01

Reach out

Contact me to begin a free 15-minute phone consultation to see whether working together feels right.

02

Begin your care

A 90-minute evaluation helps us understand your history, context, and goals. From there, we decide on care together.

03

Ongoing care

We'll meet together at a frequency that's right for you, with each session tailored around your needs.

CONTACT →

A quiet path through a sunlit forest

Whenever you're ready

01

Reach out

Contact me to begin a free 15-minute phone consultation to see whether working together feels right.

02

Begin your care

A 90-minute evaluation helps us understand your history, context, and goals. From there, we decide on care together.

03

Ongoing care

We'll meet together at a frequency that's right for you, with each session tailored around your needs.

CONTACT →

A quiet path through a sunlit forest

Ariel Hawks Feldman

Ariel Hawks Feldman

PSYCHOTHERAPY & PSYCHIATRY

Ariel Hawks Feldman, MSN, MS, RN, PMHNP-BC

NEW YORK

MASSACHUSETTS

ALASKA

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