Frequently Asked Questions

Currently we accept Aetna, Blue Cross Blue Shield, Cigna, Fidelis, MVP, Oscar Health, United Healthcare/Oxford

We offer a range of evidence-based therapies, including Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Eye Movement Desensitization and Reprocessing (EMDR), Internal Family Systems Therapy (IFS), Neurofeedback as well as mindfulness-based therapies to name a few.

We also offer alternative holistic approaches such as Energy Therapy and Spiritual Counseling. 

Individual therapy sessions are typically 50 - 55 minutes long, while group therapy sessions may be longer. The length of each session may vary depending on the needs of the client.

Neurofeedback enhances well-being by using classical conditioning to train brain wave activity into a more "normative" pattern. This "normative" pattern eases symptoms of anxiety, depression, post-traumatic-stress disorder (PTSD), attention deficit hyperactivity disorder (ADHD) and obsessive compulsive disorder (OCD) to name a few.  It's a safe, non-invasive method for optimizing mental performance.

Yes, Neurofeedback is beginning to be covered by some insurance companies.  It is best for you to reach out to your specific insurance company or give us a call to discuss details. 

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

Under the law, 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 and mental health services. 

You have the right to receive a Good Faith Estimate for the total expected cost of non-emergency medical and mental health care services. This includes costs related to mental health counseling and therapy services (evaluation and psychotherapy). 

Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical or mental health service. 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.

Visit www.cms.gov/nosurprises for more information about your right to a Good Faith Estimate.  

NOTICE OF PRIVACY PRACTICES

Your privacy is important to us. This Notice of Privacy Practices (NPP) describes how Kim Raffaelli Mental Health Counseling, PLLC ("we," "us," "our") may use and disclose your Protected Health Information (PHI), as well as your rights concerning that information.

This notice applies to all mental health services provided by our practice. Please review it carefully.

1. Your Protected Health Information (PHI)

PHI includes any health information that identifies you and relates to your past, present, or future mental health or medical condition, treatment, or payment for health care services.

We are required by law to:

• Keep your PHI private.
• Provide you with this notice of our legal duties and privacy practices.
• Follow the terms of this notice.

2. How We May Use and Disclose Your Information

We may use and disclose your PHI in the following ways:

A. For Treatment

• We may use your PHI to provide, coordinate, or manage your mental health care and treatment.
• Example: Your therapist may share your information with another healthcare      provider, such as a psychiatrist, for continuity of care.

B. For Payment

• We may use or disclose your PHI to obtain payment for services provided.
• Example: We may send billing information to your insurance provider for reimbursement.

C. For Healthcare Operations

• We may use PHI for administrative, supervision, and quality improvement purposes.
• Example: We may use PHI to evaluate the effectiveness of our services and improve      treatment outcomes.

D. Required or Permitted Disclosures

We may disclose your PHI without your written consent under the following circumstances:

• When Required by Law (e.g., reporting child or elder abuse, responding to a      court order).
• To Prevent Harm (e.g., if you are at risk of harming yourself or others, we may notify appropriate authorities).
• For Public Health and Safety (e.g., reporting communicable diseases).
• To Business Associates (e.g., third-party billing services that help us process claims, under strict confidentiality agreements).

E. With Your Written Authorization

We will not use or disclose your PHI for marketing, research, or most other purposes without your written authorization. You may revoke this authorization at any time in writing.

3. Your Rights Regarding Your PHI

You have the following rights regarding your health information:

A. Right to Access and Request a Copy

• You may request access to your PHI and obtain copies of your records.
• Requests must be in writing, and we may charge a reasonable fee for copies.

B. Right to Amend Your Records

• If you believe your records contain incorrect or incomplete information, you may      request an amendment in writing.
• We may deny your request if we believe the information is correct, but you can      request that a statement of disagreement be added.

C. Right to Request Confidential Communications

• You may request that we communicate with you in a specific way (e.g., using a different mailing address or phone number for privacy reasons).

D. Right to Request Restrictions

• You may request restrictions on how we use or disclose your PHI.
• We are not required to agree to restrictions except in cases where you paid out of pocket in full for a service and request that we not disclose that information to your insurance provider.

E. Right to an Accounting of Disclosures

• You may request a list of instances where your PHI was shared without your authorization.

F. Right to a Paper Copy of This Notice

• You may request a physical copy of this notice at any time, even if you have received an electronic version.

4. Our Responsibilities

We take the security of your PHI seriously and implement administrative, physical, and technical safeguards to protect your information.

We will promptly notify you if there is a breach of your PHI that may compromise your privacy or security.

5. Changes to This Notice

We reserve the right to change this Notice of Privacy Practices at any time. Updates will be posted on our website and available upon request.

6. Complaints

If you believe your privacy rights have been violated, you may file a complaint with:

Kim Raffaelli Mental Health Counseling, PLLC
1133 Route 55, Suite F

LaGrangeville, NY 12540

845-232-0703

info@legacy-mhc.com

 

You may also file a complaint with the U.S. Department of Health & Human Services at www.hhs.gov/hipaa.

We will not retaliate against you for filing a complaint.

7. Contact Information

For questions about this Notice of Privacy Practices, please contact us at 845-232-0703 or info@legacy-mhc.com

Welcome to Kim Raffaelli Mental Health Counseling, PLLC("Company," "we," "us," or "our"). The following Terms of Use ("Terms") govern your access to and use of www.legacy-mhc.com (the "Website") and the services we offer. By accessing or using our Website, you agree to these Terms. If you do not agree, please discontinue use immediately.

1. Acceptance of Terms

By accessing and using this Website, you acknowledge that you:

• Are at least 18 years old (or have parental/guardian consent if under 18).
• Understand that this Website does not provide emergency mental health services.
• Agree to comply with these Terms and all applicable laws.

If you are in crisis or need immediate help, please call 911 or the National Suicide Prevention Lifeline at 988.

2. No Medical or Mental Health Advice

This Website is for informational and educational purposes only. It does not provide medical or psychological advice, diagnosis, or treatment.

• Using this Website does not establish a therapist-client relationship.
• Any information provided on this Website should not be a substitute for professional medical or mental health advice.
• Always seek the advice of a qualified mental health professional before making decisions regarding your mental health.

3. Privacy and Confidentiality

Your use of this Website is also governed by our [Privacy Policy], which outlines how we collect, use, and protect your personal information. While we take reasonable measures to protect your privacy, communication via the internet is not 100% secure, and we cannot guarantee the confidentiality of messages sent through online forms or email.

4. Permitted Use of the Website

You agree to use the Website for lawful purposes only and to refrain from:

• Attempting to access unauthorized areas of the Website.
• Misusing or interfering with the functionality of the Website.
• Uploading, transmitting, or distributing harmful content, including malware or spam.
• Using the Website to harass, defame, or infringe upon the rights of others.

We reserve the right to suspend or terminate your access to the Website if you violate these Terms.

5. Intellectual Property Rights

All content on this Website, including text, graphics, images, and logos, is the property of Kim Raffaelli Mental Health Counseling, PLLC or licensed to us.

• You may not copy, modify, distribute, or reproduce any content without prior   written permission.
• Limited personal use is permitted, such as sharing articles or resources for non-commercial purposes with proper attribution.

6. Third-Party Links

This Website may contain links to third-party websites for additional resources or references.

• We are not responsible for the content, privacy policies, or practices of third-party websites.
• Clicking on external links is at your own risk.

7. Disclaimers and Limitation of Liability

• The Website is provided "as is" without any warranties, express or implied.
• We do not guarantee the accuracy, completeness, or timeliness of the content provided.
• We are not liable for any direct, indirect, incidental, or consequential damages arising from your use of this Website.

If you are dissatisfied with the Website, your sole remedy is to stop using it.

8. Indemnification

You agree to indemnify and hold harmless Kim Raffaelli Mental Health Counseling, PLLC its employees, and affiliates from any claims, damages, or liabilities resulting from your use of this Website or violation of these Terms.

9. Telehealth Services (If Applicable)

If you engage in telehealth services through our practice, additional terms may apply:

• Telehealth  sessions require a secure internet connection.
• You are responsible for maintaining confidentiality on your end (e.g., using a private space for sessions).
• Insurance coverage for telehealth varies; check with your provider before scheduling.

10. Governing Law & Dispute Resolution

These Terms are governed by the laws of New York without regard to conflict-of-law principles.

• Any  disputes will be resolved through mediation or binding arbitration before resorting to litigation.
• By  using this Website, you agree to jurisdiction in New York courts for any legal matters arising under these Terms.

11. Changes to These Terms

We reserve the right to update these Terms at any time. Changes will be posted on this page, and your continued use of the Website after updates constitutes acceptance of the revised Terms.

12. Contact Information

For questions or concerns regarding these Terms, you can contact us at: 845-232-0703 or info@legacy-mhc.com

Website Privacy Policy for

Kim Raffaelli Mental Health Counseling, PLLC

1. Information We Collect

We may collect the following types of information when you visit or interact with our Website:

A. Personal Information You Provide

• Name, phone number, and email address (when submitting contact forms).
• Information you provide when scheduling an appointment.
• Payment details (if applicable for online payments).

B. Automatically Collected Information

When you visit our Website, certain information is collected automatically, including:

• IP address, browser type, and device information.
• Pages visited and time spent on the site.
• Cookies and tracking technologies (see Cookies & Tracking section).

C. Sensitive Information

As a mental health counseling practice, we comply with HIPAA and will not collect Protected Health Information (PHI) through this Website unless you submit it through a secure client portal or other approved methods.

2. How We Use Your Information

We use your information to:

• Provide and improve our mental health services.
• Respond to inquiries and appointment requests.
• Send administrative information such as appointment confirmations.
• Improve Website security and performance.
• Comply with legal obligations, including HIPAA and applicable privacy laws.

We do not sell or share your personal information with third parties for marketing purposes.

3. How We Protect Your Information

We take appropriate security measures to protect your personal data, including:

• Secure Socket Layer (SSL) encryption.
• Limited access to personal data by authorized personnel.
• HIPAA-compliant secure storage of any PHI.

However, no online platform is 100% secure, and we encourage you to avoid submitting sensitive health information through unsecured forms.

4. Cookies & Tracking Technologies

Our Website may use cookies and similar tracking technologies to enhance user experience and analyze traffic.

• Essential Cookies: Required for the Website to function properly.
• Analytics Cookies: Help us understand Website performance (e.g., Google Analytics).
• Advertising Cookies: Not used unless explicitly stated.

You can adjust your cookie settings in your browser at any time.

5. Third-Party Links

Our Website may contain links to third-party sites (e.g., insurance providers, telehealth platforms). We are not responsible for the privacy practices of external sites. Please review their policies before providing personal information.

6. Your Rights & Choices

Depending on your location and applicable laws, you may have the following rights regarding your data:

• Access & Correction: Request access to or correction of your personal information.
• Deletion:Request that we delete your personal data (subject to legal requirements).
• Data Portability: Request an electronic copy of your information.
• Opt-Out: Unsubscribe from communications at any time.

To exercise these rights, contact us at info@legacy-mhc.com

7. HIPAA Compliance & Protected Health Information (PHI)

• If you are a current or potential client, please refer to our [Notice of Privacy Practices] for more details on how we handle PHI under HIPAA regulations.
• Communications via email, contact forms, or text messaging may not be fully HIPAA-compliant, so please avoid sharing sensitive medical information through these channels.

For secure communication, use our client portal or contact us directly by phone.

8. Children's Privacy

This Website is not intended for individuals under 13 years of age. We do not knowingly collect personal data from children. If we become aware of such collection, we will delete the information immediately.

9. Changes to This Privacy Policy

We may update this Privacy Policy periodically. Any changes will be posted on this page with an updated Effective Date. Your continued use of the Website constitutes acceptance of these changes.

10. Contact Us

For questions regarding this Privacy Policy, please contact:

Kim Raffaelli Mental Health Counseling, PLLC

1133 Route 55, Suite F

LaGrangeville, NY 12540
info@legacy-mhc.com
845-232-0703

www.legacy-mhc.com