Please reach us at if you cannot find an answer to your question.
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. So, you may be able to submit your bill to your Insurance Company for reimbursement. It is best for you to reach out to your specific insurance company or give us a call to discuss details.
Delta waves are the slowest type of brainwaves, with a frequency range of approximately 0.5 to 4 Hz, and they are most prominent during deep sleep and states of relaxation. These waves are generated in the brain during non-rapid eye movement (NREM) sleep, particularly in the deepest stages, known as slow-wave sleep. Delta waves are associated with physical healing and restoration, as this is when the body engages in essential processes like cell regeneration, tissue repair, and the release of growth hormones. They also play a critical role in consolidating memories and maintaining overall brain health.
In addition to their importance in sleep, delta waves are linked to unconscious processes and are often associated with heightened intuition and emotional awareness. They help regulate autonomic functions, such as heart rate and digestion, ensuring the body remains balanced. While delta waves are essential for rejuvenation and well-being, an imbalance—such as excessive delta wave activity when awake—can lead to symptoms like brain fog, difficulty concentrating, or emotional dysregulation. Conversely, too little delta activity can result in poor sleep quality and a lack of restorative rest. By promoting balanced delta wave activity, individuals can experience deeper relaxation, better sleep, and improved overall health.
Theta waves are brainwaves that operate in the frequency range of 4 to 8 Hz and are typically associated with deep relaxation, meditation, creativity, and the early stages of sleep (light sleep). These waves are most prominent during moments of introspection, daydreaming, or when the mind is in a tranquil state. Theta waves bridge the conscious and subconscious mind, making them crucial for accessing memories, emotions, and intuitive insights. They are also linked to increased creativity and problem-solving, as they enable the brain to explore novel ideas and connections.
In addition to their role in relaxation and creativity, theta waves are integral to learning and memory. They facilitate neuroplasticity, the brain's ability to form new neural connections, making them essential for processing and storing new information. Theta activity is especially prominent in children, which is thought to contribute to their heightened ability to absorb and learn from their environment.
An imbalance in theta wave activity can have varying effects. Excessive theta waves during wakefulness may lead to issues like difficulty focusing, mental fog, or a tendency to feel overly dreamy or disconnected. Conversely, insufficient theta activity can result in challenges with relaxation, creativity, or the ability to enter meditative or restorative states. By optimizing theta wave activity, individuals can enhance their ability to relax deeply, foster creativity, and improve cognitive function, particularly in areas related to learning and memory.
Alpha waves are brainwaves that fall within the frequency range of 8 to 12 Hz and are typically associated with calmness, relaxation, and a balanced mental state. These waves are most prominent when the brain is in a relaxed but alert state, such as during quiet moments of reflection, mindfulness, or light meditation. Alpha waves serve as a bridge between the higher-frequency beta waves (active thinking and problem-solving) and lower-frequency theta waves (deep relaxation and creativity), promoting a sense of mental clarity and focus without stress.
Alpha waves play a crucial role in reducing stress and anxiety, as they help regulate the brain's response to external stimuli. When alpha activity is balanced, individuals often feel more centered, focused, and able to process information effectively. These waves are also linked to the brain's ability to shift between tasks smoothly and enter a "flow state," where creativity and productivity thrive.
Imbalances in alpha wave activity can manifest in various ways. Excessive alpha waves may lead to feelings of lethargy, lack of motivation, or difficulty concentrating, while too little alpha activity can contribute to heightened stress, restlessness, or an inability to relax. By promoting healthy alpha wave activity, individuals can experience improved emotional regulation, reduced stress levels, enhanced focus, and an overall sense of well-being. Alpha wave training is often used in neurofeedback to help individuals achieve a state of calm, focused relaxation, which can be especially beneficial for managing stress and anxiety.
Beta waves are brainwaves that operate in the frequency range of 12 to 30 Hz and are associated with active thinking, problem-solving, focus, and engagement with the external environment. These waves are dominant when the brain is in a state of alertness, concentration, or analytical reasoning, such as during work, studying, or intense discussions. Beta activity helps the brain process information, make decisions, and manage tasks that require active mental effort.
Within the beta range, high beta waves (approximately 18 to 30 Hz) are linked to intense focus, heightened alertness, and sometimes stress or anxiety. High beta waves are typically activated in situations that demand quick thinking, vigilance, or a heightened state of arousal, such as during emergencies or competitive activities. While they can be helpful in boosting productivity and performance under pressure, excessive high beta activity is often associated with anxiety, restlessness, insomnia, or even burnout, as the brain remains in an overactive or hypervigilant state for prolonged periods.
Balanced beta wave activity is essential for cognitive performance and emotional regulation. Insufficient beta waves can lead to challenges such as difficulty focusing, low energy, or sluggish thinking. Conversely, overactive beta or high beta waves may contribute to racing thoughts, excessive worry, or hyperactivity. Through neurofeedback, individuals can train their brains to regulate beta wave activity, fostering a state of calm focus and reducing the risks of stress or anxiety tied to high beta overactivation. This balance supports optimal mental performance and overall well-being.
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:
2. How We May Use and Disclose Your Information
We may use and disclose your PHI in the following ways:
A. For Treatment
B. For Payment
C. For Healthcare Operations
D. Required or Permitted Disclosures
We may disclose your PHI without your written consent under the following circumstances:
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
B. Right to Amend Your Records
C. Right to Request Confidential Communications
D. Right to Request Restrictions
E. Right to an Accounting of Disclosures
F. Right to a Paper Copy of This Notice
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
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:
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.
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:
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.
6. Third-Party Links
This Website may contain links to third-party websites for additional resources or references.
7. Disclaimers and Limitation of Liability
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:
10. Governing Law & Dispute Resolution
These Terms are governed by the laws of New York without regard to conflict-of-law principles.
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
B. Automatically Collected Information
When you visit our Website, certain information is collected automatically, including:
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:
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:
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.
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:
To exercise these rights, contact us at info@legacy-mhc.com
7. HIPAA Compliance & Protected Health Information (PHI)
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
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