Professional Disclosure
Rhythm Wellness Mental Health Counseling PLLC
Effective Date: July 11, 2026 Last Updated: July 11, 2026
Welcome
Thank you for choosing Rhythm Wellness Mental Health Counseling PLLC for your mental health care. This disclosure statement provides important information about our practice, our qualifications, and what you can expect from our services. Please read this document carefully and ask any questions you may have.
Practice Information
Practice Name: Rhythm Wellness Mental Health Counseling PLLC Business Structure: Professional Limited Liability Company (PLLC) Mailing Address: 224 W 35th St #500, New York, NY 10001 Phone: (646) 875-8927 Email: info@rhythmwellnessnyc.com Service Delivery: Telehealth only (clients must be located in New York State during sessions)
Therapist Qualifications
Jack Szary, LMHC-D
License: Licensed Mental Health Counselor with Diagnostic Privilege (LMHC-D) License Number: 013282 (verify at op.nysed.gov) Licensed in: New York State Education: MA in Counseling for Mental Health and Wellness, New York University Years in Practice: Since 2021 Specialized Training: Dialectical Behavior Therapy (DBT), Evergreen Certifications (2023-2025); Cognitive Behavioral Therapy (CBT), PESI; OCD Treatment, NOCD Academy Professional Liability Insurance: CPH Associates
Areas of Focus:
Anxiety and stress management
Burnout and work-life balance
Low self-esteem and perfectionism
Professional challenges for high achievers
Men's mental health
Lindsay Levine, LMHC
License: Licensed Mental Health Counselor (LMHC) License Number: 006124 (verify at op.nysed.gov) Licensed in: New York State Education: MS in Mental Health Counseling, Long Island University Years in Practice: Since 2012 Specialized Training: Trained Mediator, New York Peace Institute (2013); SafeTALK and ASIST suicide prevention training, NY State Office of Mental Health Professional Liability Insurance: CPH Associates
Areas of Focus:
Parenting challenges and transitions
Anxiety and worry
Grief and loss
Life adjustments
Therapeutic Approach
At Rhythm Wellness, we utilize evidence-based therapeutic modalities including:
Cognitive Behavioral Therapy (CBT): focuses on the connection between thoughts, feelings, and behaviors
Dialectical Behavior Therapy (DBT): emphasizes mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness
Acceptance and Commitment Therapy (ACT): helps clients accept what is out of their control and commit to action that enriches their lives
We believe in the power of the therapeutic alliance (a strong, collaborative relationship between therapist and client) as the foundation for meaningful change and growth.
Services and Session Information
Session Length: 53 minutes Session Format: Telehealth only, via a secure, HIPAA-compliant video platform Location Requirement: Clients must be physically located in New York State at the time of each session
Initial Session: Your first session will focus on understanding your concerns, history, and goals for therapy. We will collaboratively develop a treatment plan tailored to your needs.
Ongoing Sessions: The frequency of sessions will be determined collaboratively based on your needs and treatment goals. Most clients attend weekly or bi-weekly sessions.
Fees and Insurance
Fee Structure
Our fees vary based on your insurance plan for in-network care. For clients seeking out-of-network services, we offer a sliding scale to support accessibility.
Insurance Accepted
We are in-network with the following insurance providers:
Aetna
Anthem Blue Cross and Blue Shield
Carelon
Cigna
Independence Blue Cross Pennsylvania
Oscar (Optum)
Oxford (Optum)
Quest Behavioral Health
United Healthcare (Optum)
United Healthcare Medicare Advantage
Verification: While we will help verify your insurance benefits, it is ultimately your responsibility to understand your coverage, including deductibles, copays, and any limitations.
Out-of-Network Benefits: If we are out-of-network with your insurance, we can provide a superbill (itemized receipt) that you may submit to your insurance company for potential reimbursement.
Good Faith Estimate
Under the federal No Surprises Act, if you are uninsured or choose not to use insurance, you have the right to receive a Good Faith Estimate of the expected cost of services before you begin care. We will provide this estimate in writing before your first session and upon request. For questions or more information, visit www.cms.gov/nosurprises.
Payment Methods
We accept major credit and debit cards, HSA/FSA/HRA accounts, and direct bank (ACH) transfers.
Payment Timing: Payment is due at the time of service unless other arrangements have been made in advance.
Cancellation and No-Show Policy
Cancellation Notice: We require at least 24 hours advance notice if you need to cancel or reschedule your appointment.
Late Cancellation/No-Show Fee: Appointments cancelled with less than 24 hours notice, or missed appointments without notice, will be charged a $135 fee. This fee is not covered by insurance and is the client's responsibility.
Exceptions: We understand that emergencies happen. Please contact us as soon as possible if an unexpected situation arises.
Multiple Cancellations: Repeated late cancellations or no-shows may result in termination of services, as consistent attendance is essential for therapeutic progress.
Confidentiality
Your privacy is of utmost importance. All information shared in therapy sessions is confidential and will not be disclosed without your written consent, except in the following legally mandated situations:
Limits to Confidentiality
Confidentiality must be broken when:
Imminent Danger to Self: If you present a serious danger of harm to yourself, we are required to take protective action, which may include hospitalization or notification of emergency contacts.
Imminent Danger to Others: If you present a serious danger of physical violence to another person, we are required to take protective action, which may include warning the potential victim and notifying law enforcement.
Child Abuse or Neglect: If we have reasonable cause to suspect child abuse or neglect, we are legally mandated to report this to the New York Statewide Central Register.
Abuse of Vulnerable Adults: If we suspect abuse, neglect, or exploitation of an elderly or vulnerable adult, we are required to report this to Adult Protective Services.
Court Orders: If a court issues a valid subpoena or court order, we may be required to provide information or testify.
Insurance and Payment: When billing insurance, we must provide your diagnosis and treatment information to your insurance company.
HIPAA Compliance
We comply with all Health Insurance Portability and Accountability Act (HIPAA) regulations to protect your health information. You will receive a separate Notice of Privacy Practices that explains your rights under HIPAA in detail. It is also available on our website.
Communication
Telehealth Security: We use HIPAA-compliant video platforms for all sessions.
Email and Text: While we may use email or text for appointment reminders and brief communications, please do not share sensitive clinical information via these methods.
Voicemail: We may leave appointment reminders on your voicemail. Please let us know if you prefer we not leave messages.
Client Rights and Responsibilities
Your Rights as a Client
You have the right to:
Receive respectful, professional, and ethical treatment
Be informed about your diagnosis, treatment options, and progress
Participate actively in your treatment planning
Ask questions about your treatment at any time
Refuse or discontinue treatment at any time
Access your clinical records (with some exceptions as specified by law)
Receive services without discrimination based on race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, or any other protected characteristic
File a complaint or grievance if you are dissatisfied with services
Your Responsibilities as a Client
We ask that you:
Attend scheduled appointments or provide 24-hour cancellation notice
Be on time and in a private, confidential location within New York State for telehealth sessions
Ensure you have a stable internet connection for video sessions
Participate actively and honestly in your treatment
Pay for services according to our agreed-upon fee arrangement
Notify us of any changes to your contact information, insurance, or circumstances that may affect treatment
Communicate openly about your treatment goals, concerns, and feedback
Emergency Procedures
Important: Rhythm Wellness Mental Health Counseling PLLC does not provide 24/7 crisis services or emergency care.
In Case of Emergency
If you are experiencing a life-threatening emergency:
Call 911 immediately
Go to your nearest hospital emergency room
24/7 Crisis Support
988 Suicide & Crisis Lifeline: Call or text 988
Crisis Text Line: Text HOME to 741741
NYC 988: Call 988 or 1-888-NYC-WELL (1-888-692-9355) for NYC mobile crisis services
National Domestic Violence Hotline: 1-800-799-7233
SAMHSA National Helpline: 1-800-662-4357 (mental health and substance use)
After-Hours Contact
You may text your therapist in non-emergency situations, and they will respond when available.
If your therapist is unavailable and you need immediate support, please use the crisis resources listed above.
During Business Hours
Call or text: (646) 875-8927 Email: info@rhythmwellnessnyc.com
Treatment Duration and Termination
Treatment Length: The duration of therapy varies based on individual needs and goals. Some clients benefit from short-term focused work (8-12 sessions), while others engage in longer-term therapy. We will regularly review your progress and treatment goals.
Termination: Either you or your therapist may initiate termination of therapy. Common reasons include achievement of treatment goals, lack of therapeutic progress, mutual agreement that therapy is no longer beneficial, client request, or a conflict of interest or ethical concern. When appropriate, we will provide referrals to other mental health professionals who may better meet your needs.
Complaints and Grievances
We strive to provide excellent care, but we recognize that concerns may arise. If you have any concerns about your treatment or our services:
Speak with Your Therapist: We encourage you to discuss any concerns directly with your therapist first.
Contact the Practice: If you prefer, you may contact us at info@rhythmwellnessnyc.com or (646) 875-8927.
File a Formal Complaint: If you believe your rights have been violated or you are dissatisfied with how a concern was handled, you may file a complaint with:
New York State Education Department Office of the Professions Professional Licensing Services 89 Washington Avenue Albany, NY 12234 Phone: (518) 474-3817 Website: www.op.nysed.gov
Consent to Treatment
By beginning therapy services with Rhythm Wellness Mental Health Counseling PLLC, you acknowledge that:
You have read and understood this Professional Disclosure Statement
You have had the opportunity to ask questions about our services, policies, and procedures
You understand the nature of therapy, including its potential benefits and risks
You understand the limits of confidentiality
You consent to participate in telehealth services
You agree to the financial policies outlined in this document
You understand your rights and responsibilities as a client
Questions?
Please do not hesitate to ask questions about anything in this document or about your treatment. We are here to support you and want you to feel comfortable and informed throughout your therapy journey.
Contact Us: Rhythm Wellness Mental Health Counseling PLLC Phone: (646) 875-8927 Email: info@rhythmwellnessnyc.com
This document may be updated periodically. You will be notified of any significant changes.