Professional Disclosure Statement

Rhythm Wellness Mental Health Counseling PLLC

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 feel free to ask any questions you may have.

Practice Information

Practice Name: Rhythm Wellness Mental Health Counseling PLLC
Business Structure: Partnership
Mailing Address: 224 W 35th St Ste 500 #652, 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

License: Licensed Mental Health Counselor (LMHC)
License Number: 013282
Licensed in: New York State
Education: Master of Arts (MA) in Mental Health Counseling, New York University (NYU)
Years in Practice: Since 2021
Specialized Training: DBT Certification (2023-2025)
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

Lindsay Levine, LMHC

License: Licensed Mental Health Counselor (LMHC)
License Number: 006124
Licensed in: New York State
Education: Master of Science (MS) in Clinical Mental Health Counseling, Long Island University
Years in Practice: Since 2012
Specialized Training: Trained Mediator, New York Peace Institute (2013)
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 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 operate on a sliding scale to ensure 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 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.

Payment Methods

We accept:

  • Major credit and debit cards

  • HSA/FSA/HRA accounts

  • 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:

  1. 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.

  2. Imminent Danger to Others: If you present a serious danger of physical violence to another person, we are required to warn the potential victim and notify law enforcement.

  3. Child Abuse or Neglect: If we have reasonable cause to suspect child abuse or neglect, we are legally mandated to report this to Child Protective Services.

  4. 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.

  5. Court Orders: If a court issues a valid subpoena or court order, we may be required to provide information or testify.

  6. 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.

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

  • Arrive on time and be in a private, confidential location 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 Well - Call 1-888-NYC-WELL (1-888-692-9355) or text "WELL" to 65173

  • National Domestic Violence Hotline - 1-800-799-7233

  • SAMHSA National Helpline - 1-800-662-4357 (mental health/substance abuse)

NYC Mental Health Crisis Resources:

  • NYC Mobile Crisis Team - 1-888-NYC-WELL (1-888-692-9355)

  • Comprehensive Psychiatric Emergency Program (CPEP) locations throughout NYC hospitals

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 for termination include:

  • Achievement of treatment goals

  • Lack of therapeutic progress

  • Mutual agreement that therapy is no longer beneficial

  • Client request

  • Conflict of interest or ethical concerns

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:

  1. Speak with Your Therapist: We encourage you to discuss any concerns directly with your therapist first.

  2. Contact the Practice: If you prefer, you may contact us at info@rhythmwellnessnyc.com or 646-875-8927.

  3. 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

Effective Date: December 10th, 2025
Last Updated: December 10th, 2025

This document may be updated periodically. You will be notified of any significant changes.