Initial Evaluation:

All new patients must have an initial evaluation. Usually these are with BOTH the doctor and the therapist and last for 90 mins, costing $600 – $750 depending on provider(s). Sometimes the doctor is not needed and so the cost is only for the therapist time only, at the rates below.

Prepayment is required.

Session Rates:

Mark Green MD
$500 for 60 minute session
$400 for 45 minute session
$300 for 30 minute medication management session

Percy Ballard MD
$400 for 60 minute session
$325 for 45 minute session
$250 for 30 minute medication management session

Emily Manove PhD
$275 for 60 minute session
$225 for 45 minute session

Drew Welch RN
$250 for 60 minute session
$225 for 45 minute session
$225 for medication administration (includes processing orders of medication and delivery coordination)

Karen MacKenzie LICSW
Kate Dare-Winters LICSW
Darren Skehan LMHC
$250 for 60 minute session
$225 for 45 minute session

Case Manager Rates:

*Case management is not reimbursable through any insurance provider.

Kerri Kuklentz
$125 per hour for meeting time
$30 per hour for travel time

*Out-of-Session work/case management is pro-rated to the provider’s hourly session rate. Time spent over 5 minutes will be billed. Examples include: communicating with family members via phone or email, communicating with outside providers via phone or email, preparation, dispatch and review of urine toxicology tests, report preparation, travel time to and from case management appointments.

Consultations with Dr. Green:

One-time consultations are 90 minutes and cost $750.

Consultations for medical or nursing boards, legal review, and preparation, etc. require a retainer of $1500.


Psych Garden and its providers are “fee for service providers.” Meaning, we do not accept insurance or submit claims on behalf of its patients. If you have a PPO or POS plan you will likely be reimbursed some portion after you reach your deductible. However, every carrier is different – please contact your provider to verify benefits prior to any appointments.


We require a credit card on file for payment of services. Payment is processed each week for the previous week’s appointments. On occasion, payment may be processed earlier or later due to staff scheduling, holidays or end of month. We send out statements at the beginning of each month showing all charges and payments for the previous month. This statement will have all the necessary information needed to submit an insurance claim.

Cancellation and No Show Policy:

Cancellations with less than 48 hours (weekday – weekends don’t count) notice or No Show appointments will be billed at the full session fee unless:

1.) We can fill your appointment with another client. We will make every effort to fill the time, and if we are able to, you will receive a credit or refund.
2.) Inclement weather prevents you and/or your provider from making it to the office safely. If this happens, a video or phone session will be scheduled if possible.