About Therapy & Consultation
Hours of Operation
Open Monday through Thursday mornings and afternoons.
Closed on all major holidays and the last two weeks of each calendar year.
Accessibility
Anna offers sessions virtually and in person on select days of the week.
Virtual sessions occur via Anna’s confidential portal, accessible through an internet browser.
Anna’s physical office is located centrally in Chicago’s Lincoln Park neighborhood. It can be reached via CTA trains and buses. Paid street parking or unpaid residential street parking (during business hours) are available. The building and office are ADA/wheelchair accessible. The space also offers private single bathrooms.
Populations served and areas of focus
I work with adults on an individual basis focusing on:
Anxiety and panic
Depression
Trauma and complex trauma
Grief and loss
Anti-fatness and fat liberation
Life transitions and stress
Self-esteem/worth/compassion
Relationships
Therapeutic Values
Decolonization
Fat liberation
Immigrant justice
Neurodivergence justice
Therapeutic Approach
Trauma-informed
Person-centered, humanistic, and strength-based
Psychodynamic and existential
Somatic experiencing, including breathwork and other mindfulness-based approaches
Attachment theory
Psychotherapy Fees
First and foremost, our work together is collaborative. I warmly welcome questions, concerns, and ideas about rates and working with you to help make therapy accessible to you.
My rate for a session out of pocket is $225 per intake session and $150 per 55-60 minutes session. I offer a sliding scale for my services and welcome interest in that.
I also accept health insurance plans and check benefits before therapy begins so you're as informed about cost as possible. Health plans accepted include: BCBS IL PPO Plans; Aetna; Cigna/Evernorth; United/Optum; and HealthAdvocate EAP.
I accept payment via cash, check, credit/debit/FSA/HSA cards, and ChasePay e-transfer.
Clinical Consultation Fees
My rate for clinical consultation is $100 per session. I accept payment via cash, check, credit/debit, and ChasePay e-transfer.
No Surprises Act
Notice to clients and prospective clients:
Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including psychotherapy services.
You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including psychotherapy services.
You can ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service, or at any time during treatment.
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.
For questions or more information about your right to a Good Faith Estimate, or how to dispute a bill, see your Estimate, or visit www.cms.gov/nosurprises.
Notice of Privacy Practices
Your Privacy Information. Your Privacy Rights. Our Privacy Responsibilities.
This notice is a summary of how mental health records and information about you may be used and disclosed and how you can get access to this information. Your rights are established pursuant to the Health Insurance Portability and Accountability Act (HIPAA), the Illinois Mental Health and Developmental Disabilities Confidentiality Act, state and federal alcohol and substance abuse privacy laws and the exceptions provided therein. Please review it carefully.
Your Rights
You have the right to:
Get a copy of your paper or electronic mental health record
Correct your paper or electronic mental health record
Request confidential communication
Ask us to limit the information we share
Get a list of those with whom we’ve shared your information
Get a copy of this privacy notice
Choose someone to act for you
File a complaint if you believe your privacy rights have been violated
Your Choices
You have some choices in the way that we use and share information as we:
We may not disclose any mental health records or information except as provided under HIPAA, the Illinois Mental Health and Developmental Disabilities Confidentiality Act, state and federal alcohol and substance abuse privacy laws and the exceptions provided therein.
We may not tell any third party family and friends about your condition except as provided for in the above identified laws. For example: only pursuant to a valid subpoena, release of information, pursuant to the Abused and Neglected Child Reporting Act, and under certain other circumstances of imminent risk of harm.
Our Uses and Disclosures
We may use and share your information as we:
Treat you
Run our organization
Bill for your services
Help with public health and safety issues
Do research
Comply with the law
Work with a medical examiner or funeral director
Address certain workers’ compensation, law enforcement, and other government requests and subject to certain conditions
Respond to lawsuits and legal actions
Your Rights
When it comes to your health information, you have certain rights. This section explains your rights and some of our responsibilities to help you.
Get an electronic or paper copy of your mental health record
You can ask to see or get an electronic or paper copy of your mental health record and other health information we have about you. Ask us how to do this.
We will provide a copy or a summary of your health information, usually within 30 days of your request. We may charge a reasonable, cost-based fee.
Ask us to correct your mental health record
You can ask us to correct health information about you that you think is incorrect or incomplete. Ask us how to do this.
We may say “no” to your request, but we’ll tell you why in writing within 60 days.
Request confidential communications
You can ask us to contact you in a specific way (for example, home or office phone) or to send mail to a different address.
We will say “yes” to all reasonable requests. Ask us to limit what we use or share.
You can ask us not to use or share certain health information for treatment, payment, or our operations. We are not required to agree to your request, and we may say “no” if it would affect your care.
If you pay for a service or health care item out-of-pocket in full, you can ask us not to share that information for the purpose of payment or our operations with your health insurer. We will say “yes” unless a law requires us to share that information.
Get a list of those with whom we’ve shared information
You can ask for a list (accounting) of the times we’ve shared your health information for six years prior to the date you ask, who we shared it with, and why.
We will include all the disclosures except for those about treatment, payment, and health care operations, and certain other disclosures (such as any you asked us to make). We’ll provide one accounting a year for free but will charge a reasonable, cost-based fee if you ask for another one within 12 months.
Get a copy of this privacy notice
You can ask for a paper copy of this notice at any time, even if you have agreed to receive the notice electronically. We will provide you with a paper copy promptly.
Choose someone to act for you
If you have given someone mental health power of attorney or if someone is your legal guardian, that person can exercise your rights and make choices about your health information.
We will make sure the person has this authority and can act for you before we take any action.
File a complaint if you feel your rights are violated
You can complain if you feel we have violated your rights by contacting us at 312-646-8937 or anna@kultys.org.
You can file a complaint with the U.S. Department of Health and Human Services Office for Civil Rights by sending a letter to: 200 Independence Avenue, S.W., Washington, D.C. 20201, calling 1-877-696-6775, or visiting www.hhs.gov/ocr/privacy/hipaa/complaints/.
We will not retaliate against you for filing a complaint.
Your Choices
For certain health information, you can tell us your choices about what we share. If you have a clear preference for how we share your information in the situations described below, talk to us. Tell us what you want us to do, and we will follow your instructions.
In these cases, you have both the right and choice to tell us to:
Share information with your family, close friends, or others involved in your care
Share information in a disaster relief situation
If you are not able to tell us your preference, for example if you are unconscious, we may go ahead and share your information if we believe it is in your best interest. We may also share your information when needed to lessen a serious and imminent threat to health or safety.
Our Uses and Disclosures
How do we typically use or share your health information?
Subject to HIPAA, the Illinois Mental Health and Developmental Disabilities Confidentiality Act, state and federal alcohol and substance abuse privacy laws and the exceptions provided therein, we typically use or share your health information in the following ways:
Treat you
Run our organization
Bill for your services
We can use and share your health information to bill and get payment from health plans or other entities.
We may contract with business associates to do work directly for us related to your treatment; this may include billing, consultation, legal, and related business practices. In such circumstances, the business associate will be subject to a Business Associates Agreement which obligates any such associate to maintain privacy consistent with the state and federal requirements outlined herein.
How else can we use or share your health information?
We are allowed or required to share your information in other ways – usually in ways that contribute to the public good, such as public health and research. We have to meet many conditions in the law before we can share your information for these purposes.
For more information see:
www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/index.html, and the Illinois Mental Health and Developmental Disabilities Confidentiality Act, state and federal alcohol and substance abuse privacy laws and the exceptions provided therein.
Subject to certain exceptions, we can share health information about you for certain situations such as:
Preventing disease
Helping with product recalls
Reporting adverse reactions to medications
Reporting suspected abuse, neglect, or domestic violence
Preventing or reducing a serious threat to anyone’s health or safety
Our Responsibilities
We are required by law to maintain the privacy and security of your protected health information.
We will let you know promptly if a breach occurs that may have compromised the privacy or security of your information.
We must follow the duties and privacy practices described in this notice and give you a copy of it.
We will not use or share your information other than as described here unless you tell us we can in writing. If you tell us we can, you may change your mind at any time. Let us know in writing if you change your mind.
For more information see: www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/noticepp.html.
Changes to the Terms of this Notice
We can change the terms of this notice, and the changes will apply to all information we have about you. The new notice will be available upon request, in our office, and on our website.
The Effective Date of this Notice is April 29, 2024.
The privacy official (or other privacy contact):
Anna Kultys, LCPC, PLLC
2451 N Lincoln Ave Suite 204
Chicago, IL 60614
Email: anna@kultys.org
We never market or sell personal information.