S. Farnaby


​​​​​​​Over The Rainbow, LLC


​​​​​​​​​​​​​​​​​​​​OTR offers a wide variety of services. 

Please find below a general list of our services and summary of fees.

(All our fees and services can be flexible to your needs and financial limitations.

We accept various insurance plans)

***OTR often has a wait for next availability. Please be aware that you may not always be able to acquire an appointment.*** 


Individual Therapy (individual clinical sessions for adolescents and adults)-150$ per session

  • Each clinician has a specific background and we aim to provide the best match for your treatment
  • Please indicate if the following areas are a specialty you need in order for us to provide more intake information:
    • All those who are Law Enforcement/First Responders/Public Safety of any type. 
    • Frontline Healthcare Workers 
    • Humanitarian Workers and Military Personnel in between assignments or deploying in the near future. 
    • If you have recently experienced a sexual assault, domestic violence, or violence of any type. 

* TELEHEALTH SERVICES: We implemented telehealth services covered by insurance during COVID 19 and will continue to offer this service unless insurance companies no longer cover this option. We use HIPAA compliant platforms for a secure connection.

*FIRST RESPONDER WELLNESS PRGRAM (FRWP) (currently only at the Old Town Alexandria office or Virtual):

  • Free group or individual psychological wellness consultation/check in with an OTR team member on site or virtually. Group is on Thursdays (contact us for times)
  • Our FRWP allows for First Responders (LEO local and federal, EMT/EMS, Fire, Emergency Response/Rescue) to CONFIDENTIALLY contact us for a wellness check in or just stop by the office and check in free of charge.  
  • Contact our Admin email (OTR@overtherainbowllc.com), contact Dr. Farnaby or Jennifer Fuentes directly or please stop by the Old Town office. 

* PSYCHOLOGICAL TESTING/EVALUATION: We can provide these services for various ADULT Testing referrals. It is important to check with your health plan for authorization for testing. We DO NOT provide court evaluations or Fitness for Duty Evaluations. Our testing slots are VERY LIMITED. 

* CONSULTATION: OTR staff can provide consultation for agencies and individuals in reviewing cases, providing a clinical support and perspective for various populations and topics related to our backgrounds, aiding in clinical team needs, and clinical development of programs and building an ethical private practice with integrity. (fees are negotiated)

​​* Couples Therapy (WE ARE NOT ABLE TO OFFER COUPLES THERAPY AT THIS TIME and we do not provide divorce mediation)-$160

  • Couples Counseling for Law Enforcement/First Responders/Public Safety with Dr. Sarah Farnaby
  • General Couples Counseling and Couples Counseling for Law Enforcement/First Responders/Public Safety with Melanie Flossman, MSW, MPA LCSW.

* Group Therapy: Please contact us or stay up to date on current groups being offered at both offices.  

  • individual group member charge $30 for clinical treatment groups. 
  • ​FRWP meeting Thursdays
  • site contracted flat rates negotiated for groups held off-site



Clinical Supervision for Licensure for Professional Counselors of VA, MD, and DC (MA/MS) and post-grads-$85 per session (We are also a Maryland LCPC Approved Supervisor)

Workshops: Various psychoeducational topics, such as stress management, presented by OTR staff. 
 * Professional Case Consultation is also available with negotiable fees. 

Community Education events (contractual trainings as requested by service providers, government   employees, and community organizations) will be a to be determined charge with all fees being negotiable


*Sliding Scale is considered on a case by case basis upon request and based on current reimbursement rates of healthcare plans and income

Current Healthcare Plans Accepted: 
Aetna, Carefirst/BCBS, Magellan, Amerihealth, CIGNA, EAPs, & Tricare/Humana

(If you are a Tricare Referral please provide your authorization and be aware that there may still be a wait for next availability.)

  • We recommend you check with your health care plan on changes and coverage.
  • Although we may accept your plan you may have a deductible to meet requiring you to pay the healthcare plan reimbursement rate of services in full until your deductible is met.  Co-pays also vary depending on your plan.
  • Also many plans are complex and may not cover mental health services or utilize subsidies for the mental health coverage. 


Credit Cards and Personal Checks accepted.