New Market Hanai Ohana in Baltimore: Sliding-Scale Counseling in Southeast Baltimore
New Market Hanai Ohana is a nonprofit counseling provider offering individual and family therapy on a sliding-scale fee model in Baltimore's Highlandtown neighborhood, designed for clients who cannot afford standard out-of-pocket mental health care.
What New Market Hanai Ohana actually is
Hanai Ohana operates as a licensed clinical social work practice and community mental health resource. The nonprofit specializes in individual therapy and family counseling, serving Baltimore residents regardless of ability to pay. The practice is small and embedded in Southeast Baltimore rather than part of a larger hospital or university system, which shapes both how it operates and what it can offer. It accepts Medicaid and provides sliding-scale rates for uninsured clients; this means fees are adjusted based on household income rather than fixed at a flat rate.
Services and sliding-scale pricing
Individual therapy runs on a sliding scale starting at $15 per session for low-income households and rising to $75 for those above a certain income threshold; the exact threshold depends on household size and is determined during intake. Family and couples counseling follow the same model and typically run 50 to 60 minutes. Session frequency is flexible and negotiated with the therapist based on clinical need and the client's schedule. The practice accepts Medicaid insurance; those with commercial insurance should verify coverage before scheduling. Sliding-scale fees assume no insurance, so the range is accurate only for uninsured clients; confirm current pricing when you call, as nonprofit rates can shift with grant cycles.
How it compares to other Baltimore counseling options
For sliding-scale or low-cost therapy in Baltimore, Hanai Ohana differs from larger community mental health centers like BHI (Baltimore Health Initiative) in scale and approach. BHI operates multiple clinics across the city, employs psychiatrists on-site for medication management, and provides crisis services; Hanai Ohana is smaller, therapy-focused, and does not handle psychiatric medication or acute crisis intervention. That trade-off means BHI suits clients who need comprehensive integrated services under one roof and Hanai Ohana suits those seeking a personal, ongoing relationship with a single therapist in a low-pressure setting. At the opposite end, private practices with therapists in Canton or Harbor East typically charge $100 to $150 per session with no sliding scale; they are faster to schedule but cost-prohibitive for uninsured residents earning below 200% of the poverty line. The Psychology Today directory lists several other sliding-scale private therapists in Baltimore, but many operate solo and have limited availability.
Who it suits and who it does not
New Market Hanai Ohana works well for adults and families in Southeast Baltimore who are uninsured or Medicaid-covered and need ongoing talk therapy for depression, anxiety, life transitions, or family conflict. The sliding scale is genuine and low enough that financial barriers to entry are real barriers addressed, not performative. It does not suit clients who need psychiatric evaluation or medication management (psychiatrists are not available); those clients should contact BHI or their primary care doctor for a referral to a psychiatrist, then add therapy alongside. It is also not set up for crisis response; clients in acute distress should call the Baltimore Crisis Response Team (1-410-433-5175) or go to the nearest emergency room.
What the first visit involves
Your first appointment is a 90-minute intake session in which the therapist gathers your history, asks about current symptoms and stressors, discusses goals for therapy, and talks through logistics including frequency and fees. Bring photo identification and, if you have it, insurance information or proof of income (for sliding-scale determination). The therapist will explain confidentiality limits (mandatory reporting of abuse, imminent harm, or danger to others applies as it does in all states). You will not receive a diagnosis or treatment plan in that first session, but the therapist will give you a sense of approach and timeline before you commit. Most clients are scheduled for a follow-up within a week or two.
Hours and logistics
The practice is located on North Linwood Avenue in Baltimore's New Market neighborhood, accessible by the #3 and #8 bus routes. Street parking is available; there is no dedicated lot. Call to confirm current hours, as the practice operates with a small staff and may have limited availability in summer or around staff vacation. A phone number and detailed directions are easiest obtained via a quick web search or by calling the main line. The practice does not offer evening or weekend hours, so take-home work is worth asking about if daytime appointments are difficult.
New Market Hanai Ohana fills a real gap in Baltimore's mental health landscape: it is one of few established sliding-scale individual therapy options in Southeast Baltimore with a documented track record, making it a practical first call for uninsured residents who want therapy without debt or waitlists measured in months.

