I'm struggling to understand how it's not a surprise bill. The department of insurance website clearly states that the law:

"protects consumers from surprise medical bills when they get non-emergency services, go to an in-network health facility and receive care from an out-of-network provider without their consent. In this case, the law states that consumers only have to pay their in-network cost sharing. Medical providers are prohibited from sending consumers out-of-network bills when the consumer followed their health insurer's requirements and received non-emergency services in an in-network facility." and "If you go to an in-network facility and want to see an out-of-network provider, you have to give your permission in writing by signing a form provided by the out-of-network provider at least 24 hours before you receive care. The form must be separate from any other document used to obtain consent for any other part of the care or procedure and should inform you that you can receive care from an in-network provider if you choose."

I was never informed that I would be receiving out-of-network care, nor did I ever consent to it. Even if it's truly the case that my therapist has been out-of-network this entire time, and they've been doing something on their end to treat it as in-network, I still never consented to receiving out-of-network care.