City Mental Health Counseling
24-41 31st St, Astoria, NY 11102
Reality House Inc
Also known as Outpatient
Services reported to SAMHSA
- Levels of care
- Regular outpatient treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Accepts clients using MAT but prescribed elsewhere
- Treatment approaches
- Anger management · Brief intervention · Cognitive behavioral therapy · Contingency management/motivational incentives · Motivational interviewing · Relapse prevention · Substance use disorder counseling · Trauma-related counseling · Telemedicine/telehealth therapy · 12-step facilitation
- Education and counseling
- HIV or AIDS education, counseling, or support · Hepatitis education, counseling, or support · Health education services other than HIV/AIDS or hepatitis · Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling · Group counseling · Vocational training or educational support (for example, high school coursework, GED preparation, etc.)
- Special programs
- Young adults · Adult women · Pregnant/postpartum women · Adult men · Seniors or older adults · Veterans · Members of military families · Criminal justice (other than DUI/DWI)/Forensic clients · Clients with co-occurring mental and substance use disorders · Clients with co-occurring pain and substance use disorders · Clients with HIV or AIDS · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · Clients who have experienced trauma
- Exclusive programs
- Specially designed program for DUI/DWI clients
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Federal, or any government funding for substance use treatment programs · IHS/Tribal/Urban (ITU) funds · Medicare · Medicaid · Federal military insurance (e.g., TRICARE) · Private health insurance · Cash or self-payment · State-financed health insurance plan other than Medicaid · SAMHSA funding/block grants
- Licensing and accreditation
- State substance use treatment agency · SAMHSA certification for opioid treatment program (OTP)
- Ownership
- Private non-profit organization
- Recovery support
- Self-help groups · Housing services · Assistance with obtaining social services · Recovery coach · Mentoring/peer support · Employment counseling or training
- Transitional services
- Aftercare/continuing care · Discharge Planning · Naloxone and overdose education · Outcome follow-up after discharge
- Other services
- Case management service · Domestic violence services, including family or partner · Mental health services · Social skills development · Transportation assistance · Integrated primary care services · Suicide prevention services
- Language services
- Spanish
Questions to ask Reality House Inc
- Is my specific plan in network, and do you need prior authorization before admission?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- If I need medication for opioid or alcohol use disorder, do you prescribe it or refer out?
- Do you treat mental health conditions such as depression or anxiety at the same time?
- Is there a waitlist, and how soon can you do an assessment?
- What happens after the program ends: aftercare, alumni groups or step-down care?
Also confirm the facility is licensed by New York. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at Reality House Inc
Reality House Inc reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, Self-pay. With New York Medicaid, treatment is usually covered at little or no cost, though some levels of care need prior authorization. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Distance to specialized care from Astoria
Measured from the population center of Richmond County, using SAMHSA locator data mapped by FindRehabMap:
- Nearest medical detox: Staten Island, about less than a mile
- Nearest methadone clinic (OTP): Staten Island, about 2.7 miles (162 within 25 miles)
- Nearest buprenorphine (Suboxone) provider: Staten Island, about less than a mile (304 within 25 miles)
See the Richmond County treatment map, methadone clinics near Richmond County and Suboxone doctors near Richmond County.
Frequently asked questions
What services does Reality House Inc offer?
Reality House Inc reports these levels of care to SAMHSA: Outpatient, Dual diagnosis. Call to confirm current services and openings.
Does Reality House Inc accept insurance?
It reports accepting Medicaid, Medicare, Private insurance, TRICARE / VA, Self-pay. Ask whether your specific plan is in network before admission.
Where is Reality House Inc located?
31-75 23rd Street, Astoria, NY 11106.
How far is the nearest medical detox from Astoria?
From the center of Richmond County, the closest program offering medical detox is in Staten Island, about less than a mile away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Astoria
Creedmoor Psychiatric Center
38-11 Broadway, Astoria, NY 11103
Goodwill Industries NY/NJ
45-02 Ditmars Boulevard, Astoria, NY 11105
Nao Medical
30-07 36th Avenue, Astoria, NY 11106
Nao Medical
37-15 23rd Avenue, Astoria, NY 11105
Phoenix House LIC
34-11 Vernon Boulevard, Astoria, NY 11106
See all 10 facilities in Astoria · Residential · Outpatient · MAT · Accepts Medicaid · Accepts Medicare · Private insurance
Last reviewed 2026-10-06. Facility details come from SAMHSA's FindTreatment.gov locator and facility-provided information. Confirm services, availability and payment directly with the facility.