First Step Counseling
OutpatientMATDual diagnosisSelf-pay
About First Step Counseling
An outpatient private rehabilitation center providing full support to clients with opioid use disorder through medication, counseling, and ongoing aftercare services.
Services reported to SAMHSA
- Levels of care
- Outpatient methadone/buprenorphine or naltrexone treatment · Regular outpatient treatment
- Treatment focus
- Substance use treatment
- Opioid treatment
- Buprenorphine maintenance · Prescribes buprenorphine · Prescribes naltrexone · Lofexidine or Clonidine detoxification
- Medications used
- Buprenorphine with naloxone · Buprenorphine without naloxone · Buprenorphine (extended-release, injectable) · Naltrexone (extended-release, injectable) · Clonidine · Medication for mental disorders · Nicotine replacement · Non-nicotine smoking/tobacco cessation
- Treatment approaches
- Brief intervention · Relapse prevention · Substance use disorder counseling · Telemedicine/telehealth therapy · 12-step facilitation
- Education and counseling
- HIV or AIDS education, counseling, or support · Hepatitis education, counseling, or support · Substance use disorder education · Smoking/vaping/tobacco cessation counseling · Individual counseling · Group counseling
- Special programs
- Young adults · Adult women · Pregnant/postpartum women · Adult men · Seniors or older adults · Clients with co-occurring mental and substance use disorders · Clients with co-occurring pain and substance use disorders · Clients who have experienced sexual abuse · Clients who have experienced intimate partner violence, domestic violence · Clients who have experienced trauma
- Exclusive programs
- Opioid use disorder clients only
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Cash or self-payment
- Licensing and accreditation
- State substance use treatment agency
- Ownership
- Private for-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
- Other services
- Case management service
Facility-provided information
- Care offered
- Outpatient · Co-Occurring Mental Health
- Substances treated
- Co-Occurring Disorders · Drug Addiction · Opioids · Smoking Cessation
- Conditions treated
- Perinatal Mental Health · Trauma
- Therapies
- 1-on-1 Counseling · Medication-Assisted Treatment · Online Therapy · Relapse Prevention Counseling · Twelve Step Facilitation
- Approaches
- Twelve Step
- Who it serves
- LGBTQ+ · Men · Older Adults · Women · Young Adults
- Aftercare
- Continuing Care · Employment Counseling · Outpatient Treatment · Recovery Coach · Support Meetings
- Languages
- English
Questions to ask First Step Counseling
- What does treatment cost without insurance, and do you offer a payment plan or sliding fee?
- How many hours a week is the outpatient or IOP schedule, and are evening groups available?
- Which medications do you prescribe (buprenorphine, methadone, naltrexone), and can I continue a medication I already take?
- 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 Tennessee. If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at First Step Counseling
First Step Counseling reports accepting Self-pay. If you have Medicaid, ask whether the facility accepts your Tennessee Medicaid plan or can refer you to one that does. Most private plans must cover substance use treatment on terms comparable to other medical care under federal parity law.
Frequently asked questions
What services does First Step Counseling offer?
First Step Counseling reports these levels of care to SAMHSA: Outpatient, MAT, Dual diagnosis. Call to confirm current services and openings.
Does First Step Counseling accept insurance?
It reports accepting Self-pay. Ask whether your specific plan is in network before admission.
Where is First Step Counseling located?
3550 Highway 75, Kingsport, TN 37663.
How far is the nearest medical detox from Kingsport?
From the center of Sullivan County, the closest program offering medical detox is in Johnson City, about 12 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
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See all 14 facilities in Kingsport · Outpatient · Intensive 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.