FIRST Recovery
Also known as Crescent Counseling and Casework Servs
OutpatientIntensive outpatientMedicaidPrivate insuranceSliding scaleSelf-pay
Services reported to SAMHSA
- Levels of care
- Intensive outpatient treatment · 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 · Community reinforcement plus vouchers · Motivational interviewing · Relapse prevention · Substance use disorder counseling · Trauma-related counseling · Telemedicine/telehealth therapy · 12-step facilitation
- Education and counseling
- Substance use disorder education · Individual counseling · Group counseling
- Ages accepted
- Young Adults · Adults · Seniors
- Genders accepted
- Female · Male
- Payment accepted
- Medicaid · Private health insurance · Cash or self-payment
- Payment assistance
- Sliding fee scale (fee is based on income and other factors)
- Licensing and accreditation
- Commission on Accreditation of Rehabilitation Facilities (CARF)
- Ownership
- Private for-profit organization
- Recovery support
- Housing services · Assistance with obtaining social services · Mentoring/peer support
- Transitional services
- Aftercare/continuing care · Discharge Planning · Outcome follow-up after discharge
- Other services
- Case management service · Mental health services · Social skills development · Transportation assistance
- Language services
- Spanish
Questions to ask FIRST Recovery
- 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?
- 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 Virginia (this facility reports accreditation). If you are withdrawing from alcohol or benzodiazepines, ask about medical detox; do not stop suddenly on your own.
Paying for treatment at FIRST Recovery
FIRST Recovery reports accepting Medicaid, Private insurance, Sliding scale, Self-pay. With Virginia 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. A sliding fee scale is available, so bring proof of income.
Frequently asked questions
What services does FIRST Recovery offer?
FIRST Recovery reports these levels of care to SAMHSA: Outpatient, Intensive outpatient. Call to confirm current services and openings.
Does FIRST Recovery accept insurance?
It reports accepting Medicaid, Private insurance, Sliding scale, Self-pay. Ask whether your specific plan is in network before admission.
Where is FIRST Recovery located?
2328 Peters Creek Road, Roanoke, VA 24017.
How far is the nearest medical detox from Roanoke?
From the center of Roanoke city, the closest program offering medical detox is in Roanoke, about 2.6 miles away (straight-line), based on SAMHSA locator data mapped by FindRehabMap.
Other treatment facilities in Roanoke
611 McDowell Avenue NW, Roanoke, VA 24016
OutpatientIntensive outpatientPartial hospitalizationMATMedicaidMedicarePrivate insuranceTRICARE / VA
Call (540) 266-9200Details
1315 Franklin Road SW, Roanoke, VA 24016
OutpatientDual diagnosisMedicaidMedicarePrivate insuranceTRICARE / VA
Call (540) 981-1102Details
3003 Hollins Road NE, Roanoke, VA 24012
DetoxResidentialMATDual diagnosisMedicaidMedicarePrivate insuranceTRICARE / VA
Call (540) 344-6208Details
611 McDowell Avenue NW, Roanoke, VA 24016
OutpatientPartial hospitalizationDual diagnosisMedicaidMedicarePrivate insuranceTRICARE / VA
Call (540) 266-9200Details
5369 Peters Creek Road, Roanoke, VA 24019
ResidentialOutpatient
Call (540) 344-9501Details
601 Campbell Avenue SW, Roanoke, VA 24016
OutpatientDual diagnosisMedicaidPrivate insuranceSelf-pay
Call (434) 582-1305Details
See all 24 facilities in Roanoke · Residential · Outpatient · Intensive outpatient · MAT · Methadone · Accepts Medicaid
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.