2328 Peters Creek Road Suite 101, Roanoke, VA 24017
Our 10-point score combines licensing and accreditation, the levels of care and payment options this facility reports, and patient ratings from Google and StartDrugRehab.com reviewers. Paid or claimed listings never change a score. Read full methodology
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Located at 2328 Peters Creek Road in Roanoke, Virginia, FIRST Recovery – Crescent Counseling and Casework Services is a private addiction treatment program.
Care options include intensive outpatient (IOP), standard outpatient counseling, medication-assisted treatment (MAT), co-occurring (dual diagnosis) mental health treatment, and telehealth therapy. Clinicians use approaches such as anger management, brief intervention, cognitive behavioral therapy, contingency management/motivational incentives, and community reinforcement plus vouchers. For opioid use disorder, the program uses naltrexone. It also prescribes medication for alcohol use disorder.
Payment options include Medicare, Medicaid, private health insurance, and cash or self-payment. A sliding fee scale based on income is available. Coverage depends on your specific plan, so verify benefits before admission.
The program accepts children and adolescents, young adults, adults, and seniors. It offers specialized groups for adolescents.
FIRST Recovery – Crescent Counseling and Casework Services is accredited by CARF.
Sliding fee scale (fee is based on income and other factors)
Based on SAMHSA-listed programs in our directory. Rankings use the StartDrugRehab Score; facilities can't pay to change them. Distances are straight-line.
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| Licensing & accreditation | Commission on Accreditation of Rehabilitation Facilities (CARF) |
|---|---|
| Ages accepted | Children/Adolescents, Young Adults, Adults, Seniors |
| Operated by | Private for-profit organization |
Roanoke city, VA has 7 SAMHSA-listed addiction treatment facilities for 97,912 residents. 2 facilities in the county list detox services. It is one of 5 listed providers of buprenorphine or methadone treatment in the county. 43 people died of a drug overdose in the county in the 12 months to March 2026 (CDC provisional data): 43.9 per 100,000 residents, compared with 14.5 statewide.
Source: StartDrugRehab Treatment Deserts 2026, built from SAMHSA FindTreatment.gov, U.S. Census 2024 population estimates and CDC overdose data. Counts are SAMHSA-listed facilities only.
FIRST Recovery – Crescent Counseling and Casework Services lists the following levels of care: intensive outpatient (IOP), outpatient, medication-assisted treatment (MAT), dual diagnosis, and telehealth. Services can change, so confirm current programs before admission.
According to SAMHSA data, FIRST Recovery – Crescent Counseling and Casework Services accepts medicare, medicaid, private health insurance, and cash or self-payment. Your exact coverage depends on your plan and network status. You can check your benefits with your insurer, or call (833) 589-6933 for a free benefits check.
FIRST Recovery – Crescent Counseling and Casework Services does not list detox services. If you need medically supervised withdrawal first, see detox programs or call (833) 589-6933 for help finding one.
Yes. FIRST Recovery – Crescent Counseling and Casework Services reports accreditation from CARF. Accreditation means the facility meets independent quality and safety standards.
FIRST Recovery – Crescent Counseling and Casework Services accepts children/adolescents, young adults, adults, and seniors. Specialized groups include adolescents and clients who have experienced trauma.
Roanoke city, VA has 7 SAMHSA-listed treatment facilities for about 97,912 residents: 2 list detox services, 5 offer buprenorphine or methadone treatment and 2 offer 24-hour care (2026 data).
FIRST Recovery – Crescent Counseling and Casework Services is #3 of 7 ranked programs in Roanoke in our 2026 ranking, based on the StartDrugRehab Score (accreditation, levels of care, payment options, data completeness and patient ratings). Facilities cannot pay to change their rank.
Admission usually starts with a phone screening and insurance check, followed by an assessment. You can contact FIRST Recovery – Crescent Counseling and Casework Services directly at 540-283-6845. Our admissions helpline at (833) 589-6933 can connect you with a licensed treatment provider, which may not be FIRST Recovery – Crescent Counseling and Casework Services. Our helpline is not affiliated with FIRST Recovery – Crescent Counseling and Casework Services.
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Roanoke, VA 24017
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +3 more
“Get help” calls our free helpline, not this facility.
Roanoke, VA 24017
CARF accredited
Levels of care
Payment accepted
Medicaid · Medicare · Private insurance +2 more
“Get help” calls our free helpline, not this facility.
Source: SAMHSA FindTreatment.gov, data updated October 2026. Facilities report this information to SAMHSA, and it can change, so confirm details before admission. Logo courtesy of crescentcounseling.com. A listing is not an endorsement. StartDrugRehab.com is not affiliated with FIRST Recovery – Crescent Counseling and Casework Services.
