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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 ›
6.3/ 10Good
How this score breaks down
State licensed & listed with SAMHSA4 / 4.0
Accreditation0 / 1.8
Levels of care0.9 / 2.1
Patient ratings1.25 / 1.5
Insurance & payment access0.1 / 0.6
Patient ratings use 43 Google reviews (4.9★), weighted toward a 4.0 average until there are enough reviews to be reliable.
About First Step Counseling
First Step Counseling provides drug and alcohol treatment from its location at 3550 Highway 75 in Kingsport, Tennessee. It is a private provider.
Its services include standard outpatient counseling, medication-assisted treatment (MAT), co-occurring (dual diagnosis) mental health treatment, and telehealth therapy. Clinicians use approaches such as brief intervention, relapse prevention, substance use disorder counseling, and 12-step facilitation. For opioid use disorder, the program uses buprenorphine and naltrexone.
Payment options include cash or self-payment. Coverage depends on your specific plan, so verify benefits before admission.
The program accepts young adults, adults, and seniors. It offers specialized groups for young adults, women, pregnant/postpartum women, men, and seniors or older adults.
First Step Counseling is licensed or certified by the state substance use treatment agency.
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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Who they serve & support services
Specialized groups
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
Recovery support
Self-help groups
Housing services
Assistance with obtaining social services
Recovery coach
Mentoring/peer support
Employment counseling or training
Counseling & education
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
Ancillary services
Case management service
Licensing & accreditation
State substance use treatment agency
Ages accepted
Young Adults, Adults, Seniors
Operated by
Private for-profit organization
Exclusive services
Opioid use disorder clients only
Treatment access in Sullivan County, TN
9Treatment facilities
0Offer detox
3Buprenorphine or methadone
1Offer 24-hour care
Sullivan County, TN has 9 SAMHSA-listed addiction treatment facilities for 162,703 residents. No facility in the county lists detox services, so people who need medically supervised withdrawal usually have to travel to another county first. It is one of 3 listed providers of buprenorphine or methadone treatment in the county. 37 people died of a drug overdose in the county in the 12 months to March 2026 (CDC provisional data): 22.7 per 100,000 residents, compared with 29.1 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 Step Counseling lists the following levels of care: outpatient, medication-assisted treatment (MAT), dual diagnosis, and telehealth. Services can change, so confirm current programs before admission.
Does First Step Counseling accept insurance?
According to SAMHSA data, First Step Counseling accepts 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.
Does First Step Counseling offer detox?
First Step Counseling does not list detox services. If you need medically supervised withdrawal first, see detox programs or call (833) 589-6933 for help finding one.
Is First Step Counseling licensed?
First Step Counseling reports licensing or certification from: State substance use treatment agency.
Who does First Step Counseling treat?
First Step Counseling accepts young adults, adults, and seniors. Specialized groups include young adults, adult women, pregnant/postpartum women, adult men, and seniors or older adults.
How many addiction treatment programs are in Sullivan County, TN?
Sullivan County, TN has 9 SAMHSA-listed treatment facilities for about 162,703 residents: 0 list detox services, 3 offer buprenorphine or methadone treatment and 1 offer 24-hour care (2026 data).
How does First Step Counseling rank among rehab centers in Kingsport?
First Step Counseling is #4 of 5 ranked programs in Kingsport 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.
What is First Step Counseling's Google rating?
First Step Counseling has a 4.9-star rating from 43 Google reviews (as of November 2026). Ratings reflect individual experiences and are not a measure of clinical quality.
How do I get admitted to First Step Counseling or a similar program?
Admission usually starts with a phone screening and insurance check, followed by an assessment. You can contact First Step Counseling directly at 865-465-7088. Our admissions helpline at (833) 589-6933 can connect you with a licensed treatment provider, which may not be First Step Counseling. Our helpline is not affiliated with First Step Counseling.
“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. A listing is not an endorsement. StartDrugRehab.com is not affiliated with First Step Counseling.
Questions about treatment or insurance?Speak with an admissions specialist. Free, confidential, available 24/7.Who answers?(833) 589-6933Call now