244 West Irvine Street, Richmond, KY 40475
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
Patient ratings use 33 Google reviews (4.5★), weighted toward a 4.0 average until there are enough reviews to be reliable.
Located at 244 West Irvine Street in Richmond, Kentucky, Gaines and Associates – Counseling of the Commonwealth is a private addiction treatment program.
Care options include standard outpatient counseling, 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 motivational interviewing.
Payment options include Medicaid, military insurance (TRICARE), 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, and seniors. It offers specialized groups for adolescents, young adults, women, pregnant/postpartum women, and men.
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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Madison County, KY has 4 SAMHSA-listed addiction treatment facilities for 99,582 residents. 1 facility in the county list detox services. 30 people died of a drug overdose in the county in the 12 months to March 2026 (CDC provisional data): 30.1 per 100,000 residents, compared with 25.7 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.
Gaines and Associates – Counseling of the Commonwealth lists the following levels of care: outpatient, dual diagnosis, and telehealth. Services can change, so confirm current programs before admission.
According to SAMHSA data, Gaines and Associates – Counseling of the Commonwealth accepts medicaid, federal military insurance (e.g., tricare), 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.
Gaines and Associates – Counseling of the Commonwealth does not list detox services. If you need medically supervised withdrawal first, see detox programs or call (833) 589-6933 for help finding one.
Gaines and Associates – Counseling of the Commonwealth accepts children/adolescents, young adults, and seniors. Specialized groups include adolescents, young adults, adult women, pregnant/postpartum women, and adult men.
Madison County, KY has 4 SAMHSA-listed treatment facilities for about 99,582 residents: 1 list detox services, 2 offer buprenorphine or methadone treatment and 1 offer 24-hour care (2026 data).
Gaines and Associates – Counseling of the Commonwealth is #5 of 5 ranked programs in Richmond 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.
Gaines and Associates – Counseling of the Commonwealth has a 4.5-star rating from 33 Google reviews (as of November 2026). Ratings reflect individual experiences and are not a measure of clinical quality.
Admission usually starts with a phone screening and insurance check, followed by an assessment. You can contact Gaines and Associates – Counseling of the Commonwealth directly at 502-783-7573. Our admissions helpline at (833) 589-6933 can connect you with a licensed treatment provider, which may not be Gaines and Associates – Counseling of the Commonwealth. Our helpline is not affiliated with Gaines and Associates – Counseling of the Commonwealth.
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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 gandacounseling.com. A listing is not an endorsement. StartDrugRehab.com is not affiliated with Gaines and Associates – Counseling of the Commonwealth.
