Happy Pride, Seattle! Celebrate by supporting Seattle Counseling Service

Substance Use Disorder Services

“It was such a weight off my shoulders knowing that I had someone who had my back. They weren’t judging me. I had a base and a support system.”

Seattle Counseling Service Client

Meeting you
where you're at.

Find a safe space for recovery in our
different programs

Sometimes we feel conflicted about giving up our drug of choice even when we realize it’s causing problems in our lives. Recovery can seem like an impossible goal. It is a process that require time, commitment, motivation, and support. Our services are built on a harm-reduction model to ensure an individual’s needs are being met no matter where they are in their recovery.

We are fully licensed and certified by the Washington State Department of Alcohol and Substance Abuse. All treatment sessions are completely confidential and are provided by licensed chemical dependency counselors and supervised Chemical Dependency Professional Trainees. All counselors have experience and training in working with LGBTQ clients.

Get Started

Looking for health services? Get started today.

Thank you for your interest in services at Seattle Counseling Service.

At this time, in order to meet the needs of our current clients, we are not accepting any new applications for services. If you are experiencing a crisis, please contact Crisis Connections at 866-427-4747

To get on a waitlist for when we are able to begin taking clients again, please fill out the following form and we will reach out as soon as we are able. Please note, this may be a 30 day or more wait.

After completing your application, we will contact you quickly to schedule your first appointment.

Scheduling your appointment

Once we've received your application, it will be reviewed by our Client Services Department. You will normally be contacted within 3 business days to arrange for your first appointment. Wait times for appointments vary and are subject to availability. Additionally, you may request that we not leave phone messages for you and/or you may indicate that only certain phone numbers are to be used for communication.

What to expect during your appointment

You can expect to spend two hours with a qualified Chemical Dependency Counselor. During this time they will gather information regarding your substance use history and current needs. By the end of the assessment you will be provided with a diagnosis and recommendations for the most appropriate treatment.

Your insurance may qualify.

To help expedite your application please provide your insurance carrier information including your member ID and a company contact number. We request that you bring your insurance card to your initial appointment in addition to providing the information on your application. We are available to answer any questions you may have about our programs and services. Messages will be returned.

Need more information? Give us a call.

(206) 323-1768

Payment & Fees

Payment of fees, co-pays, and co-insurance are expected at the time of service. We accept cash, debit, and VISA/MasterCard.

Fees vary according to the type of service you receive. If you qualify as low-income and do not have Medicaid or insurance coverage, discounts are available using our sliding scale to help you with costs. Unfortunately, even at the bottom of our sliding scale services are not completely free. Our agency has limited additional grant funds which are subject to availability and qualifying criteria.

The usual fees are:

  • $120 per individual counseling session
  • $50 per group session
  • $155 for a Drug & Alcohol evaluation/assessment costs
  • $25 UA fee with your assessment
  • $400 for Court Ordered Evaluations/Assessments (includes UA)

We currently accept the following:

MH & SUD Services:

  • Bridgespan
  • Kaiser Permanente PPO/HMO
  • Premera
  • Regence

Other Services:

  • 1st Choice Health
  • Community Health Plan of Washington
  • Lifewise
  • Molina

What do I do if I am in crisis?

Call the crisis clinic's 24 hour hotline at (866) 427-4747 or (206) 461-3222. If you are already a client of SCS, you may call us at (206) 323-1768 during our business hours Monday through Thursday 8AM-8PM and Friday 8AM to 5PM.  If you are looking for information or referrals for local low-income or homeless resources try crisisclinic.org or call toll-free 2-1-1.

What if I do not identify as LBGTQ?

We provide treatment without regard to race, color, creed, national origin, immigration status, religion, gender identity, sexual orientation, age or disability. However, since our mission is to meet the needs of the LGBTQ community and to provide a safe place for sexual minorities, it may be deemed by clinical staff that a referral to another agency may be more appropriate for you. We will not tolerate any actions, language, or attitudes that compromise this mission and the successful treatment of others.

What are your hours and where are you located?

Our office is open Monday through Friday 8AM to 5 PM. We are closed on Saturday and Sunday. We are located at Sixth & Lenora, just 2 blocks north of the Westlake Transit Center.

Directions & Map

What qualifications does your staff have?

Our agency is a state licensed community mental health agency and state licensed chemical dependency outpatient treatment facility. All clinical staff members hold Master's level degrees or higher and are credentialed Mental Health Professionals. All staff members have training and experience in providing culturally competent services to LGBTQ clients.

Do you have in-patient services?

SCS is outpatient only. If you need to go into an in-patient program we can help with a referral to another facility.

I'm concerned for my privacy. How do you protect that?

We strictly adhere to all local, state and federal privacy laws. We will never release any information about you nor even acknowledge that you are a client at SCS to anyone without your express written permission. Additionally, you may request that we not leave phone messages for you and/or you may indicate that only certain phone numbers are to be used for communication.

You are not alone. We are here for you.

When you are ready to get started or if you have
any questions, please contact us.

Visit Us

We are located in the Sixth & Lenora Building and occupy the entire fourth floor. Our entry door faces 6th Avenue. If your appointment is between 9am-5pm, use the elevator to come up to the fourth floor. If your appointment is before 9am or after 5pm, use the callbox outside to dial "Sea Co. Service" and you will be let inside by reception.

2033 Sixth Avenue, 4th Floor
Seattle, WA 98121

Give us a call

Our Hours
Monday - Friday 8AM - 5PM

Email us

We are available to answer any questions you may have about our programs and services. Messages will be returned.


Are you in a crisis?

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