Mental Health

988 Suicide & Crisis Lifeline

What They Provide: suicide crisis support, mental health crisis support, substance use crisis support, emotional distress support, crisis counseling, support for people worried about someone else
Website: 988lifeline.org
Phone: 988
Address: Not applicable
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment or referral required
Documents Needed: None
Application Process: Call or text 988; chat online through the website
Eligibility: Anyone experiencing suicidal thoughts, mental health distress, substance use crisis, emotional distress, or concern for someone else
Cost: Free
Insurance / Medicaid / Medicare: No insurance required
Service Area: Nationwide, including Spokane County
Languages / Accessibility: Call, text, chat, Spanish-language support, Deaf/Hard of Hearing access options
Important Notes: Call 911 if there is immediate physical danger, active violence, a medical emergency, or someone cannot be kept safe. Washington DOH states 988 can be used for mental health crisis, substance use concerns, thoughts of suicide, emotional distress, or support for a loved one in crisis.

Spokane Regional Behavioral Health Crisis Line / Frontier Behavioral Health

What They Provide: mental health crisis support, substance use crisis support, suicide crisis support, safety planning, crisis triage, referrals, mobile crisis dispatch, Designated Crisis Responder access
Website: fbhwa.org/programs/crisis-response/24-7-regional-behavioral-health-crisis-line
Phone: 1-877-266-1818
Address: Not applicable for crisis line
Hours of Operation: 24 hours daily, 365 days a year
Appointment / Referral Required: No appointment or referral required
Documents Needed: None required; helpful information includes person’s location, safety concerns, symptoms, substance use concerns, weapons/safety risks, and whether the person is willing to talk
Application Process: Call the crisis line; trained crisis professionals assess the situation, provide support/referrals, and may dispatch mobile teams or Designated Crisis Responders when appropriate
Eligibility: Individuals experiencing a mental health or substance use crisis, or someone calling on behalf of another person
Cost: Free to call
Insurance / Medicaid / Medicare: No insurance required to call
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: TDD/TTY: 509-458-7446; interpreter access may be available by phone
Important Notes: This is the main local behavioral health crisis line for Spokane County. Spokane County states the line can resolve crisis by phone, make referrals, and/or dispatch mobile teams or a Designated Crisis Responder.

Frontier Behavioral Health Mobile Rapid Response Crisis Team

What They Provide: mobile crisis response, community-based behavioral health crisis support, crisis assessment, de-escalation, safety planning, referrals, connection to higher level care when needed
Website: fbhwa.org/programs/crisis-response/mobile-rapid-response-crisis-team-mrrct
Phone: 988; Regional Crisis Line: 1-877-266-1818
Address: Not a walk-in service
Hours of Operation: Crisis calls are triaged through 988 and the regional crisis system
Appointment / Referral Required: Call first; mobile response is dispatched based on triage
Documents Needed: None required; helpful information includes person’s exact location, current safety concerns, symptoms, whether weapons are present, whether substances are involved, and whether the person is willing to speak with responders
Application Process: Call 988 or the Regional Crisis Line; if phone support is not enough and criteria are met, mobile crisis response may be dispatched
Eligibility: People experiencing behavioral health crisis in the Spokane area when mobile response is appropriate
Cost: Free to request crisis help
Insurance / Medicaid / Medicare: No insurance required to call
Service Area: Spokane-area crisis response system
Languages / Accessibility: Phone-based access through 988 or Regional Crisis Line
Important Notes: Mobile crisis is not the same as 911. Call 911 first if there is active violence, immediate physical danger, medical emergency, overdose, or weapons-related danger. Frontier Behavioral Health lists its Mobile Rapid Response Crisis Team as part of the 988/mobile crisis system.

Frontier Behavioral Health Crisis Outreach / Involuntary Treatment Act Evaluations

What They Provide: crisis intervention, mental health assessment, safety planning, stabilization planning, Designated Crisis Responder services, Involuntary Treatment Act evaluations, referrals
Website: fbhwa.org/programs/crisis-response/crisis-outreach-and-involuntary-treatment-act-ita-evaluations
Phone: 1-877-266-1818
Address: 107 S Division St, Spokane, WA 99202
Hours of Operation: Crisis access through Regional Crisis Line is 24 hours daily
Appointment / Referral Required: Call the crisis line first; no standard appointment required for crisis access
Documents Needed: None required to request crisis help; helpful information includes person’s name, location, current symptoms, safety concerns, threats/self-harm concerns, substance use concerns, medical needs, and known treatment history
Application Process: Call the Regional Crisis Line; crisis staff assess need and may dispatch crisis outreach or Designated Crisis Responders
Eligibility: Youth, adults, and families in Spokane County experiencing behavioral health crisis
Cost: Crisis line access is free
Insurance / Medicaid / Medicare: Crisis intervention and ITA evaluations are crisis-system services; no insurance required to call
Service Area: Spokane County / Spokane Regional crisis system
Languages / Accessibility: TDD/TTY for crisis line: 509-458-7446
Important Notes: This is the pathway for possible DCR/ITA evaluation when someone may be at risk because of mental health or substance use crisis. Use 911 for immediate physical danger or medical emergency. Spokane County describes DCR access as part of the regional crisis system.

Spokane Regional Stabilization Center

What They Provide: crisis stabilization, mental health crisis support, substance use crisis support, withdrawal support, co-occurring disorder stabilization, treatment engagement, medication-assisted treatment options, recovery planning
Website: pioneerhumanservices.org/treatment/spokane-regional-stabilization-center
Phone: 509-503-6010
Address: 1302 W Gardner Ave, Spokane, WA 99201
Hours of Operation: Call for current access details
Appointment / Referral Required: Call first; access may come through law enforcement, first responders, hospitals, crisis providers, behavioral health providers, or community referrals depending on situation
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if applicable, medication list, discharge/referral paperwork if coming from another provider
Application Process: Call or access through crisis response, first responders, law enforcement, hospital, or behavioral health referral pathway; staff assess needs and program fit
Eligibility: Adults experiencing mental health crisis, substance use crisis, withdrawal from alcohol/drug use, or co-occurring substance use and mental health needs
Cost: Call to verify cost/billing details
Insurance / Medicaid / Medicare: Call to verify current billing and insurance process
Service Area: Spokane regional crisis system
Languages / Accessibility: Call for accessibility and language access details
Important Notes: This is a stabilization/treatment resource, not a general shelter. Spokane County describes the center as a safe transitional treatment alternative for people experiencing mental health or substance use crisis, and Pioneer describes it as support for adults withdrawing from alcohol/drugs, experiencing mental health crisis, or needing co-occurring inpatient treatment.

Providence Sacred Heart Medical Center Emergency Department

What They Provide: emergency medical care, psychiatric emergency evaluation, suicide attempt medical care, overdose medical care, self-harm medical care, crisis-related medical stabilization
Website: providence.org/locations/wa/sacred-heart-medical-center/emergency-and-trauma
Phone: 509-474-3131
Address: 101 W 8th Ave, Lower Level 1, East Tower, Spokane, WA 99204
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment required for emergency department care
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if available, medication list, allergy list, emergency contact information; do not delay emergency care if documents are missing
Application Process: Call 911 for immediate danger or go to the emergency department; patients are evaluated based on medical need
Eligibility: Anyone experiencing a medical or psychiatric emergency
Cost: Emergency medical billing may apply; financial assistance may be available through hospital billing
Insurance / Medicaid / Medicare: Accepts insurance billing; emergency care should not be delayed because of insurance status
Service Area: Spokane County and regional Eastern Washington
Languages / Accessibility: Hospital interpreter and accessibility services may be available
Important Notes: Use the ER or call 911 for suicide attempt, overdose, severe self-harm, severe intoxication, psychosis with safety risk, severe withdrawal, or when someone cannot be kept safe. Providence lists Sacred Heart emergency and trauma services as available 24/7.

MultiCare Deaconess Hospital Emergency Department

What They Provide: emergency medical care, psychiatric emergency evaluation, suicide attempt medical care, overdose medical care, self-harm medical care, crisis-related medical stabilization
Website: multicare.org/location/deaconess-hospital/multicare-deaconess-emergency-department
Phone: 509-473-5800
Address: 800 W 5th Ave, Floor 1, Spokane, WA 99204
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment required for emergency department care
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if available, medication list, allergy list, emergency contact information; do not delay emergency care if documents are missing
Application Process: Call 911 for immediate danger or go to the emergency department; patients are evaluated based on medical need
Eligibility: Anyone experiencing a medical or psychiatric emergency
Cost: Emergency medical billing may apply; financial assistance may be available through hospital billing
Insurance / Medicaid / Medicare: Accepts insurance billing; emergency care should not be delayed because of insurance status
Service Area: Spokane area
Languages / Accessibility: Hospital interpreter and accessibility services may be available
Important Notes: Use the ER or call 911 for suicide attempt, overdose, severe self-harm, severe intoxication, psychosis with safety risk, severe withdrawal, or when someone cannot be kept safe.

MultiCare Valley Hospital Emergency Department

What They Provide: emergency medical care, psychiatric emergency evaluation, suicide attempt medical care, overdose medical care, self-harm medical care, crisis-related medical stabilization
Website: multicare.org/location/valley-hospital/multicare-valley-hospital-emergency-department
Phone: 509-603-5177; hospital main: 509-924-6650
Address: 12606 E Mission Ave, Spokane Valley, WA 99216
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment required for emergency department care
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if available, medication list, allergy list, emergency contact information; do not delay emergency care if documents are missing
Application Process: Call 911 for immediate danger or go to the emergency department; patients are evaluated based on medical need
Eligibility: Anyone experiencing a medical or psychiatric emergency
Cost: Emergency medical billing may apply; financial assistance may be available through hospital billing
Insurance / Medicaid / Medicare: Accepts insurance billing; emergency care should not be delayed because of insurance status
Service Area: Spokane Valley / Spokane County
Languages / Accessibility: Hospital interpreter and accessibility services may be available
Important Notes: Use the ER or call 911 for suicide attempt, overdose, severe self-harm, severe intoxication, psychosis with safety risk, severe withdrawal, or when someone cannot be kept safe.

MultiCare Emergency – Deaconess North

What They Provide: emergency medical care, psychiatric emergency evaluation, suicide attempt medical care, overdose medical care, self-harm medical care, crisis-related medical stabilization
Website: multicare.org/location/multicare-emergency-deaconess-north
Phone: 509-603-3333
Address: 8202 N Division St, Spokane, WA 99208
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment required for emergency department care
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if available, medication list, allergy list, emergency contact information; do not delay emergency care if documents are missing
Application Process: Call 911 for immediate danger or go to the emergency department; patients are evaluated based on medical need
Eligibility: Anyone experiencing a medical or psychiatric emergency
Cost: Emergency medical billing may apply; financial assistance may be available through hospital billing
Insurance / Medicaid / Medicare: Accepts insurance billing; emergency care should not be delayed because of insurance status
Service Area: North Spokane / Spokane County
Languages / Accessibility: Hospital interpreter and accessibility services may be available
Important Notes: This is a freestanding emergency department, not an urgent care clinic. Use for emergency-level psychiatric or medical crisis when immediate medical stabilization is needed.


Spokane County Regional Behavioral Health Customer Care Services

What They Provide: public behavioral health system navigation, SCRBH-funded service questions, mental health service access help, substance use service access help, provider information, grievance/complaint direction, rights information
Website: spokanecounty.gov/4231/Behavioral-Health-Customer-Care-Services
Phone: 509-477-4570; toll-free: 1-877-304-7183
Address: Spokane County Community Services, Spokane, WA 99260
Hours of Operation: County business hours; call to confirm
Appointment / Referral Required: No referral required to call; service access may require provider intake/assessment
Documents Needed: None required to call; helpful items may include Apple Health/Medicaid card, ProviderOne number, insurance card, provider information, referral paperwork, grievance/complaint details, and service history
Application Process: Call Customer Care for questions about SCRBH-funded services, provider options, access concerns, or complaint/grievance direction
Eligibility: People seeking information or help with publicly funded behavioral health services in the Spokane Regional Service Area
Cost: Free to call; service costs depend on provider, insurance, Medicaid, Medicare, uninsured status, and program eligibility
Insurance / Medicaid / Medicare: Can help with publicly funded behavioral health navigation; specific services may use Apple Health/Medicaid, Medicare, private insurance, grant funding, or uninsured service pathways
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Relay: 1-800-833-6384; call to request accessibility/language support
Important Notes: This is not the 24/7 crisis line. Use 988 or 1-877-266-1818 for immediate behavioral health crisis. Spokane County lists Customer Care at 509-477-4570 or 1-877-304-7183 for questions related to SCRBH-funded services.

Spokane County Mental Health Treatment Services Directory

What They Provide: mental health treatment provider directory, outpatient provider information, public behavioral health provider options, referral guidance, service access direction
Website: spokanecounty.gov/4233/Mental-Health-Treatment-Services
Phone: Customer Care: 509-477-4570; toll-free: 1-877-304-7183
Address: Online/provider directory resource; provider locations vary
Hours of Operation: Website available anytime; provider hours vary
Appointment / Referral Required: Individuals may directly call or self-present to contracted behavioral health provider agencies; provider intake/assessment may be required
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, ProviderOne number if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, court/school/provider paperwork if relevant
Application Process: Review the provider directory, contact a listed provider directly, or call Customer Care for help understanding available options
Eligibility: People seeking mental health treatment in the Spokane Regional Service Area; eligibility depends on provider, funding, insurance, Medicaid, and program requirements
Cost: Varies by provider and funding source
Insurance / Medicaid / Medicare: Providers may accept Apple Health/Medicaid, Medicare, private insurance, grant funding, or uninsured service pathways; verify directly with provider
Service Area: Spokane Regional Service Area
Languages / Accessibility: Ask providers directly about interpreter/accessibility support
Important Notes: Spokane County states individuals may directly call or self-present for services at a contracted behavioral health provider agency, and that physicians, schools, family, natural supports, or other referral sources may also refer people.

Frontier Behavioral Health Access to Care

What They Provide: outpatient mental health intake, initial assessment, therapy access, medication management access, child/family service connection, adult service connection, referrals
Website: fbhwa.org/about/referrals
Phone: 509-838-4651; Access to Care extension listed by FBH: 012082
Address: 131 S Division St, Spokane, WA 99202
Hours of Operation: Monday–Friday, 7:30 AM–4:30 PM
Appointment / Referral Required: No appointment necessary for Access to Care; online referral form also available
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Walk in to Access to Care, call 509-838-4651, or complete the online referral form; FBH states the team will reach out during the next 24 business hours after referral form submission
Eligibility: Individuals seeking outpatient mental health services; no restrictions listed in community resource data
Cost: Accepts Medicaid and private insurance; sliding scale fee available according to community resource data
Insurance / Medicaid / Medicare: Accepts Medicaid and private insurance; call to verify Medicare and sliding fee options
Service Area: Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Interpreter services listed in community resource data
Important Notes: This is the main outpatient access point for Frontier Behavioral Health. For crisis, use 988 or the Regional Crisis Line instead of waiting for outpatient intake.

Frontier Behavioral Health Outpatient Services

What They Provide: outpatient mental health services, therapy, case management, medication management, child/family services, adult services, behavioral health treatment, referrals
Website: fbhwa.org
Phone: 509-838-4651
Address: Multiple Spokane-area locations; Access to Care: 131 S Division St, Spokane, WA 99202
Hours of Operation: Varies by program/location; Access to Care Monday–Friday, 7:30 AM–4:30 PM
Appointment / Referral Required: Intake/assessment required; Access to Care can begin the process
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Start through Access to Care by walking in, calling, or using the online referral form; FBH staff discuss next steps and program fit
Eligibility: Individuals and families seeking behavioral health services; FBH prioritizes individuals and families who are high risk, high need, or publicly funded
Cost: Varies by insurance/funding; sliding scale may be available
Insurance / Medicaid / Medicare: FBH states it accepts Medicaid; community resource data also lists private insurance and sliding scale fee
Service Area: Spokane Regional Service Area
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: FBH is one of Spokane County’s core public behavioral health providers. Their website states they provide behavioral healthcare for individuals of all ages and prioritize high-risk, high-need, or publicly funded individuals and families.

Office of Behavioral Health Advocacy – Spokane Region

What They Provide: behavioral health advocacy, rights support, grievance help, appeal help, administrative hearing support, complaint navigation, support for people receiving behavioral health services and their families
Website: obhadvocacy.org/spokane-region
Phone: Use OBHA website contact/file process; Spokane County BH-ASO crisis number listed: 1-877-266-1818
Address: Regional advocacy service; contact through website
Hours of Operation: Contact/file process available through website; advocate hours may vary
Appointment / Referral Required: File/contact OBHA for advocacy support
Documents Needed: behavioral health provider information, service denial/termination notice if applicable, grievance/complaint details, appeal paperwork, authorization/ROI if helping a family member, hearing notices if applicable
Application Process: Use OBHA’s website to file for services or contact the Spokane regional advocate; provide details about the behavioral health concern, grievance, appeal, or rights issue
Eligibility: People receiving or trying to access behavioral health services, including support for family members at the individual’s request
Cost: Free advocacy support
Insurance / Medicaid / Medicare: Not applicable for advocacy; issues may involve Medicaid, Medicare, private insurance, BH-ASO services, or provider access
Service Area: Spokane behavioral health region
Languages / Accessibility: Contact OBHA to request language/accessibility support
Important Notes: Use this when someone is having trouble with behavioral health access, rights, grievances, appeals, or service concerns. OBHA states it supports grievance, appeal, and administrative hearing processes and can include family/supports at the person’s request.


Frontier Behavioral Health

What They Provide: outpatient mental health services, therapy, case management, medication management, child/family services, adult services, peer support, behavioral health treatment, referrals
Website: fbhwa.org
Phone: 509-838-4651
Address: Multiple Spokane-area locations; Access to Care: 131 S Division St, Spokane, WA 99202
Hours of Operation: Varies by program/location; Access to Care: Monday–Friday, 7:30 AM–4:30 PM
Appointment / Referral Required: Intake/assessment required; Access to Care can begin the process
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Start through Access to Care by walking in, calling, or using the online referral form; staff review needs and connect to the appropriate service/program
Eligibility: Individuals and families seeking behavioral health services; Frontier prioritizes high-risk, high-need, or publicly funded individuals and families
Cost: Varies by insurance/funding; sliding scale may be available
Insurance / Medicaid / Medicare: Accepts Medicaid; community resource data also lists private insurance and sliding scale fee
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Frontier is one of Spokane County’s core public behavioral health providers. For crisis, use 988 or the Regional Crisis Line instead of waiting for outpatient intake. Spokane County states individuals may directly call or self-present to contracted behavioral health provider agencies for services.

CHAS Health Behavioral Health Center – North Spokane

What They Provide: behavioral health counseling assessments, outpatient behavioral health care, substance use counseling assessment, care coordination, peer support, targeted case management, primary care connection, pharmacy support
Website: chas.org/location/chas-behavioral-health-center
Phone: 509-444-8200; toll-free 866-907-8200
Address: 5901 N Lidgerwood St, Spokane, WA 99208
Hours of Operation: Call or check website for current hours
Appointment / Referral Required: Same-day walk-in behavioral health and substance use counseling assessments available; ongoing care may require intake/scheduling
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Walk in for same-day behavioral health/substance use counseling assessment or call CHAS to ask about behavioral health services, insurance, sliding fee, and new patient access
Eligibility: People needing behavioral health care; CHAS serves insured, uninsured, and underinsured patients
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts private insurance, Medicare, Medicaid, and uninsured self-pay patients; sliding fee discount may be available
Service Area: Spokane County / North Spokane
Languages / Accessibility: TRS: 711; call to request interpreter/accessibility support
Important Notes: CHAS states the Behavioral Health Center focuses on behavioral health with primary care and pharmacy onsite, and provides specialized care, care coordination, peer support, targeted case management, and same-day access for assessments.

CHAS Health Integrated Behavioral Health

What They Provide: integrated behavioral health, counseling, medication management, same-day access, mental health care, substance use care, behavioral health support through primary care clinics
Website: chas.org/get-care/behavioral-health
Phone: 509-444-8200; toll-free 866-907-8200
Address: Multiple CHAS clinic locations; use CHAS location finder
Hours of Operation: Varies by clinic/location
Appointment / Referral Required: Appointment or referral from CHAS care team may be needed for integrated behavioral health; same-day access is available at CHAS Behavioral Health Center locations
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Call CHAS or ask a CHAS primary care provider about integrated behavioral health, counseling, medication management, and same-day behavioral health assessment options
Eligibility: CHAS patients and community members needing behavioral health support
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts private insurance, Medicaid, and Medicare; sliding fee discount available for qualifying uninsured/underinsured patients
Service Area: Spokane County, Eastern Washington, and North Idaho
Languages / Accessibility: TRS: 711; call to request interpreter/accessibility support
Important Notes: Keep this as a broader CHAS behavioral health entry if you want one umbrella listing in addition to the North Spokane Behavioral Health Center. CHAS lists integrated behavioral health care including counseling, medication management, and same-day access for behavioral health and substance use counseling assessments.

Passages Family Support

What They Provide: outpatient behavioral health care, therapy, care coordination, psychiatric medication management, peer support, Wraparound with Intensive Services, substance use disorder services, health home programs, intensive residential treatment connection
Website: passages-spokane.org
Phone: Use website contact information for current intake; main clinic information available online
Address: 1700 S Assembly Rd, Spokane, WA 99224
Hours of Operation: Call for current intake and program hours
Appointment / Referral Required: Intake/assessment required; call first
Documents Needed: photo ID if available, Apple Health/Medicaid card, ProviderOne number if available, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call Passages to ask about eligibility, intake, outpatient behavioral health services, peer services, WISe, medication management, and program availability
Eligibility: Apple Health/Medicaid-eligible Washington residents
Cost: Medicaid-covered services for eligible clients
Insurance / Medicaid / Medicare: Passages provides services to Apple Health/Medicaid-eligible residents; verify current plan participation before intake
Service Area: Washington State / Spokane area
Languages / Accessibility: Call to ask about interpreter/accessibility support
Important Notes: Passages describes itself as a licensed outpatient behavioral health clinic providing services including recovery support, peer services, therapy, care coordination, psychiatric medication management, WISe, intensive residential treatment, substance use disorder services, and health home programs.

Lutheran Community Services Northwest Behavioral Health Services

What They Provide: individual counseling, group counseling, family-involved services, youth counseling, adult counseling, trauma support, crime victim counseling, refugee/immigrant behavioral health support, anxiety/depression support
Website: lcsnw.org/office/spokane
Phone: 509-747-8224
Address: 210 W Sprague Ave, Spokane, WA 99201
Hours of Operation: Office hours may vary; call for current intake hours
Appointment / Referral Required: Intake required; call first
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, private insurance card if applicable, Crime Victims Compensation information if applicable, referral paperwork if available, court/protection order paperwork if relevant, medication list
Application Process: Call intake or contact the Spokane office; staff review service fit, insurance/funding, and available appointment options
Eligibility: Youth, adolescents, adults, families, trauma survivors, crime victims, refugees/immigrants, and people seeking behavioral health services; program-specific eligibility applies
Cost: Medicaid, Crime Victims Compensation, some insurance plans, private pay, sliding scale, or grant-funded options may apply
Insurance / Medicaid / Medicare: Accepts Washington State Medicaid MCO plans, Crime Victims Compensation, and some insurance plans depending on therapist availability; sliding scale/private pay may be available
Service Area: Spokane / Spokane Valley / Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: LCSNW is especially useful for people needing trauma-informed counseling, youth/family services, crime victim support, sexual assault-related support, or refugee/immigrant behavioral health support.

The NATIVE Project Behavioral Health

What They Provide: behavioral health counseling, youth behavioral health, adult behavioral health care coordination, substance use treatment planning, integrated medical/behavioral health care, culturally grounded care, family/wraparound support
Website: https://nativeproject.org/specialty/behavioral-health/
Phone: 509-483-7535
Address: 1803 W Maxwell Ave, Spokane, WA 99201
Hours of Operation: Call or check website for current hours
Appointment / Referral Required: Appointment/intake required; call to schedule
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, proof of tribal enrollment/descendancy if applicable, income/household information if applying for sliding fee
Application Process: Call to schedule an intake/appointment; ask about behavioral health, youth services, substance use support, care coordination, insurance, and sliding fee options
Eligibility: Native and non-Native community members seeking care
Cost: Insurance billing, Medicaid/Medicare billing, private pay, tribal/IHS-related funding, or sliding fee payments depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private insurance; no insurance copay billed with proof of tribal enrollment or descendancy; sliding fee payments available for qualifying patients
Service Area: Greater Spokane community
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: The NATIVE Project provides medical, dental, behavioral health, pharmacy, care coordination, wellness, and prevention services for both Native and non-Native people in Spokane. Its youth behavioral health team provides assessment, counseling, individualized mental health/substance use treatment planning, and wraparound support.

The NATIVE Project Children and Youth Services Center

What They Provide: youth behavioral health, child/youth mental health counseling, youth substance use support, wraparound support, medical care, dental care, prevention/wellness, family support
Website: https://nativeproject.org/our-services/children-and-youth/
Phone: 509-325-5502
Address: 1907 W Maxwell Ave, Spokane, WA 99201
Hours of Operation: Call or check website for current clinic hours
Appointment / Referral Required: Appointment/intake required; call to schedule
Documents Needed: parent/guardian photo ID if available, child’s insurance card if available, Apple Health/Medicaid card if applicable, immunization record if available, medication list, custody/guardian paperwork if applicable, proof of tribal enrollment/descendancy if applicable
Application Process: Call to schedule youth/child behavioral health or integrated care services; ask about intake, insurance, sliding fee, and culturally grounded supports
Eligibility: Children, youth, and families seeking behavioral health, medical, dental, or prevention/wellness services
Cost: Insurance billing, Medicaid/Medicare billing, private pay, tribal/IHS-related funding, or sliding fee payments depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private insurance; sliding fee payments available for qualifying patients
Service Area: Greater Spokane community
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Use this as the youth-specific NATIVE Project entry if separating adult/community clinic access from youth services. The NATIVE Project lists youth behavioral health and integrated care as part of its services.

Unify Community Health – Mission Avenue

What They Provide: mental health counseling, therapy, primary care, prenatal/postpartum care, pharmacy services, medication support through primary care connection
Website: yvfwc.com/locations/unify-community-health-mission
Phone: 509-326-4343
Address: 120 W Mission Ave, Spokane, WA 99201
Hours of Operation: Clinic: Monday–Friday, 7:45 AM–7 PM; pharmacy: Monday–Friday, 8 AM–7 PM
Appointment / Referral Required: Appointment recommended; registration appointment may be required for new patients
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Call and request to schedule a registration appointment with a patient care coordinator; ask about mental health counseling/therapy, insurance, Medicaid, and sliding fee options
Eligibility: No restrictions listed in community resource data
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Yakima Valley Farm Workers Clinic accepts Medicaid, Medicare, and most private health plans and offers sliding fee discounts for uninsured patients who meet income guidelines
Service Area: Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Unify Mission Avenue lists mental health counseling and therapy alongside primary care, prenatal/postpartum care, and pharmacy services.

Unify Community Health – Northeast Community Center

What They Provide: primary care, behavioral health connection, prenatal/postpartum care, dental care, pharmacy services, integrated community health support
Website: yvfwc.com/locations/unify-community-health-ne
Phone: Medical: 509-326-4343; Dental: 509-326-4382; Pharmacy: 509-482-4069
Address: 4001 N Cook St, Spokane, WA 99207
Hours of Operation: Call or check website for current hours
Appointment / Referral Required: Appointment recommended
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Call to schedule or ask about available behavioral health/medical services, new patient registration, insurance, Medicaid, and sliding fee options
Eligibility: Adults, children, and families needing community clinic services
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount for qualifying uninsured patients
Insurance / Medicaid / Medicare: Yakima Valley Farm Workers Clinic accepts Medicaid, Medicare, and most private health plans and offers sliding fee discounts for uninsured patients who meet income guidelines
Service Area: Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Unify Northeast is a community health center site with medical, dental, prenatal/postpartum, and pharmacy services; confirm current behavioral health availability before listing it as a direct counseling access point.

Excelsior Wellness

What They Provide: outpatient mental health counseling, medication management, primary care, care coordination, peer support groups, recreational therapy, youth/young adult behavioral health support, family support, substance use/co-occurring support
Website: excelsiorwellness.org
Phone: 509-559-3100
Address: 3754 W Indian Trail Rd, Spokane, WA 99208
Hours of Operation: Call for current intake and program hours
Appointment / Referral Required: Intake/assessment required; call first
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call or contact Excelsior through the website; ask about outpatient counseling, medication management, primary care, youth/family programs, insurance, and intake steps
Eligibility: Children, youth, young adults, families, and adults depending on program; program-specific eligibility applies
Cost: Varies by program and insurance/funding
Insurance / Medicaid / Medicare: Call to verify accepted insurance, Medicaid, Medicare, and self-pay/sliding fee options
Service Area: Spokane County / Inland Northwest
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Excelsior describes itself as a trauma-informed clinic for all ages providing primary care, medication management, and outpatient mental health counseling, with integrated behavioral health, primary care, education, and social/human services.


Frontier Behavioral Health Access to Care

What They Provide: therapy intake, mental health assessment, outpatient counseling connection, group therapy connection, case management connection, medication management connection, child/family service connection, adult service connection
Website: fbhwa.org/about/referrals
Phone: 509-838-4651
Address: Access to Care: 131 S Division St, Spokane, WA 99202
Hours of Operation: Monday–Friday, 7:30 AM–4:30 PM
Appointment / Referral Required: No appointment necessary for Access to Care; online referral form available
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, ProviderOne number if available, Medicare/private insurance card if applicable, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Walk in to Access to Care, call 509-838-4651, or complete the online referral form; staff review needs and connect to the appropriate service/program
Eligibility: Individuals seeking outpatient mental health services; services available for individuals of all ages, with priority for high-risk, high-need, or publicly funded individuals/families
Cost: Varies by insurance/funding; sliding scale may be available
Insurance / Medicaid / Medicare: Accepts Medicaid; call to verify Medicare, private insurance, and sliding fee options
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good first access point for public outpatient therapy through Frontier. Use 988 or the Regional Crisis Line for immediate crisis support instead of waiting for outpatient intake.

Spokane County Counseling and Recovery Services / CAReS Therapeutic Services

What They Provide: therapy, behavioral health services, Dialectical Behavior Therapy, Motivational Interviewing, Cognitive Behavioral Therapy, Solution Focused Therapy, EMDR, Cognitive Processing Therapy
Website: spokanecounty.gov/4362/Therapeutic-Services
Phone: 509-477-4388
Address: 211 W Augusta Ave, Spokane, WA 99205
Hours of Operation: County business hours; call to confirm
Appointment / Referral Required: Appointment required; self-referrals and provider/community referrals accepted
Documents Needed: photo ID if available, Apple Health/Medicaid card, ProviderOne number if available, managed care plan information, referral paperwork if applicable, medication list, current provider information
Application Process: Call 509-477-4388 to request an appointment or ask about referral steps; complete intake/referral paperwork as directed
Eligibility: Medicaid-eligible individuals enrolled with Molina Healthcare, Amerigroup, or Community Health Plan of Washington who are seeking behavioral healthcare services
Cost: Medicaid-covered services for eligible participants
Insurance / Medicaid / Medicare: Medicaid required; listed plans include Molina Healthcare, Amerigroup, and Community Health Plan of Washington
Service Area: Spokane County
Languages / Accessibility: TTY/Relay: 800-833-6384; call to request interpreter/accessibility support
Important Notes: This is a direct Spokane County behavioral health therapy resource for eligible Medicaid members. Spokane County lists CAReS at 211 W Augusta Ave with phone 509-477-4388, and its Therapeutic Services page lists therapy modalities including DBT, CBT, EMDR, and Cognitive Processing Therapy.

CHAS Health Behavioral Health

What They Provide: counseling, behavioral health assessments, integrated behavioral health, medication management, substance use counseling assessment, care coordination, peer support, targeted case management
Website: chas.org/get-care/behavioral-health
Phone: 509-444-8200; toll-free 866-907-8200
Address: Multiple Spokane County clinics; Behavioral Health Center: 5901 N Lidgerwood St, Spokane, WA 99208
Hours of Operation: Varies by clinic; call or check location page
Appointment / Referral Required: Appointment or CHAS care team referral may be needed; same-day behavioral health/substance use assessments may be available at the Behavioral Health Center
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Call CHAS or ask a CHAS primary care provider about counseling, behavioral health assessment, medication management, and same-day assessment options
Eligibility: CHAS patients and community members needing behavioral health support
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts private insurance, Medicaid, and Medicare; sliding fee discount available for qualifying uninsured/underinsured patients
Service Area: Spokane County, Eastern Washington, and North Idaho
Languages / Accessibility: TRS: 711; call to request interpreter/accessibility support
Important Notes: Good option for people who need mental health support connected to primary care, pharmacy, or other health services.

Lutheran Community Services Northwest Behavioral Health Services

What They Provide: individual counseling, group counseling, family-involved therapy, youth counseling, adult counseling, trauma counseling, anxiety/depression support, refugee/immigrant counseling, crime victim counseling
Website: lcsnw.org/program/behavioral-health-services
Phone: 509-747-8224
Address: 210 W Sprague Ave, Spokane, WA 99201
Hours of Operation: Office hours may vary; call for current intake hours
Appointment / Referral Required: Intake required; call first
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, private insurance card if applicable, Crime Victims Compensation information if applicable, referral paperwork if available, court/protection order paperwork if relevant, medication list
Application Process: Call intake or contact the Spokane office; staff review service fit, insurance/funding, and available appointment options
Eligibility: Youth, adolescents, adults, families, trauma survivors, crime victims, refugees/immigrants, and people seeking behavioral health counseling; program-specific eligibility applies
Cost: Medicaid, Crime Victims Compensation, some insurance plans, private pay, sliding scale, or grant-funded options may apply
Insurance / Medicaid / Medicare: Accepts WA Apple Health/Medicaid, Crime Victims Compensation, some private insurance plans, and offers sliding scale fees; call to verify current coverage
Service Area: Spokane / Spokane Valley / Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Strong option for trauma-informed counseling, youth/family therapy, crime victim support, refugee/immigrant services, anxiety, depression, parenting concerns, and behavioral concerns.

Catholic Charities Eastern Washington Community Behavioral Health Services

What They Provide: individual counseling, couples counseling, family counseling, group counseling, mental health therapy, behavioral health support
Website: cceasternwa.org/counseling
Phone: Consumer Care Coordinator: 509-242-2308
Address: Catholic Charities Eastern Washington, Spokane, WA; call for current counseling location/access details
Hours of Operation: Call for current intake and appointment hours
Appointment / Referral Required: Call first; intake/scheduling required
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, income/household information if applying for reduced-cost options
Application Process: Call the Consumer Care Coordinator at 509-242-2308 for counseling services; staff review current availability, intake process, cost, and service fit
Eligibility: People seeking counseling or behavioral health support; program-specific eligibility may apply
Cost: Call to confirm; cost may depend on insurance, funding, and program eligibility
Insurance / Medicaid / Medicare: Call to verify accepted insurance, Medicaid, Medicare, private pay, and any sliding-fee or reduced-cost options
Service Area: Spokane County / Eastern Washington
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Catholic Charities’ counseling page currently states Community Behavioral Health Services is accepting new clients and directs people to call 509-242-2308 for counseling services.

Passages Family Support

What They Provide: therapy, outpatient behavioral health care, care coordination, psychiatric medication management, peer support, Wraparound with Intensive Services, substance use disorder services, Health Home programs
Website: passages-spokane.org
Phone: Use website contact information for current intake
Address: 1700 S Assembly Rd, Spokane, WA 99224
Hours of Operation: Call for current intake and program hours
Appointment / Referral Required: Intake/assessment required; call first
Documents Needed: photo ID if available, Apple Health/Medicaid card, ProviderOne number if available, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call Passages to ask about eligibility, intake, outpatient behavioral health services, peer services, WISe, medication management, and program availability
Eligibility: Apple Health/Medicaid-eligible Washington residents
Cost: Medicaid-covered services for eligible clients
Insurance / Medicaid / Medicare: Apple Health/Medicaid required or strongly relevant; verify current plan participation before intake
Service Area: Spokane area / Washington State
Languages / Accessibility: Call to ask about interpreter/accessibility support
Important Notes: Good option for Medicaid-eligible people needing counseling plus wraparound support, peer support, care coordination, or medication management.

The NATIVE Project Behavioral Health

What They Provide: individual counseling, youth behavioral health, adult behavioral health, family support, substance use treatment planning, care coordination, integrated medical/behavioral health care, culturally grounded support
Website: nativeproject.org/our-services/behavioral-health
Phone: 509-483-7535
Address: 1803 W Maxwell Ave, Spokane, WA 99201
Hours of Operation: Call or check website for current hours
Appointment / Referral Required: Appointment/intake required; call to schedule
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, proof of tribal enrollment/descendancy if applicable, income/household information if applying for sliding fee
Application Process: Call to schedule an intake/appointment; ask about behavioral health counseling, youth services, substance use support, care coordination, insurance, and sliding fee options
Eligibility: Native and non-Native community members seeking care
Cost: Insurance billing, Medicaid/Medicare billing, private pay, tribal/IHS-related funding, or sliding fee payments depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private insurance; no insurance copay billed with proof of tribal enrollment or descendancy; sliding fee payments available for qualifying patients
Service Area: Greater Spokane community
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good option for culturally grounded integrated care. The NATIVE Project provides medical, dental, behavioral health, pharmacy, care coordination, wellness, and prevention services for Native and non-Native people.

Excelsior Wellness

What They Provide: outpatient mental health counseling, individual counseling, group counseling, family support, care coordination, peer support, medication management, primary care connection, youth/young adult behavioral health support, intensive outpatient support
Website: excelsiorwellness.org
Phone: 509-559-3100
Address: 3754 W Indian Trail Rd, Spokane, WA 99208
Hours of Operation: Call for current intake and program hours
Appointment / Referral Required: Intake/assessment required; call first
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call or contact Excelsior through the website; ask about outpatient counseling, medication management, youth/family programs, insurance, and intake steps
Eligibility: Children, youth, young adults, families, and adults depending on program; program-specific eligibility applies
Cost: Varies by program and insurance/funding
Insurance / Medicaid / Medicare: Call to verify accepted insurance, Medicaid, Medicare, and self-pay/sliding fee options
Service Area: Spokane County / Inland Northwest
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Excelsior is especially useful for youth, young adults, and families with complex behavioral health needs, but their system also includes integrated behavioral health, primary care, medication management, counseling, care coordination, and peer support.

Unify Community Health – Mission Avenue

What They Provide: mental health counseling, therapy, primary care, prenatal/postpartum care, pharmacy services, integrated health support
Website: yvfwc.com/locations/unify-community-health-mission
Phone: 509-326-4343
Address: 120 W Mission Ave, Spokane, WA 99201
Hours of Operation: Clinic: Monday–Friday, 7:45 AM–7 PM; pharmacy: Monday–Friday, 8 AM–7 PM
Appointment / Referral Required: Appointment recommended; new patient registration may be required
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Call and request a registration appointment with a patient care coordinator; ask about mental health counseling/therapy, insurance, Medicaid, Medicare, and sliding fee options
Eligibility: Adults, teens, children, and families needing community clinic services
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private health plans; sliding fee discounts may be available for uninsured patients who meet income guidelines
Service Area: Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good option when someone wants counseling connected to primary care, pharmacy, or prenatal/postpartum care.

Partners with Families & Children Mental Health / Family Counseling

What They Provide: child counseling, adolescent counseling, adult counseling, family counseling, individual counseling, group therapy, Child and Family Team Coordination, Parent-Child Interaction Therapy, Incredible Years, EMDR, trauma-focused group therapy
Website: partnerswithfamilies.org/mental-health
Phone: Mental health evaluation/services: 509-473-4810; questions/referrals: 509-473-4829
Address: 106 W Mission Ave, Spokane, WA 99201
Hours of Operation: Monday–Friday, 8 AM–5 PM
Appointment / Referral Required: Intake/evaluation required; call first
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, custody/guardian documents for minors if applicable, court/CPS/DCYF paperwork if relevant
Application Process: Call 509-473-4810 to schedule a mental health evaluation or services; for referrals or questions, contact 509-473-4829
Eligibility: Children, adolescents, adults, and families needing counseling or family support; program-specific eligibility applies
Cost: Call to confirm; cost may depend on insurance, Medicaid, funding, and program eligibility
Insurance / Medicaid / Medicare: Call to verify accepted Medicaid, Medicare, private insurance, and self-pay options
Service Area: Spokane County / Spokane area
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Especially useful for family systems, parenting support, child/adolescent counseling, trauma-focused services, and families impacted by abuse or neglect. Partners lists child, adolescent, adult, and family counseling, PCIT, EMDR, and trauma-focused group therapy, and says to call 509-473-4810 for mental health evaluation/services.

Open Path Psychotherapy Collective

What They Provide: low-cost therapy directory, individual counseling search, couples/family therapy search, online therapy search, in-person therapy search, sliding-scale therapist directory
Website: openpathcollective.org
Phone: Online directory
Address: Online directory; Spokane-area therapist locations vary
Hours of Operation: Website available anytime; therapist hours vary
Appointment / Referral Required: No referral required to search; membership and therapist appointment required
Documents Needed: None to search; therapist may request intake paperwork, photo ID, insurance information if applicable, emergency contact, and consent forms
Application Process: Search by location, online/in-person preference, specialty, cost, and therapist type; join Open Path if using the reduced-rate network; contact therapists directly to ask about availability
Eligibility: People who cannot afford market-rate therapy and are uninsured, underinsured, or unable to access affordable therapy through insurance
Cost: Open Path lists therapy sessions generally around $30–$70 for student interns or licensed/pre-licensed therapists and $40–$70 for licensed/pre-licensed therapists; one-time membership fee may apply
Insurance / Medicaid / Medicare: Not insurance-based; useful for uninsured/underinsured people or those with unaffordable copays/deductibles
Service Area: Nationwide directory with Spokane and Washington online options
Languages / Accessibility: Search filters may include language, modality, specialty, and online/in-person options
Important Notes: Good backup when local agencies have waitlists or a person does not qualify for Medicaid-based services.

Sentio Counseling Washington

What They Provide: low-cost online therapy, individual counseling, adult therapy, couples counseling, family therapy, sliding-scale counseling
Website: sentiocw.org
Phone: Online contact/intake through website
Address: Online counseling provider serving Washington State
Hours of Operation: Therapist availability varies; website available anytime
Appointment / Referral Required: Intake/contact required; no outside referral required
Documents Needed: Intake paperwork, contact information, payment information, emergency contact, basic financial information for sliding-scale fee discussion
Application Process: Contact Sentio Counseling Washington through the website; complete intake steps; agree on sliding-scale fee; schedule online counseling if accepted
Eligibility: Adults, couples, and families in Washington seeking online therapy; program fit and therapist availability apply
Cost: Sliding-scale fees start at $30 per session for individual counseling; relationship counseling may have a higher starting rate
Insurance / Medicaid / Medicare: Not insurance-based; useful for people who are uninsured, underinsured, or need affordable private-pay online counseling
Service Area: Washington State, including Spokane
Languages / Accessibility: Online therapy; ask about accessibility, technology, and language options during intake
Important Notes: Sentio states it provides confidential online counseling to adults, couples, and families throughout Washington, including Spokane, with sliding-scale fees starting at $30 and no income verification required.

Psychology Today Therapist Directory – Spokane County

What They Provide: therapist search, Medicaid therapist search, private insurance therapist search, specialty filters, telehealth filter, in-person therapy filter, provider contact information
Website: psychologytoday.com/us/therapists/wa/spokane-county
Phone: Online directory; contact therapists directly
Address: Online directory; provider offices vary
Hours of Operation: Website available anytime; therapist hours vary
Appointment / Referral Required: No referral required to search; appointment required with individual therapist
Documents Needed: insurance card if using insurance, Apple Health/Medicaid card if applicable, photo ID if requested, intake paperwork, medication list if relevant, custody/guardian paperwork for minors if applicable
Application Process: Search by ZIP code, insurance, issue, therapy type, age group, telehealth/in-person, and availability; contact therapists directly to confirm openings, insurance, cost, and fit
Eligibility: Anyone searching for therapy; individual therapist eligibility depends on insurance, age served, specialty, availability, and payment options
Cost: Varies by therapist, insurance, and self-pay rate
Insurance / Medicaid / Medicare: Filter by Medicaid, Medicare, private insurance, or self-pay; always verify directly before scheduling
Service Area: Spokane County, Spokane, Spokane Valley, and telehealth options across Washington
Languages / Accessibility: Search filters may include language, identity, specialty, and telehealth options
Important Notes: Useful when someone needs a private therapist, Medicaid therapist, specialty therapist, couples counselor, EMDR provider, trauma therapist, child therapist, or telehealth provider. Psychology Today’s Spokane therapist directory includes in-person and online providers and insurance filters.

Open Counseling Spokane Directory

What They Provide: free counseling directory, low-cost counseling directory, nonprofit counseling listings, sliding-scale therapy search, local counseling agency information
Website: opencounseling.com/washington/spokane
Phone: Online directory; contact listed providers directly
Address: Online directory; provider offices vary
Hours of Operation: Website available anytime; provider hours vary
Appointment / Referral Required: No referral required to search; individual providers may require intake or appointments
Documents Needed: None to search; providers may request photo ID, insurance/Medicaid card if applicable, income information for sliding-scale services, and intake paperwork
Application Process: Search Spokane listings; contact providers directly to confirm current availability, cost, insurance, sliding-scale options, and intake requirements
Eligibility: Anyone looking for free, low-cost, or sliding-scale counseling in Spokane
Cost: Free to use directory; provider costs vary
Insurance / Medicaid / Medicare: Directory may include providers that accept Medicaid, private insurance, sliding-scale fees, or private pay; verify directly
Service Area: Spokane / Spokane County
Languages / Accessibility: Provider-specific; call listed agencies directly
Important Notes: Use as a backup when agency waitlists are long or someone needs another low-cost option. Open Counseling lists verified Spokane low-cost counseling options and notes that fees are often free-to-low-cost based on income.


Frontier Behavioral Health Medication Management

What They Provide: psychiatric diagnostic evaluations, psychiatric medication management, medication monitoring, case consultation, adult psychiatry, youth psychiatry
Website: fbhwa.org/programs/psychiatric-services/medication-management
Phone: 509-838-4651
Address: Mary Higgins Building: 107 S Division St, Spokane, WA 99202
Hours of Operation: Varies by program; call Access to Care or main number for current intake and appointment hours
Appointment / Referral Required: Intake/assessment required; start through Frontier Access to Care
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, ProviderOne number if available, Medicare/private insurance card if applicable, current medication list, pharmacy information, prior psychiatric records if available, hospital discharge paperwork if applicable
Application Process: Call 509-838-4651, walk in to Access to Care at 131 S Division St, or complete the online referral form; staff review needs and connect to medication management if appropriate
Eligibility: Adults and youth needing psychiatric evaluation or medication management; Frontier prioritizes high-risk, high-need, or publicly funded individuals and families
Cost: Varies by insurance/funding; sliding scale may be available
Insurance / Medicaid / Medicare: Accepts Medicaid; call to verify Medicare, private insurance, and sliding fee options
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Frontier states medication management includes routine outpatient psychiatric diagnostic evaluations, medication management, and case consultation for adults and youth, provided by psychiatrists, psychiatric ARNPs, RNs, and LPNs. Use 988 or the Regional Crisis Line for immediate crisis support.

CHAS Health Behavioral Health / Psychiatry

What They Provide: medication management, counseling, behavioral health assessments, treatment consultation, integrated behavioral health, substance use counseling assessment, care coordination, peer support, targeted case management
Website: chas.org/get-care/behavioral-health
Phone: 509-444-8200; toll-free 866-907-8200
Address: Multiple Spokane County clinics; Behavioral Health Center – North: 5901 N Lidgerwood St, Spokane, WA 99208
Hours of Operation: Varies by clinic; call or check location page
Appointment / Referral Required: Appointment or CHAS care team referral may be needed; same-day behavioral health/substance use assessments may be available at CHAS Behavioral Health Center
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, current medication list, pharmacy information, income/household information if applying for sliding fee discount
Application Process: Call CHAS or ask a CHAS primary care provider about medication management, psychiatry, counseling, and same-day assessment options
Eligibility: CHAS patients and community members needing behavioral health support; CHAS Behavioral Health Centers serve people regardless of diagnosis or insurance status
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts private insurance, Medicaid, and Medicare; sliding fee discount available for qualifying uninsured/underinsured patients
Service Area: Spokane County, Eastern Washington, and North Idaho
Languages / Accessibility: TRS: 711; call to request interpreter/accessibility support
Important Notes: CHAS states its integrated behavioral health program gives established patients access to counseling, medication management, and treatment consultation within primary care clinics, and its Behavioral Health Centers provide comprehensive mental health and substance use services.

CHAS Health Market Street Clinic

What They Provide: adult psychiatry, medication management, adult counseling, substance use disorder services, specialized therapies for children, primary care, pharmacy connection
Website: chas.org/location/market-street-clinic
Phone: 509-444-8200; toll-free 866-907-8200
Address: 5921 N Market St, Spokane, WA 99208
Hours of Operation: Varies; call or check clinic page
Appointment / Referral Required: Appointment recommended; CHAS intake/care team referral may be needed for behavioral health services
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, current medication list, pharmacy information, income/household information if applying for sliding fee discount
Application Process: Call CHAS to schedule or ask about adult psychiatry, medication management, counseling, insurance, and sliding fee options
Eligibility: Patients needing primary care and behavioral health/psychiatry services
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: CHAS accepts private insurance, Medicaid, and Medicare; sliding fee discount may be available for qualifying patients
Service Area: North Spokane / Spokane County
Languages / Accessibility: TRS: 711; call to request interpreter/accessibility support
Important Notes: CHAS lists Market Street Clinic services as including adult psychiatry, medication management, adult counseling, SUD services, and specialized therapies for children.

Passages Family Support Psychiatric Medication Management

What They Provide: psychiatric medication management, psychiatric evaluation, medication prescriptions, medication monitoring, outpatient behavioral health, therapy, care coordination, peer support, WISe, Health Home services
Website: passages-spokane.org/general-outpatient-servcies
Phone: 509-892-9241
Address: 1700 S Assembly Rd, Suite 300, Spokane, WA 99224
Hours of Operation: Monday–Thursday, 9 AM–5 PM; Friday, 9 AM–12 PM
Appointment / Referral Required: Intake/enrollment required; call first
Documents Needed: photo ID if available, Apple Health/Medicaid card, ProviderOne number if available, medication list, pharmacy information, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call reception or use Passages’ referral/enrollment process; ask specifically about General Outpatient Services and psychiatric medication management
Eligibility: Apple Health/Medicaid-eligible Washington residents
Cost: Medicaid-covered services for eligible clients
Insurance / Medicaid / Medicare: Apple Health/Medicaid required or strongly relevant; verify current plan participation before intake
Service Area: Spokane area / Washington State
Languages / Accessibility: Language assistance available through Passages; call to request support
Important Notes: Passages states its psychiatric medication management includes initial evaluation of the need for medication, prescriptions, and ongoing monitoring by a qualified prescriber and nurse.

Excelsior Wellness

What They Provide: medication management, psychiatric assessment/prescribing, outpatient mental health counseling, primary care, care coordination, peer support, youth/young adult behavioral health support, family support
Website: excelsiorwellness.org
Phone: 509-559-3100; Excelsior Family Medicine: 509-467-1100
Address: 3754 W Indian Trail Rd, Spokane, WA 99208
Hours of Operation: Monday–Friday, 8 AM–5 PM
Appointment / Referral Required: Intake/appointment required; call first
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, pharmacy information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call to ask about medication management, psychiatric prescribing, outpatient counseling, primary care, insurance, and intake steps
Eligibility: Children, youth, young adults, families, and adults depending on program; program-specific eligibility applies
Cost: Varies by program and insurance/funding
Insurance / Medicaid / Medicare: Call to verify accepted insurance, Medicaid, Medicare, and self-pay/sliding fee options
Service Area: Spokane County / Inland Northwest
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Excelsior describes itself as a trauma-informed clinic for all ages providing primary care, medication management, and outpatient mental health counseling.

The NATIVE Project Behavioral Health

What They Provide: behavioral health care, youth behavioral health, substance use treatment planning, care coordination, integrated medical/behavioral health care, pharmacy support, primary care connection
Website: nativeproject.org/our-services/behavioral-health
Phone: Behavioral Health appointments: 509-325-5502; Main Campus: 509-483-7535
Address: Main Campus: 1803 W Maxwell Ave, Spokane, WA 99201; Children and Youth Services Center: 1907 W Maxwell Ave, Spokane, WA 99201
Hours of Operation: Call or check website for current hours
Appointment / Referral Required: Appointment/intake required; call to schedule
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, current medication list, pharmacy information, proof of tribal enrollment/descendancy if applicable, income/household information if applying for sliding fee
Application Process: Call 509-325-5502 for behavioral health appointments; ask about behavioral health care, medication-related support, primary care connection, pharmacy support, insurance, and sliding fee options
Eligibility: Native and non-Native community members seeking care
Cost: Insurance billing, Medicaid/Medicare billing, private pay, tribal/IHS-related funding, or sliding fee payments depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private insurance; no insurance copay billed with proof of tribal enrollment/descendancy; sliding fee payments available for qualifying patients
Service Area: Greater Spokane community
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: The NATIVE Project is an integrated health clinic with behavioral health, primary care, and onsite pharmacy supports. For direct psychiatry/medication management availability, call first and ask what medication support is currently offered through behavioral health or primary care.

Unify Community Health – Mission Avenue

What They Provide: mental health counseling, therapy, primary care, pharmacy services, prenatal/postpartum care, integrated health support, medication support through primary care connection
Website: yvfwc.com/locations/unify-community-health-mission
Phone: 509-326-4343
Address: 120 W Mission Ave, Spokane, WA 99201
Hours of Operation: Clinic: Monday–Friday, 7:45 AM–7 PM; pharmacy: Monday–Friday, 8 AM–7 PM
Appointment / Referral Required: Appointment recommended; new patient registration may be required
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, current medication list, pharmacy information, income/household information if applying for sliding fee discount
Application Process: Call and request a registration appointment with a patient care coordinator; ask about mental health counseling, primary care medication support, pharmacy access, insurance, Medicaid, Medicare, and sliding fee options
Eligibility: Adults, teens, children, and families needing community clinic services
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private health plans; sliding fee discounts may be available for uninsured patients who meet income guidelines
Service Area: Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Unify lists mental health counseling/therapy and onsite pharmacy services at Mission Avenue. This is best listed as integrated care/primary-care-connected medication support unless the clinic confirms psychiatric medication management directly.

LifeStance Health Spokane

What They Provide: psychiatry, medication management, therapy, psychological testing, telehealth psychiatry, in-person mental health care
Website: lifestance.com/location/spokane-wa-221-n-wall-st
Phone: Use website scheduling/contact process for current Spokane office number
Address: 221 N Wall St, Suite 202, Spokane, WA 99201
Hours of Operation: Provider availability varies; schedule online or call
Appointment / Referral Required: Appointment required; referral may be required depending on insurance
Documents Needed: photo ID, insurance card, Apple Health/Medicaid or Medicare card if applicable, medication list, pharmacy information, referral/authorization if required, prior psychiatric records if available
Application Process: Search Spokane providers online, choose psychiatry/medication management, verify insurance, and schedule an in-person or telehealth appointment
Eligibility: Children, teens, adults, couples, and families depending on provider availability and service type
Cost: Insurance billing or self-pay cost varies by provider/service
Insurance / Medicaid / Medicare: Call or use online insurance filters to verify Medicaid, Medicare, private insurance, and self-pay options before scheduling
Service Area: Spokane County and Washington telehealth options
Languages / Accessibility: Provider-specific; ask during scheduling
Important Notes: Add this as a private/provider-network option rather than a public clinic. LifeStance lists Spokane in-person and telehealth therapy and psychiatry services at its Wall Street office.

Psychology Today Psychiatrist Directory – Spokane County

What They Provide: psychiatrist search, psychiatric nurse practitioner search, medication management provider search, insurance filters, telehealth filters, specialty filters
Website: psychologytoday.com/us/psychiatrists/wa/spokane-county
Phone: Online directory; contact providers directly
Address: Online directory; provider offices vary
Hours of Operation: Website available anytime; provider hours vary
Appointment / Referral Required: No referral required to search; appointment required with individual provider; referral/authorization may be required by insurance
Documents Needed: insurance card if using insurance, Apple Health/Medicaid card if applicable, Medicare card if applicable, photo ID if requested, current medication list, pharmacy information, prior psychiatric records if available
Application Process: Search by ZIP code, insurance, age served, issue, medication management, telehealth/in-person, and availability; contact providers directly to confirm openings, insurance, cost, and fit
Eligibility: Anyone searching for psychiatric medication management; individual provider eligibility depends on insurance, age served, specialty, availability, and payment options
Cost: Varies by provider, insurance, and self-pay rate
Insurance / Medicaid / Medicare: Filter by Medicaid, Medicare, private insurance, or self-pay; always verify directly before scheduling
Service Area: Spokane County, Spokane, Spokane Valley, and Washington telehealth options
Languages / Accessibility: Provider-specific; directory filters may include language and telehealth options
Important Notes: Useful when public clinics have waitlists or someone needs a specialty prescriber. Always verify Apple Health/Medicaid participation directly because directory filters can be outdated.


Frontier Behavioral Health Child & Family Services

What They Provide: child mental health services, youth counseling, family therapy, case management, psychiatric medication management, WISe services, school/community support coordination, crisis connection
Website: https://fbhwa.org/programs/child-family-services/wraparound-with-intensive-services-wise
Phone: 509-838-4651
Address: Access to Care: 131 S Division St, Spokane, WA 99202
Hours of Operation: Access to Care: Monday–Friday, 7:30 AM–4:30 PM; program hours vary
Appointment / Referral Required: Intake/assessment required; walk-in Access to Care available
Documents Needed: parent/guardian photo ID if available, youth’s Apple Health/Medicaid card if applicable, ProviderOne number if available, private insurance card if applicable, medication list, school/IEP/504 documents if relevant, custody/guardian paperwork if applicable, referral paperwork if available
Application Process: Call 509-838-4651, walk in to Access to Care, or complete the online referral form; ask about child/family services, counseling, medication management, WISe, and case management options
Eligibility: Children, youth, young adults, and families needing behavioral health support; publicly funded/high-need families may be prioritized
Cost: Varies by insurance/funding; sliding scale may be available
Insurance / Medicaid / Medicare: Accepts Medicaid; call to verify private insurance, Medicare, and sliding fee options
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Frontier is a core public behavioral health provider for youth and families in Spokane County. Use 988 or the Regional Crisis Line for immediate crisis support instead of waiting for outpatient intake. Frontier’s WISe program provides comprehensive behavioral health services and supports to Medicaid-eligible individuals age 20 or younger and their families.

Frontier Behavioral Health Children, Youth & Family Mobile Crisis

What They Provide: youth mental health crisis response, family crisis support, mobile crisis response, de-escalation, safety planning, stabilization support, connection to services, short-term follow-up
Website: fbhwa.org/programs/crisis-response/children-youth-family-mobile-crisis-cyfmc
Phone: 1-877-266-1818
Address: Not a walk-in service; Frontier Behavioral Health main crisis location: 107 S Division St, Spokane, WA 99202
Hours of Operation: 24 hours daily
Appointment / Referral Required: Call first; mobile crisis response is triaged through the crisis line
Documents Needed: None required to call; helpful information includes youth’s name, age, location, current safety concerns, symptoms, substance use concerns, medications, current providers, and parent/guardian contact information
Application Process: Call the Regional Crisis Line; crisis staff assess the situation and may dispatch Children, Youth & Family Mobile Crisis or connect to other crisis services
Eligibility: Children, youth, and young adults experiencing behavioral health crisis; families/caregivers may call on behalf of youth
Cost: Free to call
Insurance / Medicaid / Medicare: No insurance required to call
Service Area: Spokane County / Spokane Regional crisis system
Languages / Accessibility: TDD/TTY for Regional Crisis Line: 509-458-7446; call to request interpreter support
Important Notes: Keep this in Youth & Family Mental Health even if it also appears under Crisis because it is the specific youth/family crisis pathway. Call 911 for life-threatening danger, weapons, medical emergency, overdose, or active violence.

Spokane County REACh Program

What They Provide: youth behavioral health navigation, family behavioral health support, resource connection, referral support, youth/family support coordination
Website: spokanecounty.gov/5422/REACh
Phone: Use Spokane County REACh website/referral information
Address: Spokane County program; contact through website/referral pathway
Hours of Operation: Program hours may vary; check website or contact Spokane County
Appointment / Referral Required: Referral/contact process may be required
Documents Needed: youth’s name/date of birth, parent/guardian contact information, behavioral health concerns, school/provider information if relevant, insurance/Medicaid information if available, referral details if applicable
Application Process: Use the REACh website resources/referral pathway or contact Spokane County behavioral health access points for youth/family support connection
Eligibility: Youth and families needing behavioral health support or connection to community resources
Cost: Call/contact to confirm; navigation/resource connection may be free
Insurance / Medicaid / Medicare: Insurance may not be required for navigation; referred services may involve Medicaid, private insurance, grant funding, or other eligibility rules
Service Area: Spokane County
Languages / Accessibility: Contact program to ask about interpreter/accessibility support
Important Notes: Spokane County describes REACh as a safe, welcoming resource for youth and families needing support and connection to behavioral health services or other community resources.

Passages Family Support

What They Provide: youth counseling, child counseling, family counseling, outpatient behavioral health, psychiatric medication management, peer support, care coordination, WISe, Health Home services, substance use disorder services
Website: passages-spokane.org
Phone: 509-892-9241
Address: 1700 S Assembly Rd, Suite 300, Spokane, WA 99224
Hours of Operation: Monday–Thursday, 9 AM–5 PM; Friday, 9 AM–12 PM
Appointment / Referral Required: Intake/assessment required; call first
Documents Needed: parent/guardian photo ID if available, youth’s Apple Health/Medicaid card, ProviderOne number if available, medication list, school/IEP/504 documents if relevant, current provider information, referral paperwork if available, custody/guardian documents if applicable
Application Process: Call Passages to ask about intake, outpatient behavioral health services, WISe, peer services, psychiatric medication management, and family support options
Eligibility: Individuals, families, youth, and children enrolled in Washington Apple Health/Medicaid and facing behavioral health challenges
Cost: Medicaid-covered services for eligible clients
Insurance / Medicaid / Medicare: Apple Health/Medicaid required or strongly relevant; verify current plan participation before intake
Service Area: Spokane area / Washington State
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Passages is a strong Medicaid-based youth and family behavioral health option. Passages states it welcomes individuals, families, youth, and children enrolled in Washington Apple Health Medicaid who are facing behavioral health challenges.

Passages Family Support WISe

What They Provide: Wraparound with Intensive Services, intensive youth behavioral health support, family-driven care planning, youth-guided services, care coordination, team-based support, community/home-based support
Website: passages-spokane.org/wise
Phone: 509-892-9241
Address: 1700 S Assembly Rd, Suite 300, Spokane, WA 99224
Hours of Operation: Call for current WISe referral/intake hours
Appointment / Referral Required: Referral/intake required; call first
Documents Needed: youth’s Apple Health/Medicaid card, ProviderOne number if available, parent/guardian photo ID if available, school/IEP/504 documents if relevant, treatment history, crisis/safety history, custody/guardian paperwork if applicable
Application Process: Call Passages and ask about WISe referral/intake; staff review eligibility, family needs, and next steps
Eligibility: Children and youth ages 0–20 with complex behavioral health needs, often involving multiple systems such as mental health, special education, legal systems, or transition from institutional care
Cost: Medicaid-covered service for eligible youth
Insurance / Medicaid / Medicare: Apple Health/Medicaid is required for WISe eligibility
Service Area: Spokane area / Washington State WISe system
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: WISe is voluntary, family-driven, and youth-guided. Passages states WISe is for children ages 0–20 with complex needs and uses a wraparound approach to coordinate services.

Excelsior Wellness

What They Provide: youth counseling, family counseling, outpatient mental health, medication management, primary care connection, care coordination, peer support, youth/young adult behavioral health support, intensive outpatient support
Website: excelsiorwellness.org
Phone: 509-559-3100
Address: 3754 W Indian Trail Rd, Spokane, WA 99208
Hours of Operation: Monday–Friday, 8 AM–5 PM
Appointment / Referral Required: Intake/assessment required; call first
Documents Needed: parent/guardian photo ID if available, youth’s insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, school/IEP/504 documents if relevant, referral paperwork if available, custody/guardian documents if applicable
Application Process: Call or contact Excelsior through the website; ask about youth/family counseling, medication management, WISe, intensive outpatient services, insurance, and intake steps
Eligibility: Children, youth, young adults, families, and adults depending on program; program-specific criteria apply
Cost: Varies by program and insurance/funding
Insurance / Medicaid / Medicare: Call to verify accepted insurance, Medicaid, Medicare, and self-pay/sliding fee options
Service Area: Spokane County / Inland Northwest
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Excelsior is especially useful for youth, young adults, and families with complex behavioral health needs. Excelsior describes its care model as trauma-informed and providing outpatient mental health counseling, medication management, care coordination, peer support, and primary care connection.

Excelsior Wellness WISe

What They Provide: Wraparound with Intensive Services, intensive youth mental health care, family-driven planning, youth-guided support, home/community-based support, care coordination, team-based services
Website: excelsiorwellnesscenter.org/wise
Phone: 509-559-3100
Address: 3754 W Indian Trail Rd, Spokane, WA 99208
Hours of Operation: Call for current WISe intake/referral hours
Appointment / Referral Required: Referral/intake required; call first
Documents Needed: youth’s Apple Health/Medicaid card, ProviderOne number if available, parent/guardian photo ID if available, school/IEP/504 documents if relevant, crisis/safety history, treatment history, custody/guardian paperwork if applicable
Application Process: Call Excelsior and ask about WISe referral/intake; staff review eligibility, youth/family needs, and next steps
Eligibility: Children, youth, and families needing intensive mental health care; WISe is generally for Medicaid-eligible youth age 20 or younger with complex behavioral health needs
Cost: Medicaid-covered service for eligible youth
Insurance / Medicaid / Medicare: Apple Health/Medicaid is required for WISe eligibility
Service Area: Spokane County / Washington WISe system
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Excelsior describes WISe as a team-based therapy approach for children, youth, and families needing intensive mental health care, guided by youth and family voice and choice.

Institute for Family Development WISe

What They Provide: WISe, intensive home-based mental health care, family therapy support, youth behavioral health care coordination, crisis stabilization planning, team-based wraparound support
Website: institutefamily.org/washington-programs/wraparound-intensive-services-wise
Phone: Use Institute for Family Development website/contact process for current Spokane-area WISe access
Address: Washington program; services are community/home-based
Hours of Operation: Call/contact for current referral and program hours
Appointment / Referral Required: Referral/intake required
Documents Needed: youth’s Apple Health/Medicaid card, ProviderOne number if available, parent/guardian photo ID if available, school/IEP/504 documents if relevant, treatment history, crisis/safety history, custody/guardian paperwork if applicable
Application Process: Contact Institute for Family Development or use the Spokane County WISe referral pathway; ask about WISe availability and referral steps
Eligibility: Children/youth with mental health challenges and their families; WISe is generally for Medicaid-eligible youth age 20 or younger with complex needs
Cost: Medicaid-covered service for eligible youth
Insurance / Medicaid / Medicare: Apple Health/Medicaid is required for WISe eligibility
Service Area: Washington State; Spokane-area availability should be verified
Languages / Accessibility: Contact program to ask about interpreter/accessibility support
Important Notes: Institute for Family Development describes WISe as an individualized home-based program providing intensive mental health care to children and families, with the goal of helping youth live and thrive in their homes and communities.

Partners with Families & Children Mental Health / Family Counseling

What They Provide: child counseling, adolescent counseling, adult counseling, family counseling, individual counseling, group therapy, Child and Family Team Coordination, Parent-Child Interaction Therapy, Incredible Years, EMDR, trauma-focused group therapy
Website: partnerswithfamilies.org/mental-health
Phone: Mental health evaluation/services: 509-473-4810; questions/referrals: 509-473-4829
Address: 106 W Mission Ave, Spokane, WA 99201
Hours of Operation: Monday–Friday, 8 AM–5 PM
Appointment / Referral Required: Intake/evaluation required; call first
Documents Needed: parent/guardian photo ID if available, youth’s insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, custody/guardian documents if applicable, court/CPS/DCYF paperwork if relevant
Application Process: Call 509-473-4810 to schedule a mental health evaluation or services; for referrals or questions, call 509-473-4829
Eligibility: Children, adolescents, adults, and families needing counseling or family support; program-specific eligibility applies
Cost: Call to confirm; cost may depend on insurance, Medicaid, funding, and program eligibility
Insurance / Medicaid / Medicare: Call to verify accepted Medicaid, Medicare, private insurance, and self-pay options
Service Area: Spokane County / Spokane area
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Especially useful for family systems, parenting support, child/adolescent counseling, trauma-focused services, and families impacted by abuse or neglect. Partners emphasizes intensive team-based work and coordinated services including mental health treatment, substance use disorder treatment, and family skills building.

Lutheran Community Services Northwest Youth & Family Counseling

What They Provide: youth counseling, adolescent counseling, individual therapy, group therapy, family-involved therapy, trauma counseling, anxiety/depression support, behavioral concern support, refugee/immigrant counseling, crime victim counseling
Website: lcsnw.org/program/behavioral-health-services
Phone: 509-747-8224
Address: 210 W Sprague Ave, Spokane, WA 99201
Hours of Operation: Office hours may vary; call for current intake hours
Appointment / Referral Required: Intake required; call first
Documents Needed: parent/guardian photo ID if available, youth’s Apple Health/Medicaid card if applicable, private insurance card if applicable, Crime Victims Compensation information if applicable, referral paperwork if available, school/court/protection order paperwork if relevant, medication list
Application Process: Call intake or contact the Spokane office; staff review service fit, insurance/funding, and available appointment options
Eligibility: Youth, adolescents, adults, families, trauma survivors, crime victims, refugees/immigrants, and people seeking behavioral health counseling; program-specific eligibility applies
Cost: Medicaid, Crime Victims Compensation, some insurance plans, private pay, sliding scale, or grant-funded options may apply
Insurance / Medicaid / Medicare: Accepts WA Apple Health/Medicaid, Crime Victims Compensation, some private insurance plans, and offers sliding scale fees; call to verify current coverage
Service Area: Spokane / Spokane Valley / Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: LCSNW states it offers outpatient individual and group counseling for youth, adolescents, and adults, specializes in youth services, and works with trauma survivors and crime victims.

The NATIVE Project Children and Youth Services Center

What They Provide: youth behavioral health, child/youth counseling, youth substance use support, medical care, dental care, prevention/wellness, family support, culturally grounded care
Website: https://nativeproject.org/our-services/children-and-youth/
Phone: 509-325-5502
Address: 1907 W Maxwell Ave, Spokane, WA 99201
Hours of Operation: Call or check website for current clinic hours
Appointment / Referral Required: Appointment/intake required; call to schedule
Documents Needed: parent/guardian photo ID if available, child’s insurance card if available, Apple Health/Medicaid card if applicable, immunization record if available, medication list, custody/guardian paperwork if applicable, proof of tribal enrollment/descendancy if applicable
Application Process: Call to schedule youth/child behavioral health or integrated care services; ask about intake, insurance, sliding fee, and culturally grounded supports
Eligibility: Children, youth, and families seeking behavioral health, medical, dental, or prevention/wellness services
Cost: Insurance billing, Medicaid/Medicare billing, private pay, tribal/IHS-related funding, or sliding fee payments depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private insurance; sliding fee payments available for qualifying patients
Service Area: Greater Spokane community
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: The NATIVE Project is useful for youth and families who need integrated medical, dental, behavioral health, prevention, and culturally grounded support in one system.

MultiCare Behavioral Health – Northeast Community Center

What They Provide: behavioral health services, youth/family support connection, counseling/therapy connection, community-based behavioral health support
Website: multicare.org/location/multicare-behavioral-health-northeast-community-center
Phone: 509-530-4230
Address: 4005 N Cook St, Spokane, WA 99207
Hours of Operation: Monday–Friday, 8:30 AM–5 PM
Appointment / Referral Required: Appointment/intake required; call first
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Call 509-530-4230 to ask about current behavioral health services, age groups served, insurance, intake, and appointment availability
Eligibility: Call to confirm current age groups, service fit, and insurance requirements
Cost: Insurance billing or self-pay costs may apply depending on service
Insurance / Medicaid / Medicare: Call to verify Apple Health/Medicaid, Medicare, private insurance, and self-pay options
Service Area: Spokane County / Northeast Spokane
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: MultiCare lists this behavioral health location at Northeast Community Center with weekday hours and phone 509-530-4230. Verify current services and age groups before sending a family.

Teen Link

What They Provide: teen peer support, youth emotional support, mental health support, crisis support, parent/caregiver support about teens, substance use specialist connection
Website: teenlink.org
Phone: 1-866-833-6546
Address: Not applicable
Hours of Operation: Daily, 6 PM–10 PM; text/chat availability may vary
Appointment / Referral Required: No appointment or referral required
Documents Needed: None
Application Process: Call, text, or chat during Teen Link hours
Eligibility: Teens and youth in Washington; parents/caregivers may also call with concerns about a teen
Cost: Free
Insurance / Medicaid / Medicare: No insurance required
Service Area: Washington State, including Spokane County
Languages / Accessibility: Phone, text, and chat options
Important Notes: This is peer support, not ongoing therapy. Good for teens who may be more comfortable starting with a trained peer listener before accessing formal services.

YouthLine

What They Provide: youth peer support, teen crisis support, emotional support, self-harm support, suicide support, family/friend concern support, call/text/chat/email support
Website: theyouthline.org
Phone: 1-877-968-8491
Text: teen2teen to 839863
Email: teen2teen@linesforlife.org
Address: Not applicable
Hours of Operation: Youth peer responders available daily, 4 PM–10 PM Pacific Time; adults available by phone at other times
Appointment / Referral Required: No appointment or referral required
Documents Needed: None
Application Process: Call, text, chat online, or email for support
Eligibility: Youth up to age 24; also useful for people worried about a youth
Cost: Free
Insurance / Medicaid / Medicare: No insurance required
Service Area: National/West Coast youth support line; available to Spokane County youth
Languages / Accessibility: Phone, text, chat, and email options
Important Notes: This is peer support, not ongoing therapy. For immediate danger, call 911. For 24/7 suicide or mental health crisis support, call/text 988.

Washington WISe Program Information

What They Provide: WISe program explanation, youth/family intensive behavioral health information, provider/referral guidance, statewide WISe information
Website: hca.wa.gov/free-or-low-cost-health-care/i-need-behavioral-health-support/wraparound-intensive-services-wise
Phone: Spokane County behavioral health Customer Care: 509-477-4570; WISe provider phone numbers vary
Address: Online/statewide information resource
Hours of Operation: Website available anytime; provider hours vary
Appointment / Referral Required: Referral/intake required through a WISe provider
Documents Needed: youth’s Apple Health/Medicaid card, ProviderOne number if available, parent/guardian contact information, school/provider information if relevant, description of behavioral health needs
Application Process: Review WISe information; contact a local WISe provider or Spokane County Customer Care for help understanding provider options and referral pathways
Eligibility: Apple Health/Medicaid-eligible youth age 20 or younger with complex behavioral health needs who may benefit from intensive home/community-based support
Cost: Medicaid-covered service for eligible youth
Insurance / Medicaid / Medicare: Apple Health/Medicaid is required for WISe eligibility
Service Area: Washington State, including Spokane County
Languages / Accessibility: Contact providers or HCA for language/accessibility support
Important Notes: Washington HCA describes WISe as a voluntary service that helps individuals and families receive intensive behavioral health support at home and in the community, built around the family’s unique needs and goals.


Lutheran Community Services Northwest Victim Advocacy & Education

What They Provide: crime victim advocacy, sexual assault survivor support, family trauma support, medical advocacy, legal advocacy, safety planning, support groups, resource referrals, trauma-informed support
Website: lcsnw.org/program/victim-advocacy-and-education
Phone: Spokane Office: 509-747-8224; Sexual Assault Crisis Line: 509-624-7273
Address: 210 W Sprague Ave, Spokane, WA 99201
Hours of Operation: Office hours may vary; Sexual Assault Crisis Line available 24 hours daily
Appointment / Referral Required: No referral required; call first for advocacy support or immediate sexual assault crisis support
Documents Needed: None required to call; helpful items may include police report/case number if available, court paperwork, protection order paperwork, medical paperwork, photo ID if available, and safe contact information
Application Process: Call the Sexual Assault Crisis Line for immediate support; call the Spokane office during business hours for victim advocacy, support, and referrals
Eligibility: Victims, survivors, loved ones, and witnesses of traumatic events; services are available whether or not the incident was reported to law enforcement
Cost: Free
Insurance / Medicaid / Medicare: No insurance required for advocacy support
Service Area: Spokane County / Spokane area
Languages / Accessibility: Spanish listed in community resource data; call to request interpreter/accessibility support
Important Notes: Strong first trauma-support resource for survivors of sexual assault, violent crime, abuse, and other traumatic events. LCSNW states victim advocacy is free and confidential and available regardless of whether the incident was reported or prosecuted.

Lutheran Community Services Northwest Behavioral Health Services

What They Provide: trauma counseling, individual counseling, group counseling, family-involved therapy, youth counseling, adult counseling, crime victim counseling, refugee/immigrant counseling, anxiety/depression support
Website: lcsnw.org/program/behavioral-health-services
Phone: 509-747-8224
Address: 210 W Sprague Ave, Spokane, WA 99201
Hours of Operation: Office hours may vary; call for current intake hours
Appointment / Referral Required: Intake required; call first
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, private insurance card if applicable, Crime Victims Compensation information if applicable, referral paperwork if available, court/protection order paperwork if relevant, medication list
Application Process: Call intake or contact the Spokane office; staff review service fit, insurance/funding, and available appointment options
Eligibility: Youth, adolescents, adults, families, trauma survivors, crime victims, refugees/immigrants, and people seeking behavioral health counseling; program-specific eligibility applies
Cost: Medicaid, Crime Victims Compensation, some insurance plans, private pay, sliding scale, or grant-funded options may apply
Insurance / Medicaid / Medicare: Accepts WA Apple Health/Medicaid, Crime Victims Compensation, some private insurance plans, and offers sliding scale fees; call to verify current coverage
Service Area: Spokane / Spokane Valley / Spokane County
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good trauma-specific counseling option, especially for youth, crime victims, sexual assault survivors, refugees/immigrants, and people needing trauma-informed therapy. LCSNW states it specializes in youth services and works with trauma survivors and crime victims.

YWCA Spokane Domestic Violence Support Advocacy

What They Provide: domestic violence advocacy, trauma-informed support, safety planning, supportive listening, psychoeducation, resource referrals, legal advocacy connection, shelter screening connection
Website: ywcaspokane.org/service/intimate-partner-domestic-violence
Phone: 24-Hour Helpline: 509-326-2255
Address: 930 N Monroe St, Spokane, WA 99201; safe shelter location confidential
Hours of Operation: Helpline available 24 hours daily; walk-in/office advocacy hours may vary
Appointment / Referral Required: No referral required for helpline; walk-in and appointment-based advocacy may be available
Documents Needed: None required to call; if safely available, bring photo ID, protection order paperwork, court paperwork, police report/case number, children’s documents, medications, and important documents
Application Process: Call the 24-hour helpline for safety planning, advocacy, shelter screening, and next steps; survivors may also walk into the main location when safe to ask about advocacy access
Eligibility: Survivors of intimate partner domestic violence and their children; services are inclusive of all genders
Cost: Free
Insurance / Medicaid / Medicare: No insurance required
Service Area: Spokane County / Spokane area
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Keep this as trauma support/advocacy, not active therapy. YWCA Spokane’s domestic violence services are free, confidential, and inclusive of all genders; separate YWCA therapy services should not be listed as active if they are still temporarily closed.

Spokane Police Department Crime Victim Advocate

What They Provide: violent crime victim support, case update support, trauma-informed advocacy, referral to community advocates, referral to community resources, help navigating police/case process
Website: my.spokanecity.org/police/get-help/crime-victim-support
Phone: Spokane Police Department main/non-emergency: 509-456-2233; call 911 for immediate danger
Address: Spokane Police Department, Spokane, WA
Hours of Operation: Program hours may vary; call SPD or use the website for current access
Appointment / Referral Required: Usually connected through SPD case/investigative process; call for guidance
Documents Needed: police report/case number if available, detective/officer information if available, photo ID if available, court/protection order paperwork if applicable, safe contact information
Application Process: Contact SPD or ask the assigned detective/officer about victim advocate support; use the website for victim support information and referrals
Eligibility: Victims and survivors of violent crimes connected to Spokane Police Department cases
Cost: Free
Insurance / Medicaid / Medicare: Not applicable
Service Area: City of Spokane
Languages / Accessibility: Call SPD to ask about interpreter/accessibility support
Important Notes: Use this for people connected to a City of Spokane violent crime case who need case updates, advocacy connection, and community referrals. SPD states its Crime Victim Advocate provides trauma-informed support, case updates, and referrals to advocates and community resources.

Partners with Families & Children Mental Health / Family Trauma Support

What They Provide: child counseling, adolescent counseling, adult counseling, family counseling, group therapy, Parent-Child Interaction Therapy, Incredible Years, EMDR, trauma-focused group therapy, Child and Family Team Coordination
Website: partnerswithfamilies.org/mental-health
Phone: Mental health evaluation/services: 509-473-4810; questions/referrals: 509-473-4829
Address: 106 W Mission Ave, Spokane, WA 99201
Hours of Operation: Monday–Friday, 8 AM–5 PM
Appointment / Referral Required: Intake/evaluation required; call first
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available, custody/guardian documents if applicable, court/CPS/DCYF paperwork if relevant
Application Process: Call 509-473-4810 to schedule a mental health evaluation or services; for referrals or questions, call 509-473-4829
Eligibility: Children, adolescents, adults, and families needing counseling or family support; program-specific eligibility applies
Cost: Call to confirm; cost may depend on insurance, Medicaid, funding, and program eligibility
Insurance / Medicaid / Medicare: Call to verify accepted Medicaid, Medicare, private insurance, and self-pay options
Service Area: Spokane County / Spokane area
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good option for family trauma, child/adolescent trauma, parenting support, families impacted by abuse/neglect, and coordinated child/family support. Their mental health program includes trauma-focused services and family-centered treatment.

The NATIVE Project Behavioral Health

What They Provide: trauma-informed behavioral health, individual counseling, youth behavioral health, adult behavioral health, family support, substance use treatment planning, care coordination, culturally grounded support, integrated medical/behavioral health care
Website: nativeproject.org/our-services/behavioral-health
Phone: Main: 509-483-7535; Children and Youth Services Center: 509-325-5502
Address: Main Campus: 1803 W Maxwell Ave, Spokane, WA 99201; Children and Youth Services Center: 1907 W Maxwell Ave, Spokane, WA 99201
Hours of Operation: Call or check website for current hours
Appointment / Referral Required: Appointment/intake required; call to schedule
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, proof of tribal enrollment/descendancy if applicable, income/household information if applying for sliding fee
Application Process: Call to schedule an intake/appointment; ask about behavioral health counseling, youth services, substance use support, care coordination, insurance, and sliding fee options
Eligibility: Native and non-Native community members seeking care
Cost: Insurance billing, Medicaid/Medicare billing, private pay, tribal/IHS-related funding, or sliding fee payments depending on eligibility
Insurance / Medicaid / Medicare: Accepts Medicaid, Medicare, and most private insurance; no insurance copay billed with proof of tribal enrollment or descendancy; sliding fee payments available for qualifying patients
Service Area: Greater Spokane community
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good option for culturally grounded trauma support and integrated care. The NATIVE Project serves Native and non-Native community members and combines behavioral health with medical, dental, pharmacy, care coordination, wellness, and prevention services.

Spokane Vet Center

What They Provide: PTSD counseling, military sexual trauma counseling, bereavement counseling, readjustment counseling, family counseling, depression support, referral to VA/community resources
Website: va.gov/spokane-vet-center
Phone: 509-444-8387
Address: 13109 E Mirabeau Parkway, Spokane Valley, WA 99216
Hours of Operation: Monday–Friday, 8 AM–4:30 PM; closed Saturday–Sunday
Appointment / Referral Required: Appointment recommended; call first
Documents Needed: Veteran/service member information, photo ID if available, DD214 or service documentation if requested, VA card if available, safe contact information, any relevant medical/mental health records if available
Application Process: Call the Spokane Vet Center to ask about eligibility and counseling options; staff can help with next steps and connection to VA/community resources
Eligibility: Eligible Veterans, service members, National Guard/Reserve members, and family members depending on service type; military sexual trauma counseling is available to Veterans and service members from any service era who experienced MST
Cost: No cost for eligible Vet Center services
Insurance / Medicaid / Medicare: No insurance required for eligible Vet Center counseling
Service Area: Spokane County / regional Veterans and service members
Languages / Accessibility: Call to request accessibility/language support
Important Notes: Strong trauma-specific resource for Veterans, service members, and families. VA states Vet Centers provide confidential counseling for depression, PTSD, and the psychological effects of military sexual trauma in a non-medical setting at no cost.

Frontier Behavioral Health Trauma-Informed Outpatient Services

What They Provide: outpatient mental health care, therapy, case management, medication management, child/family services, adult services, crisis connection, trauma-related treatment support
Website: https://fbhwa.org/programs/child-family-services/outpatient-services
Phone: 509-838-4651
Address: Access to Care: 131 S Division St, Spokane, WA 99202
Hours of Operation: Access to Care: Monday–Friday, 7:30 AM–4:30 PM; program hours vary
Appointment / Referral Required: Intake/assessment required; Access to Care can begin the process
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, current provider information, referral paperwork if available, custody/guardian documents for minors if applicable
Application Process: Walk in to Access to Care, call 509-838-4651, or complete the online referral form; ask about therapy, case management, medication management, child/family services, and trauma-related support
Eligibility: Individuals and families seeking behavioral health services; Frontier prioritizes high-risk, high-need, or publicly funded individuals and families
Cost: Varies by insurance/funding; sliding scale may be available
Insurance / Medicaid / Medicare: Accepts Medicaid; call to verify Medicare, private insurance, and sliding fee options
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: Good public behavioral health option when trauma support needs include ongoing therapy, case management, medication management, youth/family services, or higher-need care. For immediate crisis, use 988 or the Regional Crisis Line.

Open Path Psychotherapy Collective – Trauma Therapist Search

What They Provide: low-cost trauma therapy directory, PTSD therapist search, EMDR therapist search, individual counseling search, couples/family therapy search, online therapy search, in-person therapy search
Website: openpathcollective.org
Phone: Online directory
Address: Online directory; Spokane-area therapist locations vary
Hours of Operation: Website available anytime; therapist hours vary
Appointment / Referral Required: No referral required to search; membership and therapist appointment required
Documents Needed: None to search; therapist may request intake paperwork, photo ID, emergency contact, payment information, and consent forms
Application Process: Search by Spokane/Washington, trauma/PTSD/EMDR or related specialty, online/in-person preference, and therapist type; join Open Path if using reduced-rate network; contact therapists directly to confirm availability
Eligibility: People who cannot afford market-rate therapy and are uninsured, underinsured, or unable to access affordable therapy through insurance
Cost: Open Path lists low sliding-scale session rates; one-time membership fee may apply
Insurance / Medicaid / Medicare: Not insurance-based; useful for uninsured/underinsured people or those with unaffordable copays/deductibles
Service Area: Nationwide directory with Spokane and Washington online options
Languages / Accessibility: Search filters may include language, modality, specialty, and online/in-person options
Important Notes: Good backup when agency waitlists are long or someone needs a specific trauma modality like EMDR, somatic therapy, or PTSD-focused counseling.

Psychology Today Trauma and PTSD Therapist Directory – Spokane County

What They Provide: trauma therapist search, PTSD therapist search, sexual abuse therapist search, EMDR therapist search, Medicaid therapist search, private insurance therapist search, telehealth/in-person filters
Website: psychologytoday.com/us/therapists/wa/spokane-county
Phone: Online directory; contact therapists directly
Address: Online directory; provider offices vary
Hours of Operation: Website available anytime; therapist hours vary
Appointment / Referral Required: No referral required to search; appointment required with individual therapist
Documents Needed: insurance card if using insurance, Apple Health/Medicaid card if applicable, photo ID if requested, intake paperwork, medication list if relevant, custody/guardian paperwork for minors if applicable
Application Process: Search by ZIP code, trauma/PTSD, sexual abuse, EMDR, insurance, age served, telehealth/in-person, and availability; contact therapists directly to confirm openings, cost, insurance, and fit
Eligibility: Anyone searching for trauma therapy; individual therapist eligibility depends on insurance, age served, specialty, availability, and payment options
Cost: Varies by therapist, insurance, and self-pay rate
Insurance / Medicaid / Medicare: Filter by Medicaid, Medicare, private insurance, or self-pay; always verify directly before scheduling
Service Area: Spokane County, Spokane, Spokane Valley, and Washington telehealth options
Languages / Accessibility: Provider-specific; directory filters may include language, identity, specialty, and telehealth options
Important Notes: Useful when someone needs a specific trauma specialty, such as sexual abuse recovery, EMDR, PTSD treatment, complex trauma, domestic violence recovery, or telehealth. Psychology Today has Spokane County filters for sexual abuse, trauma/PTSD, EMDR, Medicaid, and other specialty needs.


NAMI Spokane

What They Provide: peer-led mental health support groups, family support groups, mental health education, community resource navigation, advocacy, support for people living with mental health conditions and loved ones supporting them
Website: namispokane.org
Phone: 509-838-5515; NAMI Helpline: 1-800-950-6264
Address: 152 S Jefferson St, Suite 100, Spokane, WA 99201
Hours of Operation: Local office/group times vary; NAMI Helpline: Monday–Friday, 7 AM–5 PM
Appointment / Referral Required: No referral required; registration or calendar confirmation may be needed for specific groups
Documents Needed: None required
Application Process: Check NAMI Spokane’s support/education page or event calendar; call or contact NAMI Spokane to confirm current Connection, Family Support, or other group options
Eligibility: People living with mental health conditions, family members, loved ones, and community members seeking mental health support
Cost: Free support and education programs are commonly offered; verify any program-specific costs if applicable
Insurance / Medicaid / Medicare: No insurance required
Service Area: Spokane County
Languages / Accessibility: Call to ask about interpreter/accessibility needs
Important Notes: NAMI Spokane is one of the strongest mental health peer/family support resources for Spokane County. Their programs are centered on support, education, advocacy, and lived experience.

Peer Spokane

What They Provide: peer emotional support, support groups, education groups, socialization groups, peer coaching, recovery goal support, support for mental health challenges, addiction recovery, grief/loss, chronic illness, HIV/Hep C
Website: peerspokane.org
Phone: 509-867-3778
Address: Spokane, WA; check website for current program/contact details
Hours of Operation: Group and peer support hours vary; check website calendar or contact Peer Spokane
Appointment / Referral Required: No referral generally required for groups; peer coaching requires matching/intake
Documents Needed: None generally required for groups; peer coaching may require contact information and recovery goals
Application Process: Check Peer Spokane’s support group calendar, contact Peer Spokane, or ask about peer coaching and current recovery support options
Eligibility: Spokane County community members impacted by mental health challenges, addiction, chronic illness, grief/loss, or recovery-related isolation
Cost: Support groups listed as no fee; peer coaching listed as no cost
Insurance / Medicaid / Medicare: No insurance required
Service Area: Spokane County
Languages / Accessibility: Contact Peer Spokane to ask about accessibility or language support
Important Notes: Peer Spokane is a peer-run support resource, not clinical therapy. Peer coaches are matched with people seeking recovery support and generally meet weekly for a set period; support groups are free to attend.

Passages Family Support – Termonn Peer Respite / Peer Services

What They Provide: voluntary peer respite, 24/7 peer support, one-on-one peer support, peer groups, peer pathfinder support, peer bridger support, parent/family peer support, recovery mentoring, resource linkage, homelike recovery environment
Website: https://passages-spokane.org/termonn-peer-respite/
Phone: 509-892-9241
Address: 1700 S Assembly Rd, Suite 300, Spokane, WA 99224
Hours of Operation: Office: Monday–Thursday, 9 AM–5 PM; Friday, 9 AM–12 PM; peer respite support may be available 24/7/365 depending on program availability
Appointment / Referral Required: Enrollment/screening or referral may be required depending on peer service
Documents Needed: Call to confirm; Apple Health/Medicaid card if applicable, photo ID if available, medication list, emergency contact, current provider information, and basic intake information may be helpful
Application Process: Call Passages and ask about Termonn Peer Respite, Peer Pathfinder, Peer Bridger, family peer support, eligibility, current availability, enrollment, and next steps
Eligibility: People receiving or seeking behavioral health support; peer respite and peer service eligibility depend on program screening, funding, and availability
Cost: Call to confirm; may be Medicaid- or program-funded depending on service
Insurance / Medicaid / Medicare: Apple Health/Medicaid may be relevant; verify current requirements with Passages
Service Area: Spokane area / Washington behavioral health system
Languages / Accessibility: Passages lists language assistance; call to request support
Important Notes: Peer respite is voluntary and is not emergency medical care or inpatient psychiatric hospitalization. Use 988, the Regional Crisis Line, or 911 depending on crisis severity.

Frontier Behavioral Health Peer Support Services

What They Provide: certified peer support, recovery support, lived-experience support, mental health treatment support, care team support, encouragement, system navigation support
Website: https://fbhwa.org/programs/adult-services/adult-outpatient-services
Phone: 509-838-4651
Address: Multiple Spokane-area locations; Access to Care: 131 S Division St, Spokane, WA 99202
Hours of Operation: Varies by program; Access to Care: Monday–Friday, 7:30 AM–4:30 PM
Appointment / Referral Required: Intake/assessment required through Frontier services
Documents Needed: photo ID if available, Apple Health/Medicaid card if applicable, Medicare/private insurance card if applicable, medication list, referral paperwork if available
Application Process: Start through Frontier Access to Care and ask about peer support availability within treatment programs
Eligibility: Individuals enrolled in or seeking Frontier Behavioral Health services; program-specific eligibility applies
Cost: Varies by insurance/funding
Insurance / Medicaid / Medicare: Accepts Medicaid; call to verify Medicare, private insurance, and sliding fee options
Service Area: Spokane Regional Service Area
Languages / Accessibility: Call to request interpreter/accessibility support
Important Notes: This is peer support connected to clinical behavioral health services, not a public drop-in peer center.

CHAS Health Behavioral Health Peer Support

What They Provide: peer support, behavioral health support, care coordination, targeted case management, counseling connection, medication management connection, substance use counseling assessment
Website: chas.org/get-care/behavioral-health
Phone: 509-444-8200; toll-free: 866-907-8200
Address: Multiple Spokane County clinics; Behavioral Health Center: 5901 N Lidgerwood St, Spokane, WA 99208
Hours of Operation: Varies by clinic; call or check location page
Appointment / Referral Required: Appointment or assessment may be required; same-day behavioral health/substance use assessments may be available at CHAS Behavioral Health Center
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid card if applicable, Medicare card if applicable, medication list, income/household information if applying for sliding fee discount
Application Process: Call CHAS or ask a CHAS care team member about behavioral health peer support, care coordination, and assessment options
Eligibility: CHAS patients and community members seeking behavioral health support
Cost: Insurance billing, Medicaid/Medicare billing, private pay, or sliding fee discount depending on eligibility
Insurance / Medicaid / Medicare: Accepts private insurance, Medicaid, and Medicare; sliding fee discount available for qualifying uninsured/underinsured patients
Service Area: Spokane County, Eastern Washington, and North Idaho
Languages / Accessibility: TRS: 711; call to request interpreter/accessibility support
Important Notes: CHAS peer support is best listed as part of behavioral health care, not as a public drop-in support group.

DBSA Pacific Northwest / Depression and Bipolar Support Alliance

What They Provide: depression support groups, bipolar support groups, peer-led mood disorder support, online support groups, family/friend support options
Website: https://www.dbsalliance.org/support/chapters-and-support-groups/
Phone: Online directory/contact through DBSA chapter pages
Address: Online and regional support group options; meeting locations vary
Hours of Operation: Group times vary; check DBSA directory or DBSA Pacific Northwest website
Appointment / Referral Required: No clinical referral required; registration/link request may be needed for online groups
Documents Needed: None
Application Process: Use DBSA’s support group finder or DBSA Pacific Northwest website to find current online or regional groups; follow registration/contact instructions
Eligibility: People living with depression or bipolar disorder, and sometimes family/friends depending on group
Cost: DBSA support groups are generally free; verify any chapter-specific details
Insurance / Medicaid / Medicare: No insurance required
Service Area: Regional/national online support groups available to Spokane County residents
Languages / Accessibility: Online and group-specific access varies
Important Notes: Good backup when local in-person mood disorder groups are limited. DBSA offers peer-run support groups and online support groups for people living with depression and bipolar disorder.

GriefShare Spokane / Spokane Valley Groups

What They Provide: grief support groups, bereavement support, loss-of-loved-one support, weekly group meetings, video-based grief education, group discussion, workbook reflection
Website: griefshare.org/findagroup
Phone: GriefShare general: 1-800-395-5755
Address: Group locations vary; current Spokane and Spokane Valley groups may be hosted by local churches or community sites
Hours of Operation: Group dates/times vary by host site and season
Appointment / Referral Required: Registration may be required through GriefShare or host site
Documents Needed: None generally required; workbook purchase may be optional or requested depending on group
Application Process: Search Spokane or Spokane Valley on GriefShare’s group finder; choose a current group; register or contact the host site before attending
Eligibility: People grieving the death of a loved one
Cost: Group participation is often free or low-cost; workbook costs may apply depending on group
Insurance / Medicaid / Medicare: No insurance required
Service Area: Spokane County, Spokane, Spokane Valley, and nearby communities
Languages / Accessibility: Group-specific; contact host site for accessibility/language questions
Important Notes: GriefShare is faith-based, so it may be a good fit for some people and not others. Current groups change seasonally, so always check the current listing before sending someone.

Psychology Today Support Groups Directory – Spokane

What They Provide: group therapy search, support group search, mental health group listings, topic filters, online group filters, in-person group filters, therapist-led group information
Website: psychologytoday.com/us/groups/wa/spokane
Phone: Online directory; contact group facilitators directly
Address: Online directory; group locations vary
Hours of Operation: Website available anytime; group times vary
Appointment / Referral Required: No referral required to search; group registration/intake may be required
Documents Needed: Depends on group; intake paperwork, insurance card, payment information, and emergency contact may be requested for therapist-led groups
Application Process: Search by Spokane, topic, insurance, group type, and online/in-person preference; contact group facilitator directly to verify openings, cost, schedule, and fit
Eligibility: Anyone searching for mental health support groups or group therapy; eligibility varies by facilitator, group topic, age, diagnosis, insurance, and availability
Cost: Varies; peer groups may be free, therapist-led groups may charge or bill insurance
Insurance / Medicaid / Medicare: Varies by facilitator; verify Medicaid, Medicare, private insurance, or self-pay directly
Service Area: Spokane / Spokane County and Washington telehealth options
Languages / Accessibility: Provider-specific; ask facilitator directly
Important Notes: Good backup directory for specialized groups such as grief, trauma, anxiety, depression, parenting, DBT skills, or therapist-led group therapy.


Spokane Regional Stabilization Center

What They Provide: crisis stabilization, mental health crisis support, substance use crisis support, withdrawal support, co-occurring disorder stabilization, treatment engagement, medication-assisted treatment options, recovery planning
Website: pioneerhumanservices.org/treatment/spokane-regional-stabilization-center
Phone: 509-503-6010
Address: 1302 W Gardner Ave, Spokane, WA 99201
Hours of Operation: 24 hours daily
Appointment / Referral Required: Call first; access may come through law enforcement, first responders, hospitals, crisis providers, behavioral health providers, or community referrals depending on situation
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if applicable, medication list, discharge/referral paperwork if coming from another provider
Application Process: Call or access through crisis response, first responders, law enforcement, hospital, or behavioral health referral pathway; staff assess needs and program fit
Eligibility: Adults experiencing mental health crisis, substance use crisis, withdrawal from alcohol/drug use, or co-occurring substance use and mental health needs
Cost: Call to verify cost/billing details
Insurance / Medicaid / Medicare: Call to verify current billing and insurance process
Service Area: Spokane regional crisis system
Languages / Accessibility: Call for accessibility and language access details
Important Notes: This is one of the key stabilization resources for Spokane County. Spokane County describes the center as a safe transitional treatment alternative for people experiencing mental health or substance use crisis, and Pioneer describes it as support for adults withdrawing from alcohol/drugs, experiencing mental health crisis, or needing co-occurring inpatient treatment.

Providence Sacred Heart Medical Center Adult Inpatient Psychiatry

What They Provide: adult inpatient psychiatry, emergency psychiatric care, acute psychiatric stabilization, psychiatric evaluation, medication support, short-term inpatient mental health care
Website: providence.org/locations/wa/sacred-heart-medical-center/psychiatry
Phone: 509-474-3131
Address: 101 W 8th Ave, Spokane, WA 99204
Hours of Operation: Hours vary by service; emergency department available 24 hours daily
Appointment / Referral Required: Emergency psychiatric access may come through the emergency department; inpatient admission requires clinical evaluation
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if applicable, medication list, psychiatric history if available, discharge paperwork if referred from another facility, emergency contact information
Application Process: For immediate psychiatric emergency, call 911 or go to the emergency department; hospital staff evaluate level of care and determine whether inpatient psychiatric admission is appropriate
Eligibility: Adults experiencing acute mental health conditions requiring hospital-level psychiatric care; admission depends on clinical assessment and bed availability
Cost: Hospital billing may apply; financial assistance may be available through Providence billing
Insurance / Medicaid / Medicare: Accepts insurance billing; bring Medicaid/Medicare/private insurance card if available; emergency care should not be delayed because of insurance status
Service Area: Spokane County and regional Eastern Washington
Languages / Accessibility: Hospital interpreter and accessibility services may be available
Important Notes: Providence states Sacred Heart provides outpatient and short-term inpatient psychiatric services, including emergency and geriatric care, and evaluates/treats adults with conditions such as depression, bipolar disorder, schizophrenia, and other acute mental health needs.

Providence RISE Behavioral Health Program

What They Provide: Partial Hospitalization Program, Intensive Outpatient Program, intensive day treatment, psychiatric support, medication consultation and management during treatment, DBT-based skills, CBT-based skills, stabilization support, transition support after inpatient care
Website: providence.org/locations/wa/holy-family-hospital/rise-behavioral-health-program
Phone: 509-252-6446
Address: 235 E Rowan Ave, Suite 107, Health Center Building, Spokane, WA 99207
Hours of Operation: Monday–Friday, 8 AM–4 PM
Appointment / Referral Required: Screening and referral process required; insurance authorization may be required before start date
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if applicable, medication list, current provider information, referral paperwork if applicable, hospital discharge paperwork if stepping down from inpatient care
Application Process: Call RISE or ask a provider/hospital/counselor for referral; after screening, RISE works with insurance for authorization and schedules a start date if approved
Eligibility: Adolescents ages 13–17 and adults ages 18+ who need more support than weekly therapy but less than inpatient hospitalization; program fit depends on symptoms, safety, and group-treatment appropriateness
Cost: Insurance billing or self-pay costs may apply; call to verify
Insurance / Medicaid / Medicare: RISE works with insurance authorization; call to verify Medicaid, Medicare, private insurance, and self-pay options
Service Area: Spokane County / regional Providence behavioral health system
Languages / Accessibility: Providence interpreter and accessibility services may be available
Important Notes: RISE is not inpatient hospitalization. It is a structured PHP/IOP day-treatment program designed to help prevent hospitalization or support transition home after inpatient care. Providence states RISE serves adolescents and adults with depression, anxiety, suicidal thoughts, and difficulty coping with life stressors.

Sacred Heart Children’s Hospital Pediatric Psychiatric Center / RISE Day Treatment

What They Provide: adolescent intensive day treatment, mental health stabilization support, therapeutic treatment, coping skills, depression support, anxiety support, suicidality-related support, family support connection
Website: providence.org/locations/wa/sacred-heart-childrens-hospital/pediatric-psychiatric-center
Phone: 509-474-3131
Address: 101 W 8th Ave, Spokane, WA 99204
Hours of Operation: Monday–Friday, 8 AM–5 PM
Appointment / Referral Required: Referral/screening process likely required; call first
Documents Needed: parent/guardian photo ID if available, youth’s insurance card if available, Apple Health/Medicaid card if applicable, medication list, current provider information, school/IEP/504 information if relevant, hospital discharge paperwork if applicable, custody/guardian documents if applicable
Application Process: Call Providence/Sacred Heart or ask a hospital, counselor, provider, or crisis team about referral/screening for adolescent intensive day treatment
Eligibility: Adolescents ages 13–17 needing intensive therapeutic treatment for mental health symptoms such as depression, anxiety, or suicidality; program fit depends on screening and safety needs
Cost: Insurance billing or self-pay costs may apply; call to verify
Insurance / Medicaid / Medicare: Call to verify Apple Health/Medicaid, private insurance, and authorization requirements
Service Area: Spokane County and regional Eastern Washington
Languages / Accessibility: Providence interpreter and accessibility services may be available
Important Notes: Current Providence information describes RISE as day treatment for adolescents 13–17 and adults 18+, designed to help people build skills, function in the community, and avoid hospitalization or re-hospitalization. It should be listed as intensive day treatment, not as a guaranteed inpatient youth psychiatric bed.

MultiCare Deaconess Hospital Emergency Department / Behavioral Health Access

What They Provide: emergency psychiatric evaluation, suicide attempt medical care, overdose medical care, severe self-harm medical care, psychiatric crisis medical stabilization, hospital-based behavioral health access
Website: multicare.org/location/deaconess-hospital/multicare-deaconess-emergency-department
Phone: Emergency Department: 509-473-5800; hospital main: 509-603-5800
Address: 800 W 5th Ave, Floor 1, Spokane, WA 99204
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment required for emergency department care; inpatient or higher-level behavioral health placement requires clinical evaluation
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if applicable, medication list, psychiatric history if available, emergency contact information; do not delay emergency care if documents are missing
Application Process: Call 911 for immediate danger or go to the emergency department; staff evaluate medical/psychiatric stability and determine next level of care
Eligibility: Anyone experiencing a medical or psychiatric emergency
Cost: Emergency medical billing may apply; financial assistance may be available through hospital billing
Insurance / Medicaid / Medicare: Accepts insurance billing; emergency care should not be delayed because of insurance status
Service Area: Spokane area
Languages / Accessibility: MultiCare interpreter and accessibility services may be available
Important Notes: Use the ER for suicide attempt, overdose, severe self-harm, severe intoxication, psychosis with safety risk, severe withdrawal, or when someone cannot be kept safe. MultiCare is also developing inpatient behavioral health capacity at Deaconess, but current access should be verified directly before listing it as an active inpatient psychiatric unit.

MultiCare Valley Hospital Emergency Department / Behavioral Health Access

What They Provide: emergency psychiatric evaluation, suicide attempt medical care, overdose medical care, severe self-harm medical care, psychiatric crisis medical stabilization, emergency medical care
Website: multicare.org/location/valley-hospital/multicare-valley-hospital-emergency-department
Phone: Emergency Department: 509-603-5177; hospital main: 509-924-6650
Address: 12606 E Mission Ave, Spokane Valley, WA 99216
Hours of Operation: 24 hours daily
Appointment / Referral Required: No appointment required for emergency department care; higher-level behavioral health placement requires clinical evaluation
Documents Needed: photo ID if available, insurance card if available, Apple Health/Medicaid or Medicare card if applicable, medication list, psychiatric history if available, emergency contact information; do not delay emergency care if documents are missing
Application Process: Call 911 for immediate danger or go to the emergency department; staff evaluate medical/psychiatric stability and determine next level of care
Eligibility: Anyone experiencing a medical or psychiatric emergency
Cost: Emergency medical billing may apply; financial assistance may be available through hospital billing
Insurance / Medicaid / Medicare: Accepts insurance billing; emergency care should not be delayed because of insurance status
Service Area: Spokane Valley / Spokane County
Languages / Accessibility: MultiCare interpreter and accessibility services may be available
Important Notes: Use for emergency-level psychiatric or medical crisis when immediate evaluation/stabilization is needed. This is not the same as scheduled outpatient therapy or routine medication management.

Spokane Regional Behavioral Health Crisis Line / Higher-Level Care Triage

What They Provide: crisis triage, safety planning, mobile crisis dispatch, Designated Crisis Responder access, stabilization referral direction, mental health crisis support, substance use crisis support
Website: fbhwa.org/programs/crisis-response/24-7-regional-behavioral-health-crisis-line
Phone: 1-877-266-1818
Address: Not applicable for crisis line
Hours of Operation: 24 hours daily, 365 days a year
Appointment / Referral Required: No appointment or referral required
Documents Needed: None required; helpful information includes person’s location, current safety concerns, symptoms, substance use concerns, weapons/safety risks, medical needs, and whether the person is willing to talk
Application Process: Call the crisis line; crisis professionals assess the situation, provide support/referrals, and may dispatch mobile crisis teams or Designated Crisis Responders when appropriate
Eligibility: Individuals experiencing a mental health or substance use crisis, or someone calling on behalf of another person
Cost: Free to call
Insurance / Medicaid / Medicare: No insurance required to call
Service Area: Spokane Regional Service Area, including Spokane, Adams, Ferry, Lincoln, Pend Oreille, and Stevens counties
Languages / Accessibility: TDD/TTY: 509-458-7446; interpreter access may be available by phone
Important Notes: Keep this here because it is a key access pathway when someone needs a higher level of care but is not sure whether they need mobile crisis, DCR evaluation, stabilization, ER, or another service. Spokane County states behavioral health crisis response services are available 24/7/365 across the Spokane Regional Service Area.


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