Clementine St. Louis
St. Louis, Missouri
302 treatment centers across Missouri offering Online Rehab.

CARF accreditation shows up unusually often among Missouri's virtual programs: 165 of the 221 that report their credentials hold it, about 75 percent, against 39 percent across the directory as a whole. Support for children under 13 is another outlier — 59 of the 302 listings here report it, roughly 20 percent, close to four times as common as the 5 percent seen nationally.
Virtual / Telehealth treatment Missouri programs deliver counseling, group work and medication management by secure video or phone rather than in a building. Of the 302 centers listed, 286 also run in-person outpatient rehab, 262 handle dual-diagnosis and co-occurring conditions, and 292 provide individual therapy, so the virtual track is usually one delivery option inside a wider program rather than a standalone service.
Virtual sessions suit people who are medically stable, have a safe and private place to log in, and can manage their own schedule. They do not replace medical detox or residential care, and they are not the right first step during acute withdrawal or an active safety crisis.
Across the 302 listings, 292 serve adults 26 to 64, 287 serve young adults 18 to 25, 265 serve seniors 65 and older, and 183 serve adolescents 13 to 17. ASL is offered by 144 programs and Spanish by 22.
Medicaid is accepted by at least 262 programs, Medicare by 231 and TRICARE by 210 — a notable figure in a state with a large military and veteran population. Evernorth and ComPsych each appear at 14 of the 270 programs reporting insurers, several times the directory-wide rate.
Evidence-based approaches are reported by 290 programs, trauma-informed care by 241 and harm reduction by 179. CBT appears at 276, group therapy at 274 and family therapy at 252 — the last of which travels particularly well by video when relatives live in different parts of the state.
Missouri regulates this care through licensure rather than location. The Department of Mental Health's Division of Behavioral Health certifies substance use programs, and state telehealth law generally requires the clinician on the other end of the call to hold a Missouri license — which is why a resident of the Bootheel or a small Ozarks county can work with a program headquartered in a metro area without driving there. Among the listings, 208 report state licensure and 110 are SAMHSA-listed.
Funding is the other reason virtual care travels well here. State-funded or free care is reported by 281 of the 302 programs and Medicaid by 260, and Missouri's CSTAR framework means many state-funded slots sit inside the same agencies offering video sessions. That said, capacity is not evenly spread: rural counties often route people to a metro-based clinician anyway, and broadband gaps mean some families still drive to a satellite office to take the call from a private room.
Missouri telehealth statutes generally require that a clinician treating you by video hold a Missouri license, and state parity and telehealth coverage rules mean many plans must treat a covered behavioral health service the same whether it is delivered in an office or on a screen. That does not settle copays, prior authorization or network status, so confirm the specifics with your insurer and with the program before your first session.
Most plans listed here process it like any other outpatient behavioral health benefit, with a copay or coinsurance per session rather than a single lump sum. Because 276 of the 302 programs also take self-pay, ask for the cash session rate as a comparison, and ask about the scholarships or grant funds that 38 of them report.
There is no fixed length. Some people attend weekly individual sessions for a few months; others use a more intensive virtual schedule for several weeks and then step down to less frequent check-ins, with 207 of the 302 listings reporting aftercare or continuing care.
Usually a phone or online intake, a clinical assessment, an insurance or MO HealthNet check, and a technology check before the first session. Ask what platform is used, whether a Missouri-licensed clinician will be assigned, and whether the first appointment can be scheduled by video or must happen in person.
Ask whether they are CARF accredited or state licensed, whether they treat your specific substance and any co-occurring condition, and whether they serve your age group. Then ask a practical question: what happens if your connection drops mid-session, and where they refer people who need a higher level of care.
Not for everyone. Someone with physical withdrawal from alcohol, benzodiazepines or opioids needs medical detox in person first, and anyone in acute crisis or unable to stay safe between sessions needs face-to-face care. If you are thinking about suicide, call or text 988, or 911 in an emergency.
MO HealthNet covers behavioral health services delivered by telehealth for eligible members, and 260 of the 302 programs on this page report accepting Medicaid. Coverage detail depends on your managed care plan and the program's contract, so verify both.
Yes. Because sessions run by video, geography matters far less than licensure, so a person in the Bootheel or the Ozarks can work with a clinician based in a metro area. Check that the program is licensed to treat Missouri residents and that your internet or phone signal will hold for a full session.
Ask any Missouri program three things before you commit: whether the clinician is licensed in Missouri, whether your plan or MO HealthNet contract is active with them, and what they do if you need to step up to in-person care. With 302 centers listed statewide, contact two or three directly using their own details and compare the answers. If you are in immediate danger, call or text 988, or 911 for an emergency.
6 of the 288 that report it in Missouri — 2.1%, against 1.1% across the directory.
14 of the 270 that report it in Missouri — 5.2%, against 1.4% across the directory.
38 of the 301 that report it in Missouri — 13%, against 7.5% across the directory.
59 of the 302 that report it in Missouri — 20%, against 5.1% across the directory.
165 of the 221 that report it in Missouri — 75%, against 39% across the directory.
St. Louis, Missouri
Marshall, Missouri
Saint Louis, Missouri
Trenton, Missouri
Doniphan, Missouri
Kennett, Missouri
Salem, Missouri
Saint Louis, Missouri
Osage Beach, Missouri
Sedalia, Missouri
Columbia, Missouri
Saint Joseph, Missouri
Caruthersville, Missouri
Joplin, Missouri
Lees Summit, Missouri
Mountain Grove, Missouri
Saint Louis, Missouri
Saint Louis, Missouri
Kansas City, Missouri
Charleston, Missouri
Lebanon, Missouri
Nevada, Missouri
Nevada, Missouri
O Fallon, Missouri
and 21 more
Based on the 270 that report it; others have not said.
and 1 more
Reported by 301 of the 302 listed here.
and 8 more
Reported by 301 of the 302 listed here.
and 3 more
Reported by 300 of the 302 listed here.
and 10 more
Reported by 288 of the 302 listed here.
and 6 more
Based on the 270 that report it; others have not said.
and 10 more
Reported by 302 of the 302 listed here.