Master Center for Addiction Medicine
Kilmarnock, Virginia
102 treatment centers across Virginia offering Recovery Coaching Programs.

Recovery coaching turns up in Virginia far more often than it does nationally. All 102 Virginia treatment centers listed here report offering it — a level of care recorded by only about 28% of facilities across the directory, making it roughly 3.6 times more common in this state's listings. TRICARE acceptance follows the same pattern: 81 of the 102 take it, against 49% directory-wide, a reflection of how many military families live between Hampton Roads and Northern Virginia.
A recovery coach is a trained peer, not a clinician. The work is practical and forward-looking — building a weekly routine, navigating a return to work or court obligations, keeping appointments, rebuilding family trust — delivered by someone who has usually lived through a recovery of their own. It is not therapy, not medication management, and not a substitute for treatment when someone is in withdrawal or in crisis.
Coaching is rarely the only thing on offer: 97 of the 102 Virginia listings also provide medication-assisted treatment and 96 provide dual-diagnosis care, so a coach can sit alongside prescribing and therapy at the same organisation.
Every listing serves adults and young adults 18 to 25, and 94 serve people 65 and older. Thirty-eight serve adolescents aged 13 to 17, which is the figure to check first if you are looking for a teenager.
Ninety-three of the 102 report a harm-reduction approach and 89 report trauma-informed practice, with 101 describing their methods as evidence-based. Ask how those commitments show up in the coaching relationship specifically.
Sixty-four listings hold state licensure, 43 are SAMHSA-listed, 37 are CARF accredited and 25 hold Joint Commission accreditation. Credentials are self-reported, so confirm current status directly with the program.
Geography shapes access here more than almost anything else. Southwest Virginia, the Southside and the Eastern Shore have fewer programs per resident than the Richmond, Hampton Roads and Northern Virginia corridors, so people from those counties often drive an hour or more to a metro appointment, or pick a program near a relative who can help with transport. Telehealth-delivered peer support has closed part of that gap, though broadband coverage still varies county by county — worth asking about before you commit to a remote schedule.
Payment routes in Virginia are broader than many people expect. Medicaid, expanded in the Commonwealth, covers peer recovery support services delivered by a Registered Peer Recovery Specialist under supervision, and 94 of the 102 listings accept it; another 79 accept Medicaid alongside Medicare. Community Services Boards, which cover every locality in Virginia, are another route into peer support for people without coverage. Anthem appears among accepted carriers at 28 of the 98 listings reporting insurers — about 29%, against 6% across the directory.
Coverage varies by plan, but most listed programs bill it as part of a broader treatment episode rather than as a standalone service. Of the 102 Virginia listings, 94 report accepting Medicaid, 96 report private insurance and 81 report TRICARE. Confirm with your own insurer and with the facility's billing office before your first session.
There is no fixed length. Some people work with a coach for a few weeks around a transition out of residential or outpatient care; others stay connected for a year or longer, tapering contact as their routine steadies. Ask the program how it structures check-ins and when it typically reviews the arrangement.
The cost of Recovery Coaching in Virginia depends on whether it is bundled into a treatment program, billed separately, or grant-funded. Ninety-nine of the 102 listings accept self-pay, and some peer support delivered through state-funded or Medicaid-enrolled agencies carries little or no charge to the participant. Ask for a written fee schedule and what your plan is expected to leave you owing.
Start with what you need alongside it: 97 of the Virginia listings also offer medication-assisted treatment, 96 offer dual-diagnosis care and 96 offer outpatient rehab, so one site may cover several needs. Then ask about the coach's certification, caseload, availability outside business hours, and whether they have lived experience relevant to your situation.
Usually a short intake conversation rather than a clinical admission. Expect questions about your goals, any current treatment, and insurance details; if the coaching sits inside a larger program, you may complete a general assessment first. Bring your insurance card and a list of any medications.
Virginia's Registered Peer Recovery Specialist credential is issued through the Virginia Certification Board, and specialists billing Medicaid work under the supervision of a qualified professional at a DBHDS-licensed agency. You can ask any program whether its coaches hold that registration.
No. Coaching is non-clinical support and does not include diagnosis, prescribing or medication management. It works best beside clinical care, not instead of it, and it is not appropriate as a first response to withdrawal, active suicidality or an untreated psychiatric crisis.
Directory listings show city and region, so you can compare distance against what a program offers. Many Virginians outside the metro corridors combine a nearer telehealth-capable program with occasional in-person meetings; 35 listings report ASL services and 8 report Spanish, which is worth filtering on if that matters to your household.
Write down the two or three things that matter most — distance, Medicaid or TRICARE acceptance, ASL or Spanish services, whether adolescents are served — then call the Virginia programs that match and ask directly. Verify benefits with your insurer as well as the facility, since only your plan can confirm what it pays. If you or someone you love is in immediate danger, call or text 988, or dial 911.
102 of the 102 that report it in Virginia — 100%, against 28% across the directory.
5 of the 102 that report it in Virginia — 4.9%, against 2.8% across the directory.
6 of the 99 that report it in Virginia — 6.1%, against 0.74% across the directory.
28 of the 98 that report it in Virginia — 29%, against 6.3% across the directory.
81 of the 102 that report it in Virginia — 79%, against 49% across the directory.
Kilmarnock, Virginia
Martinsville, Virginia
Bassett, Virginia
Arlington, Virginia
Gloucester, Virginia
Vienna, Virginia
Fairfax, Virginia
Alexandria, Virginia
Danville, Virginia
Fairfax, Virginia
Suffolk, Virginia
Newport News, Virginia
Chesterfield, Virginia
Alexandria, Virginia
Norfolk, Virginia
Winchester, Virginia
Gloucester, Virginia
Roanoke, Virginia
Abingdon, Virginia
Lebanon, Virginia
Newport News, Virginia
Franklin, Virginia
Winchester, Virginia
Alexandria, Virginia
and 19 more
Reported by 98 of the 102 listed here.
and 1 more
Reported by 102 of the 102 listed here.
and 5 more
Reported by 102 of the 102 listed here.
Reported by 102 of the 102 listed here.
and 10 more
Reported by 99 of the 102 listed here.
and 7 more
Reported by 102 of the 102 listed here.
and 8 more
Reported by 102 of the 102 listed here.