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Best Addiction Counselors in Boone, NC (2026)

47 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Boone: Freedom Farm Ministries, RP Score 72/100; 3.9★ from 12 Google reviews; open Saturdays until 5 PM.

  2. 30

    Most-reviewed: Breakthrough Medical, 201 Google reviews at 4.8★, the most of 47 ranked; ranked #30.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

47 Boone addiction counselors are ranked here by RP Score, from eight published factors. 17 open Saturdays and 6 open Sundays, based on posted hours. The median Google rating is 4.4★ across 47 rated practices.

Top 10 addiction counselors in Boone at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 addiction counselors in Boone at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Freedom Farm Ministries723.9★ (12)BooneSatOverall
2Stepping Stone of Boone713.8★ (32)BooneSat—
3Bethel Colony of Mercy704.4★ (75)Lenoir, 22 mi awaySat · Sun · Evenings—
4A New Dimension674.5★ (24)Lenoir, 22 mi awaySat · Evenings—
5McLeod Centers For Wellbeing654.8★ (17)Lenoir, 23 mi awaySat—
6DRAGONFLY MEDICAL AND BEHAVIORAL HEALTH - SAME DAY APPOINTMENTS IN JOHNSON CITY, TN644.7★ (175)Johnson City, 38 mi awaySat · Evenings—
7Elizabethton HealthCare634.6★ (22)Elizabethton, 33 mi awaySat—
8New Season Treatment Center – Morganton624.6★ (23)Morganton, 34 mi awaySat—
9Flynn Recovery Community622.5★ (6)Morganton, 33 mi away——
10Medical Care Clinic615.0★ (5)Bristol, 40 mi away——

The 47 best addiction counselors in Boone, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  1. Ranked #1 in Boone

    Based in Boone

    72/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.9★ from 12 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.9★ from 12 Google reviews
    Hours
    Mon–Sat 10 AM–5 PM · Sun closed
    Address
    3109 US-421, Boone, NC 28607
  2. Based in Boone

    71/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.8★ from 32 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.8★ from 32 Google reviews
    Hours
    Mon–Fri 6 AM–12 PM · Sat 7 AM–9 AM · Sun closed
    Address
    643-L Greenway Rd, Boone, NC 28607
  3. Based in Lenoir, 22 mi away

    70/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 75 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 75 Google reviews
    Hours
    Mon–Wed 10 AM–9 PM · Thu 10 AM–6 PM · Fri–Sat 10 AM–9 PM · Sun 1 PM–6 PM
    Address
    1675 Bethel Colony Rd, Lenoir, NC 28645
  4. Based in Lenoir, 22 mi away

    67/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 24 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.5★ from 24 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 9 AM–12 PM · Sun closed
    Address
    116 Main St SW, Lenoir, NC 28645
  5. Based in Lenoir, 23 mi away

    65/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.8★ from 17 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 17 Google reviews
    Hours
    Mon–Fri 5 AM–11 AM · Sat 6 AM–9 AM · Sun closed
    Address
    222 Morganton Blvd SW, Lenoir, NC 28645
  6. 64/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 175 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 175 Google reviews
    Hours
    Mon closed · Tue 11 AM–6 PM · Wed 12 PM–7 PM · Thu 11 AM–6 PM · Fri 9 AM–11 AM · Sat 7 AM–4 PM · Sun closed
    Address
    102 N Broadway St, Johnson City, TN 37601
  7. Based in Elizabethton, 33 mi away

    63/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.6★ from 22 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.6★ from 22 Google reviews
    Hours
    Mon–Fri 8 AM–1 PM · Sat 8 AM–11 PM · Sun closed
    Address
    401 Hudson Dr #5, Elizabethton, TN 37643
  8. Based in Morganton, 33 mi away

    62/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 2.5★ from 6 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 2.5★ from 6 Google reviews
    Address
    721 W Union St, Morganton, NC 28655
  9. Based in Bristol, 40 mi away

    61/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 5 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 5 Google reviews
    Address
    246 Midway Medical Park, Bristol, TN 37620
  10. Based in Bristol, 40 mi away

    60/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 71 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 71 Google reviews
    Hours
    Mon–Fri 8:30 AM–4:30 PM · Sat–Sun closed
    Address
    2725 W State St, Bristol, TN 37620
  11. Based in Hickory, 40 mi away

    60/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 14 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 14 Google reviews
    Hours
    Mon 9 AM–3 PM · Tue 9 AM–5 PM · Wed–Thu 9 AM–3 PM · Fri closed · Sat 9 AM–1 PM · Sun closed
    Address
    1146 Lenoir Rhyne Blvd SE, Hickory, NC 28602
  12. Based in Bristol, 42 mi away

    59/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.0★ from 3 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 4.0★ from 3 Google reviews
    Address
    1627 Hwy 11 W, Bristol, TN 37620
  13. Based in Bristol, 38 mi away

    59/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 62 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.3★ from 62 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1662 Bonham Rd, Bristol, VA 24202
  14. Based in Johnson City, 42 mi away

    58/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.2★ from 119 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 119 Google reviews
    Hours
    Mon 8 AM–5:30 PM · Tue–Wed 8 AM–7 PM · Thu–Fri 8 AM–5:30 PM · Sat–Sun closed
    Address
    1018 Chase Dr, Johnson City, TN 37604
  15. Based in Johnson City, 39 mi away

    57/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 29 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.1★ from 29 Google reviews
    Hours
    Mon–Fri 9 AM–3 PM · Sat–Sun closed
    Address
    501 E Watauga Ave, Johnson City, TN 37601
  16. Based in Morganton, 33 mi away

    57/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.0★ from 4 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.0★ from 4 Google reviews
    Hours
    Mon 1 PM–8 PM · Tue closed · Wed 1 PM–8 PM · Thu–Fri 1 PM–5 PM · Sat–Sun closed
    Address
    222 W Union St, Morganton, NC 28655
  17. Based in Bristol, 38 mi away

    57/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.9★ from 14 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 14 Google reviews
    Hours
    Mon 9 AM–3 PM · Tue closed · Wed 9 AM–3 PM · Thu closed · Fri 9 AM–3 PM · Sat–Sun closed
    Address
    3170 Linden Dr #6, Bristol, VA 24202
  18. Based in Johnson City, 40 mi away

    57/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.9★ from 28 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.9★ from 28 Google reviews
    Hours
    Mon–Fri 9 AM–5:30 PM · Sat–Sun closed
    Address
    105 Broyles Dr B, Johnson City, TN 37601
  19. 56/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 3.3★ from 21 Google reviews, listed on Google as “Mental health service”.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.3★ from 21 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    2415 Morganton Blvd SW, Lenoir, NC 28645
  20. Based in Johnson City, 40 mi away

    56/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 5 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Fri 8 AM–4:30 PM · Sat–Sun closed
    Address
    2 Professional Park Dr #11, Johnson City, TN 37604
  21. Based in Hickory, 39 mi away

    56/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.3★ from 29 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.3★ from 29 Google reviews
    Hours
    Mon–Tue 8 AM–8 PM · Wed closed · Thu–Fri 8 AM–8 PM · Sat–Sun closed
    Address
    929 15th St NE, Hickory, NC 28601

All 47 addiction counselors

#1 to #25 are shown in full above. Here are #26 to #47, in RP Score order; each links to its profile.

addiction counselors in Boone, ranks 26 to 47
RankBusinessRP ScoreGoogle ratingDistance
26Frontier Health - Turning Point544.1★ (95)39 mi
27Upper East Tennessee Recovery535.0★ (4)43 mi
28Eleanor Health524.6★ (77)39 mi
29Catawba Valley Psychiatry and Mental Health524.3★ (7)39 mi
30Breakthrough Medical494.8★ (201)44 mi
31Frontier Health - Johnson County Counseling Center492.8★ (12)19 mi
32East Tennessee Counseling484.4★ (28)42 mi
33New Life Medicine484.7★ (158)40 mi
34Hickory Metro Treatment Center474.3★ (42)40 mi
35DLA Counseling464.9★ (30)46 mi
36My Next Steps of Morganton464.5★ (33)34 mi
37ReVIDA Recovery Center464.4★ (41)38 mi
38Highlands MindCare, PLLC464.8★ (47)40 mi
39Appalachian Recovery Care, PLLC454.9★ (36)40 mi
40Burke Council On Alcoholism454.2★ (5)33 mi
41Emmaus Medical and Counseling454.7★ (51)43 mi
42Step One Medical Associates434.8★ (22)42 mi
43Care Clinic Mental Health433.9★ (11)40 mi
44Melorah Avery, Psychiatrist435.0★ (3)40 mi
45Frontier Health - Erwin Behavioral Health Services423.1★ (14)42 mi
46Frontier Health - Bristol Behavioral Health Services412.5★ (53)38 mi
47Frontier Health - Watauga Behavioral Health Services392.2★ (90)39 mi

Also serving Boone

8 more addiction counselors within 50 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

How we ranked Boone addiction counselors

We scored 47 Boone addiction counselors on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Boone data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose an addiction counselor

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure addiction counseling is a regular part of their work, and ask what approach they use and why.
  3. Ask which credential the counselor holds (for example a state addiction counselor certification, LPC or LCSW).
  4. Ask whether they work with a physician if medication for addiction treatment is part of your plan.
  5. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  6. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  7. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask an addiction counselor

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How much of your work is addiction counseling?
  • Do you offer individual sessions, groups or an intensive outpatient program?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Addiction counselors in Boone: frequently asked questions

Who is the best addiction counselor in Boone?

By RP Score, the highest-ranked addiction counselor in Boone, NC is Freedom Farm Ministries with an RP Score of 72/100. It has 3.9★ from 12 Google reviews. It is open Saturdays until 5 PM. Stepping Stone of Boone (#2) and Bethel Colony of Mercy (#3) follow. We ranked 47 addiction counselors on eight factors, last updated November 9, 2026.

How many addiction counselors are there in Boone?

RankedPsychologists ranks 47 addiction counselors serving Boone, NC. 2 of them are based in Boone; the rest serve it from nearby towns. Another 8 within 50 mi are listed but not ranked yet. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which addiction counselors in Boone work on weekends?

17 of 47 ranked addiction counselors post Saturday hours and 6 post Sunday hours. The highest-ranked open Saturdays are Freedom Farm Ministries (#1), Stepping Stone of Boone (#2) and Bethel Colony of Mercy (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Boone addiction counselors have?

The median Google rating among 47 rated addiction counselors in Boone is 4.4★, with a median of 28 reviews. Breakthrough Medical has the most, 201 reviews, and ranks #30. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank addiction counselors?

Each addiction counselor gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do addiction counselors outside Boone count in this ranking?

Yes, if they are within 50 mi of the Boone city center, our service radius for addiction counselors. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can addiction counselors pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are addiction counselors in Boone ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on addiction counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

What is the difference between outpatient addiction counseling and rehab?

Outpatient counseling means regular sessions while you live at home and keep working; intensive outpatient programs meet several times a week. Residential rehab and medical detox happen in a facility. Withdrawal from alcohol and some drugs can be medically dangerous, so speak to a doctor before stopping if you drink or use heavily every day.

Can I see an addiction counselor online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Boone

  1. November 2026: RP Scores recalculated for 47 addiction counselors serving Boone.