74/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 93 Google reviews.
Best Addiction Counselors in Cary, NC (2026)
50 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Cary: Genesis DWI/SA Services, RP Score 74/100; 5.0★ from 93 Google reviews; open 7 days a week.
- 15
Most-reviewed: GPW Psychiatry - North Raleigh, 495 Google reviews at 4.2★, the most of 50 ranked; ranked #15.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
50 Cary addiction counselors are ranked here by RP Score, from eight published factors. 26 open Saturdays and 8 open Sundays, based on posted hours. The median Google rating is 4.5★ across 50 rated practices.
Top 10 addiction counselors in Cary 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.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | Genesis DWI/SA Services | 74 | 5.0★ (93) | Durham, 16 mi away | Sat · Sun | Overall |
| 2 | Dharma Counseling Services | 73 | 5.0★ (205) | Durham, 15 mi away | Sat · Evenings | — |
| 3 | BAART Programs Durham | 67 | 4.1★ (38) | Durham, 16 mi away | Sat | — |
| 4 | Morse Clinic of Durham, PC | 65 | 5.0★ (11) | Durham, 19 mi away | Sat | — |
| 5 | AIM: Advaita Integrated Medicine | 65 | 4.9★ (327) | Raleigh, 6 mi away | Sat · Sun | — |
| 6 | Freedom House Outpatient Clinic of Durham | 64 | 4.9★ (19) | Durham, 19 mi away | Evenings | — |
| 7 | AIM: Advaita Integrated Medicine - Cary | 63 | 4.8★ (22) | Cary | Sat · Sun | — |
| 8 | Triangle Psychiatry and Mental Health: ADHD, Anxiety, and Depression Specialists | 62 | 4.9★ (13) | Durham, 11 mi away | Sat · Sun · Evenings | — |
| 9 | Sanford Treatment Center | 61 | 4.0★ (26) | Sanford, 31 mi away | Sat | — |
| 10 | The Counselor in Cary | 61 | 5.0★ (21) | Cary | Sat | — |
The 50 best addiction counselors in Cary, 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.
Scores below: based on 7 of 8 factors; recency not yet collected. Hatched segments mark factors we don't have yet.
Based in Durham, 15 mi away
73/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 205 Google reviews.
Based in Durham, 16 mi away
67/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 38 Google reviews.
Based in Durham, 19 mi away
65/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 11 Google reviews.
Based in Raleigh, 6 mi away
65/100RP ScoreRanked #5 because of its Google rating and proximity: 4.9★ from 327 Google reviews, 6 mi from Cary.
Based in Durham, 19 mi away
64/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.9★ from 19 Google reviews.
Based in Cary
63/100RP ScoreRanked #7 because of its Google rating and proximity: 4.8★ from 22 Google reviews, based in Cary.
Based in Durham, 11 mi away
62/100RP ScoreRanked #8 because of its Google rating and specialty focus: 4.9★ from 13 Google reviews, listed on Google as “Counselor”.
Based in Sanford, 31 mi away
61/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.0★ from 26 Google reviews.
Based in Cary
61/100RP ScoreRanked #10 because of its Google rating and proximity: 5.0★ from 21 Google reviews, based in Cary.
Based in Sanford, 31 mi away
61/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.7★ from 3 Google reviews.
#12 Eleanor Health
Based in Durham, 15 mi away
60/100RP ScoreRanked #12 because of its Google rating and specialty focus: 4.8★ from 78 Google reviews, listed on Google as “Counselor”.
Based in Chapel Hill, 18 mi away
60/100RP ScoreRanked #13 because of its Google rating and specialty focus: 4.8★ from 102 Google reviews, listed on Google as “Mental health clinic”.
Based in Cary
59/100RP ScoreRanked #14 because of its Google rating and proximity: 5.0★ from 9 Google reviews, based in Cary.
Based in Raleigh, 9 mi away
58/100RP ScoreRanked #15 because of its Google rating and specialty focus: 4.2★ from 495 Google reviews, listed on Google as “Counselor”.
Based in Raleigh, 9 mi away
58/100RP ScoreRanked #16 because of its Google rating and specialty focus: 4.7★ from 63 Google reviews, listed on Google as “Counselor”.
#17 Vance Recovery
Based in Henderson, 43 mi away
58/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 31 Google reviews.
Based in Cary
58/100RP ScoreRanked #18 because of its Google rating and proximity: 4.9★ from 35 Google reviews, based in Cary.
Based in Raleigh, 9 mi away
58/100RP ScoreRanked #19 because of its Google rating and specialty focus: 5.0★ from 19 Google reviews, listed on Google as “Counselor”.
Based in Apex, 5 mi away
57/100RP ScoreRanked #20 because of its Google rating and proximity: 3.7★ from 25 Google reviews, 5 mi from Cary.
Based in Raleigh, 9 mi away
57/100RP ScoreRanked #21 because of its Google rating and specialty focus: 3.9★ from 80 Google reviews, listed on Google as “Counselor”.
Based in Raleigh, 10 mi away
57/100RP ScoreRanked #22 because of its Google rating and specialty focus: 4.7★ from 15 Google reviews, listed on Google as “Counselor”.
Based in Cary
56/100RP ScoreRanked #23 because of its Google rating and proximity: 4.5★ from 22 Google reviews, based in Cary.
Based in Chapel Hill, 17 mi away
56/100RP ScoreRanked #24 because of its Google rating and specialty focus: 5.0★ from 28 Google reviews, listed on Google as “Psychotherapist”.
Based in Cary
56/100RP ScoreRanked #25 because of its Google rating and proximity: 3.8★ from 144 Google reviews, based in Cary.
All 50 addiction counselors
#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile.
Also serving Cary
17 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.
| Business | Google rating | Distance |
|---|---|---|
| ADS Alcohol Drug Services | 5.0★ (1) | 41 mi |
| Back On Track - Intensive Outpatient Treatment | 5.0★ (1) | 42 mi |
| Eleanor Health | In Cary | |
| Freedom Behavioral Health Services | 1.0★ (1) | 22 mi |
| JAM Counseling Services, PLLC | In Cary | |
| Legacy Human Services, Inc. | 5.0★ (1) | 42 mi |
| Lifebridge Healthcare | 40 mi | |
| Possibilities! | 17 mi | |
| Recovery Resources | 5.0★ (1) | 40 mi |
| Reliable Health Services, Inc. | 7 mi | |
| Resilient Counseling, PLLC | In Cary | |
| Solas Health | 32 mi | |
| Spectrum Recovery Inc | 3.0★ (2) | 32 mi |
| Stepping Stones Community Resources | 47 mi | |
| Transitional Therapeutic Services | 19 mi | |
| True Outreach: Addiction & Behavioral Services | 5.0★ (2) | 19 mi |
| Turning Point Youth & Family | 3.0★ (2) | 11 mi |
How we ranked Cary addiction counselors
We scored 50 Cary 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.
| Factor | Weight | Computed from | In Cary data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose an addiction counselor
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure addiction counseling is a regular part of their work, and ask what approach they use and why.
- Ask which credential the counselor holds (for example a state addiction counselor certification, LPC or LCSW).
- Ask whether they work with a physician if medication for addiction treatment is part of your plan.
- 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.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- 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 Cary: frequently asked questions
Who is the best addiction counselor in Cary?
By RP Score, the highest-ranked addiction counselor in Cary, NC is Genesis DWI/SA Services with an RP Score of 74/100. It has 5.0★ from 93 Google reviews. It is open 7 days a week. Dharma Counseling Services (#2) and BAART Programs Durham (#3) follow. We ranked 50 addiction counselors on eight factors, last updated November 9, 2026.
How many addiction counselors are there in Cary?
RankedPsychologists ranks 50 addiction counselors serving Cary, NC. 7 of them are based in Cary; the rest serve it from nearby towns. Another 17 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 Cary work on weekends?
26 of 50 ranked addiction counselors post Saturday hours and 8 post Sunday hours. The highest-ranked open Saturdays are Genesis DWI/SA Services (#1), Dharma Counseling Services (#2) and BAART Programs Durham (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Cary addiction counselors have?
The median Google rating among 50 rated addiction counselors in Cary is 4.5★, with a median of 21 reviews. GPW Psychiatry - North Raleigh has the most, 495 reviews, and ranks #15. 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 Cary count in this ranking?
Yes, if they are within 50 mi of the Cary 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 Cary 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 Cary
- November 2026: RP Scores recalculated for 50 addiction counselors serving Cary.
More addiction counselors and Cary pages
Addiction counselors near Cary
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- Addiction counselors in West Raleigh, NC59 ranked
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- Addiction counselors in Garner, NC67 ranked
- Addiction counselors in Fuquay-Varina, NC67 ranked
- Addiction counselors in Durham, NC54 ranked
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Other specialties in Cary
- Psychologists in Cary193 ranked
- Therapists and counselors in Cary552 ranked
- Child and teen therapists in Cary86 ranked
- Couples therapists in Cary161 ranked
- Family therapists in Cary155 ranked
- Neuropsychologists in Cary6 ranked
- Trauma and PTSD therapists in Cary12 ranked
- Eating disorder therapists in Cary11 ranked
- Psychiatrists in Cary210 ranked
- Clinical social workers in Cary69 ranked
- ABA therapy providers in Cary85 ranked
- All psychologists in Cary