79/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.9★ from 109 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Best Addiction Counselors in Fairfield, OH (2026)
149 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Fairfield: Seacrest Recovery Center Cincinnati, RP Score 79/100; 4.9★ from 109 Google reviews; open 7 days a week.
- 13
Most-reviewed: Skylight Recovery Center, 279 Google reviews at 4.4★, the most of 149 ranked; ranked #13.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
149 Fairfield addiction counselors are ranked here by RP Score, from eight published factors. 58 open Saturdays and 23 open Sundays, based on posted hours. The median Google rating is 4.3★ across 149 rated practices.
Top 10 addiction counselors in Fairfield 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 | Seacrest Recovery Center Cincinnati | 79 | 4.9★ (109) | Cincinnati, 7 mi away | Sat · Sun · Evenings | Overall |
| 2 | DeCoach Recovery Centre - Fairfield | 76 | 4.7★ (174) | Fairfield | Sat · Evenings | — |
| 3 | Hotel California by the Sea, Cincinnati | 76 | 4.5★ (82) | Cincinnati, 12 mi away | Sat · Sun · Evenings | — |
| 4 | Sojourner Recovery Services Inc | 76 | 4.1★ (14) | Hamilton, 4 mi away | Sat · Sun · Evenings | — |
| 5 | Community Health Alliance - Sojourner Recovery Services | 75 | 4.1★ (120) | Hamilton, 2 mi away | Sat · Sun · Evenings | — |
| 6 | DeCoach Recovery Centre - Hamilton | 75 | 4.7★ (130) | Hamilton, 2 mi away | Sat · Evenings | — |
| 7 | Spero Health | 75 | 4.1★ (31) | Fairfield | — | — |
| 8 | River Rocks Recovery | 74 | 4.8★ (34) | Middletown, 16 mi away | Sat · Sun · Evenings | — |
| 9 | Center for Addiction Treatment | 73 | 4.2★ (81) | Cincinnati, 16 mi away | Sat · Sun · Evenings | — |
| 10 | BrightView | 73 | 4.4★ (92) | Fairfield | Sat | — |
The 149 best addiction counselors in Fairfield, 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.
Based in Fairfield
76/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 174 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Cincinnati, 12 mi away
76/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 82 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 4 mi away
76/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 14 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 2 mi away
75/100RP ScoreRanked #5 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 120 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 2 mi away
75/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 130 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#7 Spero Health
Based in Fairfield
75/100RP ScoreRanked #7 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 31 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Middletown, 16 mi away
74/100RP ScoreRanked #8 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.8★ from 34 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Cincinnati, 16 mi away
73/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.2★ from 81 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#10 BrightView
Based in Fairfield
73/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 92 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Cincinnati, 6 mi away
72/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.9★ from 65 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 4 mi away
72/100RP ScoreRanked #12 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 4 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Dayton, 29 mi away
72/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 279 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#14 BrightView
Based in Cincinnati, 10 mi away
71/100RP ScoreRanked #14 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 69 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Cincinnati, 15 mi away
70/100RP ScoreRanked #15 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 164 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 3 mi away
70/100RP ScoreRanked #16 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.4★ from 13 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Erlanger, 25 mi away
69/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.1★ from 28 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#18 BrightView
Based in Cincinnati, 16 mi away
69/100RP ScoreRanked #18 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 158 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 3 mi away
69/100RP ScoreRanked #19 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.3★ from 16 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Springdale, 5 mi away
69/100RP ScoreRanked #20 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.6★ from 45 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Dayton, 34 mi away
68/100RP ScoreRanked #21 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 29 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#22 BrightView
Based in Mason, 15 mi away
68/100RP ScoreRanked #22 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 85 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Cincinnati, 12 mi away
68/100RP ScoreRanked #23 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 45 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Cincinnati, 16 mi away
68/100RP ScoreRanked #24 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.6★ from 63 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hamilton, 5 mi away
68/100RP ScoreRanked #25 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.9★ from 41 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Addiction counselors ranked #26 to #50
#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 149 ranked addiction counselors here; the rest are on their profiles.
Also serving Fairfield
20 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 |
|---|---|---|
| Adolescent Recovery Center-Hope | 3.0★ (1) | 31 mi |
| Angela Brandt, Psychiatric Nurse Practitioner | 12 mi | |
| Centerstone | 3.5★ (2) | 36 mi |
| Centerstone | 3.0★ (2) | 40 mi |
| Child Focus Behavioral Health - Hamilton County | 3.0★ (2) | 16 mi |
| Cincinnati Treatment & Counseling Center | 5.0★ (1) | In Fairfield |
| Community Health Alliance | Sojourner Recovery Services Middletown | 5.0★ (2) | 17 mi |
| Discovering New Paths | 5.0★ (1) | 10 mi |
| KAV Mental Health & Psychiatry - Cincinnati | 1.0★ (2) | 13 mi |
| MDI Helping Center - Drug & Alcohol Addiction Treatment | 5.0★ (2) | 42 mi |
| MDI Helping Center - Mental Health Advisors | 5.0★ (2) | 40 mi |
| Mental Health & Recovery Center | 3.0★ (1) | 18 mi |
| Momentum Counseling - Sarrah Garvin, LPCC | 5.0★ (1) | 18 mi |
| Mountain Mindset Counseling | 5.0★ (2) | In Fairfield |
| Patrick E. McDonald, MD | 5.0★ (1) | 22 mi |
| QIS | 5.0★ (2) | 13 mi |
| Sophia Odaka, Clinician Intern | 5.0★ (1) | 10 mi |
| Spero Health | 5.0★ (1) | 37 mi |
| Stephen Werner-Sleva, Psychiatrist | 5.0★ (2) | 15 mi |
| Vickie Neapolitan, Counselor | 4.0★ (1) | 10 mi |
How we ranked Fairfield addiction counselors
We scored 149 Fairfield 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 Fairfield 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 Fairfield: frequently asked questions
Who is the best addiction counselor in Fairfield?
By RP Score, the highest-ranked addiction counselor in Fairfield, OH is Seacrest Recovery Center Cincinnati with an RP Score of 79/100. It has 4.9★ from 109 Google reviews. It is open 7 days a week. DeCoach Recovery Centre - Fairfield (#2) and Hotel California by the Sea, Cincinnati (#3) follow. We ranked 149 addiction counselors on eight factors, last updated November 9, 2026.
How many addiction counselors are there in Fairfield?
RankedPsychologists ranks 149 addiction counselors serving Fairfield, OH. 4 of them are based in Fairfield; the rest serve it from nearby towns. Another 20 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 Fairfield work on weekends?
58 of 149 ranked addiction counselors post Saturday hours and 23 post Sunday hours. The highest-ranked open Saturdays are Seacrest Recovery Center Cincinnati (#1), DeCoach Recovery Centre - Fairfield (#2) and Hotel California by the Sea, Cincinnati (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Fairfield addiction counselors have?
The median Google rating among 149 rated addiction counselors in Fairfield is 4.3★, with a median of 28 reviews. Skylight Recovery Center has the most, 279 reviews, and ranks #13. 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 Fairfield count in this ranking?
Yes, if they are within 50 mi of the Fairfield 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 Fairfield 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 Fairfield
- November 2026: RP Scores recalculated for 149 addiction counselors serving Fairfield.
More addiction counselors and Fairfield pages
Addiction counselors near Fairfield
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Other specialties in Fairfield
- Psychologists in Fairfield110 ranked
- Therapists and counselors in Fairfield281 ranked
- Child and teen therapists in Fairfield58 ranked
- Couples therapists in Fairfield122 ranked
- Family therapists in Fairfield106 ranked
- Trauma and PTSD therapists in Fairfield13 ranked
- Psychiatrists in Fairfield193 ranked
- Clinical social workers in Fairfield69 ranked
- ABA therapy providers in Fairfield26 ranked
- All psychologists in Fairfield