73/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 7 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Best Addiction Counselors in Troy, MO (2026)
48 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Troy: Gateway Dream Center, RP Score 73/100; 4.4★ from 7 Google reviews.
- 23
Most-reviewed: Compass Health Network, 257 Google reviews at 3.6★, the most of 48 ranked; ranked #23.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
48 Troy addiction counselors are ranked here by RP Score, from eight published factors. 8 open Saturdays and 3 open Sundays, based on posted hours. The median Google rating is 4.3★ across 48 rated practices.
Most of this list also appears on the Addiction counselors in O'Fallon ranking. See Addiction counselors in O'Fallon
Top 10 addiction counselors in Troy 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 | Gateway Dream Center | 73 | 4.4★ (7) | Troy | — | Overall |
| 2 | Harris House Treatment and Recovery Center | 72 | 4.6★ (162) | Saint Charles, 30 mi away | Sat · Sun · Evenings | — |
| 3 | Bridgeway Behavioral Health | 66 | 4.0★ (3) | Troy | Evenings | — |
| 4 | Preferred Family Healthcare | 63 | 2.5★ (12) | Saint Peters, 25 mi away | — | — |
| 5 | St. Louis Metro Treatment Center | 60 | 3.9★ (126) | Bridgeton, 38 mi away | Sat | — |
| 6 | Community Services of Missouri | 59 | 3.3★ (20) | Saint Peters, 26 mi away | — | — |
| 7 | Preferred Family Healthcare | 58 | 3.8★ (22) | Saint Charles, 30 mi away | — | — |
| 8 | Birch Tree Recovery | 57 | 4.8★ (18) | Creve Coeur, 38 mi away | Evenings | — |
| 9 | Preferred Family Healthcare | 56 | 3.0★ (6) | Saint Charles, 30 mi away | — | — |
| 10 | Center For Life Solutions | 56 | 3.9★ (57) | Hazelwood, 36 mi away | — | — |
The 48 best addiction counselors in Troy, 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 Saint Charles, 30 mi away
72/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.6★ from 162 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Troy
66/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.0★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 25 mi away
63/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 2.5★ from 12 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Bridgeton, 38 mi away
60/100RP ScoreRanked #5 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.9★ from 126 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 26 mi away
59/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Alcoholism treatment program”, 3.3★ from 20 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Charles, 30 mi away
58/100RP ScoreRanked #7 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.8★ from 22 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Creve Coeur, 38 mi away
57/100RP ScoreRanked #8 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.8★ from 18 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Charles, 30 mi away
56/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.0★ from 6 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Hazelwood, 36 mi away
56/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.9★ from 57 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 48 mi away
56/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Alcoholism treatment program”, 4.3★ from 168 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 40 mi away
56/100RP ScoreRanked #12 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.9★ from 46 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#13 West End Clinic
Based in St. Louis, 44 mi away
55/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.2★ from 35 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Kirkwood, 42 mi away
55/100RP ScoreRanked #14 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.7★ from 29 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Union, 37 mi away
55/100RP ScoreRanked #15 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Troy
55/100RP ScoreRanked #16 because of its Google rating and proximity: 4.4★ from 17 Google reviews, based in Troy.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 46 mi away
54/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 24 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 46 mi away
54/100RP ScoreRanked #18 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.2★ from 33 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Bridgeton, 34 mi away
54/100RP ScoreRanked #19 because of its Google rating and specialty focus: 4.8★ from 16 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in Kirkwood, 41 mi away
53/100RP ScoreRanked #20 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 3.7★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 46 mi away
52/100RP ScoreRanked #21 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.8★ from 4 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Alton, 44 mi away
51/100RP ScoreRanked #22 because of its Google rating and specialty focus: 4.6★ from 29 Google reviews, listed on Google as “Family counselor”.
Based on 7 of 8 factors; recency not yet collected.
Based in Wentzville, 15 mi away
51/100RP ScoreRanked #23 because of its Google rating and specialty focus: 3.6★ from 257 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in St. Louis, 36 mi away
51/100RP ScoreRanked #24 because of its Google rating and specialty focus: 4.0★ from 17 Google reviews, listed on Google as “Mental health clinic”.
Based on 7 of 8 factors; recency not yet collected.
Based in Saint Peters, 24 mi away
51/100RP ScoreRanked #25 because of its Google rating and specialty focus: 4.9★ from 62 Google reviews, listed on Google as “Psychiatrist”.
Based on 7 of 8 factors; recency not yet collected.
How we ranked Troy addiction counselors
We scored 48 Troy 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 Troy 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 Troy: frequently asked questions
Who is the best addiction counselor in Troy?
By RP Score, the highest-ranked addiction counselor in Troy, MO is Gateway Dream Center with an RP Score of 73/100. It has 4.4★ from 7 Google reviews. Harris House Treatment and Recovery Center (#2) and Bridgeway Behavioral Health (#3) follow. We ranked 48 addiction counselors on eight factors, last updated November 9, 2026.
How many addiction counselors are there in Troy?
RankedPsychologists ranks 48 addiction counselors serving Troy, MO. 3 of them are based in Troy; the rest serve it from nearby towns. 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 Troy work on weekends?
8 of 48 ranked addiction counselors post Saturday hours and 3 post Sunday hours. The highest-ranked open Saturdays are Harris House Treatment and Recovery Center (#2), St. Louis Metro Treatment Center (#5) and Engage Wellness Missouri (#19). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Troy addiction counselors have?
The median Google rating among 48 rated addiction counselors in Troy is 4.3★, with a median of 27 reviews. Compass Health Network has the most, 257 reviews, and ranks #23. 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 Troy count in this ranking?
Yes, if they are within 50 mi of the Troy 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 Troy 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 Troy
- November 2026: RP Scores recalculated for 48 addiction counselors serving Troy.
More addiction counselors and Troy pages
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Other specialties in Troy
- Psychologists in Troy11 ranked
- Therapists and counselors in Troy19 ranked
- Child and teen therapists in Troy10 ranked
- Couples therapists in Troy11 ranked
- Family therapists in Troy12 ranked
- Eating disorder therapists in Troy7 ranked
- Psychiatrists in Troy107 ranked
- Clinical social workers in Troy33 ranked
- ABA therapy providers in Troy20 ranked
- All psychologists in Troy