Washington · Listings Checked October 2026

Mental Health Care in Washington

Where Can You Get Affordable Mental Health Care in Washington?

SAMHSA's FindTreatment.gov lists 286 mental health facilities in Washington, in 92 cities. Of these, 259 accept Medicaid, 120 offer a sliding fee or payment help, 249 offer telehealth therapy and 179 treat children and teens. In a crisis, call or text 988, or Great Rivers BH-ASO crisis line (Grays Harbor, Pacific, Lewis, Wahkiakum and Cowlitz counties) at 1-800-803-8833.

Mental health facilities
286
Accept Medicaid
259
Sliding fee or payment help
120
Telehealth therapy
249

Mental Health Facilities by City in Washington

The Washington cities with the most SAMHSA-listed mental health facilities. All 92 cities are listed below the table.

All 92 Cities in Washington With Mental Health Facilities

Crisis and Support Lines in Washington

Call or text 988, or chat at 988lifeline.org, any time. After you call or text 988 or call a county crisis line, a professional asks about the crisis and offers in-person crisis services, including Mobile Crisis Outreach for adults and youth, Designated Crisis Responders and safety officers. County crisis lines take calls 24 hours a day, 365 days a year, regardless of insurance status or income.

Washington's Mental Health Agency

Washington State Health Care Authority (HCA) oversees public mental health services in Washington.

Medicaid Mental Health Coverage in Washington

Washington's Medicaid program is Washington Apple Health (Medicaid). Apple Health services are available through managed care or coverage without a managed care plan (also referred to as fee-for-service). Apple Health clients seeking mental health services contact their managed care plan, or HCA if they have not enrolled in managed care. Covered mental health services the state names include mental health services, treatment for chemical or alcohol dependence, crisis and acute/inpatient mental health care, peer support (certified peer counselors), state psychiatric hospitals, mental health services for children, problem gambling services, prescription medications and hospitalization. HCA states its covered services list is for general information only and does not guarantee Apple Health will cover a service; members are told to check their health plan's member handbook.

Certified Community Behavioral Health Clinics (CCBHCs)

A CCBHC must provide service to any individual who presents in their clinic, regardless of that individual's ability to pay or furnish insurance. In Washington, CCBHCs must cover nine areas of service, including outpatient mental health and substance use disorder treatment, 24-hour mobile crisis and crisis stabilization, and peer support.

Check a Therapist's License in Washington

Before you start, confirm your therapist or psychologist holds an active Washington license.

Guides for Your Next Step

See how to find a therapist, how sliding-scale therapy works, whether Medicaid covers therapy and the difference between a psychiatrist and a therapist.

Related on rehab.help: addiction treatment in Washington.

Frequently Asked Questions

How Many Mental Health Clinics Are in Washington?

SAMHSA's FindTreatment.gov lists 286 mental health facilities in Washington (checked October 2026), the most in Seattle (25).

Is There Low-Cost Therapy in Washington?

120 of the listed facilities offer a sliding fee scale based on income or other payment assistance, and 170 receive state, county or block-grant funding. Ask about fees when you call.

Which Washington Mental Health Clinics Accept Medicaid?

259 of the 286 listed facilities accept Medicaid. Confirm your specific plan when you call.

What Is the Crisis Line in Washington?

Call or text 988, the national Suicide and Crisis Lifeline, from anywhere in Washington. Great Rivers BH-ASO crisis line (Grays Harbor, Pacific, Lewis, Wahkiakum and Cowlitz counties) also answers at 1-800-803-8833 (24/7).

Sources

  1. SAMHSA FindTreatment.gov listing data, checked October 2026
  2. Washington crisis services
  3. Washington State Health Care Authority (HCA)
  4. Washington Apple Health (Medicaid) mental health services
  5. Certified Community Behavioral Health Clinics (CCBHCs) in Washington
  6. Psychologists: Examining Board of Psychology (Washington State Department of Health)

In crisis? Call or text 988 or chat at 988lifeline.org, any time. If someone is in immediate danger, call 911. anxiety.help is an independent guide, not a mental health provider or crisis service, and doesn't give medical advice. For a free, confidential referral, call SAMHSA's National Helpline at 1-800-662-4357.