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
- 179Children and teens
- 164PTSD programs
- 48Walk-in crisis care
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.
| City | Facilities | Medicaid | Sliding fee or help | Children and teens | Telehealth |
|---|---|---|---|---|---|
| Mental health care in Seattle | 25 | 23 | 9 | 15 | 23 |
| Mental health care in Spokane | 25 | 23 | 10 | 12 | 19 |
| Mental health care in Yakima | 12 | 12 | 11 | 8 | 9 |
| Mental health care in Longview | 11 | 10 | 1 | 5 | 10 |
| Mental health care in Olympia | 11 | 10 | 6 | 4 | 10 |
| Mental health care in Bellevue | 10 | 7 | 4 | 5 | 10 |
| Mental health care in Bellingham | 9 | 9 | 4 | 4 | 9 |
| Mental health care in Tacoma | 9 | 8 | 4 | 6 | 9 |
| Mental health care in Vancouver | 9 | 8 | 4 | 6 | 6 |
| Mental health care in Mount Vernon | 8 | 8 | 2 | 3 | 5 |
| Mental health care in Everett | 7 | 7 | 1 | 2 | 5 |
| Mental health care in Shelton | 7 | 7 | 4 | 5 | 7 |
| Mental health care in Kent | 6 | 5 | 3 | 3 | 3 |
| Mental health care in Kirkland | 6 | 1 | 1 | 4 | 6 |
| Mental health care in Aberdeen | 5 | 5 | 2 | 4 | 4 |
| Mental health care in Auburn | 5 | 5 | 2 | 2 | 4 |
| Mental health care in Centralia | 5 | 5 | 0 | 2 | 4 |
| Mental health care in Edmonds | 5 | 4 | 0 | 2 | 4 |
| Mental health care in Lakewood | 5 | 5 | 2 | 3 | 5 |
| Mental health care in Oak Harbor | 5 | 5 | 3 | 3 | 4 |
All 92 Cities in Washington With Mental Health Facilities
- Mental health care in Airway Heights 2
- Mental health care in Arlington 3
- Mental health care in Belfair 1
- Mental health care in Bothell 2
- Mental health care in Bremerton 1
- Mental health care in Buena 1
- Mental health care in Cathlamet 1
- Mental health care in Chehalis 3
- Mental health care in Clarkston 1
- Mental health care in Coupeville 1
- Mental health care in Dayton 1
- Mental health care in Dupont 1
- Mental health care in Duvall 4
- Mental health care in East Wenatchee 1
- Mental health care in Eastsound 1
- Mental health care in Elma 1
- Mental health care in Enumclaw 1
- Mental health care in Ephrata 1
- Mental health care in Federal Way 1
- Mental health care in Forks 1
- Mental health care in Friday Harbor 1
- Mental health care in Gig Harbor 1
- Mental health care in Graham 1
- Mental health care in Grand Coulee 1
- Mental health care in Granger 1
- Mental health care in Hoquiam 2
- Mental health care in Ilwaco 1
- Mental health care in Issaquah 2
- Mental health care in Kelso 2
- Mental health care in Kennewick 1
- Mental health care in Lacey 1
- Mental health care in Leavenworth 1
- Mental health care in Lopez Island 1
- Mental health care in Lynnwood 2
- Mental health care in Marysville 2
- Mental health care in Mattawa 1
- Mental health care in Mead 1
- Mental health care in Monroe 3
- Mental health care in Morton 1
- Mental health care in Moses Lake 1
- Mental health care in Mossyrock 1
- Mental health care in Mountlake Terrace 1
- Mental health care in Nespelem 1
- Mental health care in North Bend 1
- Mental health care in Othello 1
- Mental health care in Pasco 1
- Mental health care in Pomeroy 1
- Mental health care in Port Angeles 3
- Mental health care in Port Townsend 1
- Mental health care in Pullman 1
- Mental health care in Puyallup 2
- Mental health care in Quincy 1
- Mental health care in Raymond 2
- Mental health care in Redmond 4
- Mental health care in Renton 2
- Mental health care in Richland 2
- Mental health care in Ridgefield 1
- Mental health care in Royal City 1
- Mental health care in Selah 1
- Mental health care in Sequim 1
- Mental health care in Snohomish 1
- Mental health care in Snoqualmie 1
- Mental health care in Sumner 1
- Mental health care in Sunnyside 1
- Mental health care in Suquamish 1
- Mental health care in Taholah 1
- Mental health care in Toppenish 1
- Mental health care in University Place 1
- Mental health care in Vashon 1
- Mental health care in Walla Walla 2
- Mental health care in Wenatchee 4
- Mental health care in Yelm 1
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.
- Great Rivers BH-ASO crisis line (Grays Harbor, Pacific, Lewis, Wahkiakum and Cowlitz counties): 1-800-803-8833 (Great Rivers BH-ASO crisis line (Grays Harbor, Pacific, Lewis, Wahkiakum and Cowlitz counties)) · 24/7
- Greater Columbia BH-ASO crisis line (Kittitas, Yakima, Benton, Franklin, Walla Walla, Columbia, Garfield, Asotin and Whitman counties): 1-888-544-9986 (Greater Columbia BH-ASO crisis line (Kittitas, Yakima, Benton, Franklin, Walla Walla, Columbia, Garfield, Asotin and Whitman counties)) · 24/7
- King BH-ASO crisis line (King County): 1-866-427-4747 (King BH-ASO crisis line (King County)) · 24/7
- North Central BH-ASO crisis line (Okanogan, Chelan, Douglas and Grant counties): 1-800-852-2923 (North Central BH-ASO crisis line (Okanogan, Chelan, Douglas and Grant counties)) · 24/7
- North Sound BH-ASO crisis line (Whatcom, San Juan, Skagit, Island and Snohomish counties): 1-800-584-3578 (North Sound BH-ASO crisis line (Whatcom, San Juan, Skagit, Island and Snohomish counties)) · 24/7
- Pierce BH-ASO crisis line (Pierce County): 1-800-576-7764 (Pierce BH-ASO crisis line (Pierce County)) · 24/7
- Salish BH-ASO crisis line (Clallam, Jefferson and Kitsap counties): 1-888-910-0416 (Salish BH-ASO crisis line (Clallam, Jefferson and Kitsap counties)) · 24/7
- Southwest BH-ASO crisis line (Clark, Skamania and Klickitat counties): 1-800-626-8137 (Southwest BH-ASO crisis line (Clark, Skamania and Klickitat counties)) · 24/7
- Spokane BH-ASO crisis line (Ferry, Stevens, Pend Oreille, Lincoln, Spokane and Adams counties): 1-877-266-1818 (Spokane BH-ASO crisis line (Ferry, Stevens, Pend Oreille, Lincoln, Spokane and Adams counties)) · 24/7
- Thurston/Mason BH-ASO crisis line (Thurston and Mason counties): 1-800-270-0041 (Thurston/Mason BH-ASO crisis line (Thurston and Mason counties)) · 24/7
- Washington Recovery Help Line (substance use, problem gambling and mental health support): 866-789-1511 (Washington Recovery Help Line (substance use, problem gambling and mental health support)) · text 866-789-1511 (9am to 9pm) · 24/7
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.
- Psychologists: Examining Board of Psychology (Washington State Department of Health)
- Licensed mental health counselors, marriage and family therapists, and social workers: Washington State Department of Health (Mental Health Counselors, Marriage and Family Therapists, and Social Workers Advisory Committee)
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
- SAMHSA FindTreatment.gov listing data, checked October 2026
- Washington crisis services
- Washington State Health Care Authority (HCA)
- Washington Apple Health (Medicaid) mental health services
- Certified Community Behavioral Health Clinics (CCBHCs) in Washington
- Psychologists: Examining Board of Psychology (Washington State Department of Health)