Lighthouse Counseling Services

The short picture on Lighthouse Counseling Services (Madisonville, KY): The facility's programming is outpatient (Outpatient, Dual Dx), not residential. The longer picture — clinical framework, payer mix, outcomes — takes a few specific questions to surface.

Care levels at Lighthouse Counseling Services

Lighthouse Counseling Services is an outpatient-focused program (Outpatient, Dual Dx) — patients live at home or in sober living and attend treatment sessions. This level of care is clinically appropriate for mild-to-moderate substance use disorder, or for patients stepping down from residential. The level-of-care question is where a lot of misaligned placements happen — a patient who needs residential ends up in IOP, or vice versa. The protection is a clinical assessment outside the facility's admissions team.

Insurance and payment

Lighthouse Counseling Services accepts both Medicaid and commercial insurance, which is the broadest payer profile and typically correlates with programs that operate at scale across the economic spectrum. The insurance problem is almost never that treatment is uncovered — it is that the specific admission was authorized under different terms than the ones in the benefit summary. Get the Verification of Benefits in writing; everything else follows from that one move.

Specialty programming

The facility's documented specialty programming includes: Young adults, Seniors or older adults, Criminal justice (other than DUI/DWI)/Forensic clients. "Specialty track" is a marketing category often; it becomes a clinical category when specific clinicians deliver specific programming for a documented number of hours per week. Ask for those specifics.

Before you call

If the clinical situation involves opioid use disorder, confirm explicitly whether Lighthouse Counseling Services offers medication-assisted treatment — buprenorphine, methadone, or naltrexone. Programs that do not are operating outside the current standard of care. Before admission, pin down the three operational questions in writing: level of care, insurance, medication policy. The difference between a well-run program and a problematic one usually shows up in how quickly and directly those three are answered.