Pyramid Counseling

The short picture on Pyramid Counseling (Beckley, WV): 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 Pyramid Counseling

Pyramid Counseling 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 gap between "this facility offers residential" and "residential is the right level for this patient" is wider than most facility websites suggest. Bridge it with an outside assessment before committing.

Insurance and payment

Pyramid Counseling 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 facility also accepts TRICARE or military benefits. Most post-treatment billing disputes trace back to a specific moment when an admissions counselor said one thing and the benefits department later documented something else. Avoid the moment by getting the written VOB before admission, not after.

Specialty programming

The facility's documented specialty programming includes: Adolescents, Young adults, Adult women. A facility's specialty designation is a starting filter, not an endorsement. The operational questions (who leads it, how many hours per week, what credentials) are where the actual answer lives.

Before you call

Three questions for Pyramid Counseling before you sign anything: what ASAM level you are being admitted at; what the written VOB says for your plan; how the program handles MAT. If the clinical situation involves opioid use disorder, confirm explicitly whether Pyramid Counseling offers medication-assisted treatment — buprenorphine, methadone, or naltrexone. Programs that do not are operating outside the current standard of care. These three together tell you most of what a facility's about.