At a Glance
Primary Focus
Treatment Settings
Treatment Approaches
Special Programs
About Region II Human Services
Heartland Counseling Clinic in Lexington, Nebraska offers outpatient addiction treatment and mental health services across a wide stretch of rural south-central Nebraska. CARF-accredited and built to serve communities where access to substance abuse treatment is limited, the clinic uses Cognitive Behavioral Therapy and Medication Assisted Treatment within a flexible, outpatient program model.
Heartland Counseling Clinic is a CARF-accredited outpatient clinic located at 307 East 5th Street in Lexington, Nebraska, serving individuals across 17 counties in rural south-central and western Nebraska — from Dawson and Lincoln counties to more remote areas like Hooker, Grant, and McPherson. As part of the Region II Human Services network, the clinic brings structured outpatient addiction treatment and mental health services to communities that often have few local options for ongoing recovery support. For people weighing their recovery options across this region, Heartland represents an accessible, professionally accredited resource close to home.
The clinic operates as an Outpatient Program, making it well-suited for people in earlier or continuing stages of recovery who need consistent, community-based care without stepping away from work, family, or daily responsibilities. The outpatient structure allows clients to engage with treatment on a regular, sustained basis — a format that aligns with the long-term nature of lasting recovery rather than a single episode of acute care. Open Access hours extend the clinic's availability to those ready to take a first step without waiting weeks for a scheduled intake appointment.
Heartland Counseling Clinic incorporates Cognitive Behavioral Therapy (CBT) and Medication Assisted Treatment (MAT) as core therapeutic methods. CBT helps clients identify and reshape the thought patterns that drive substance use and related mental health struggles, while MAT provides a clinically supported approach for those whose recovery benefits from medication as part of their treatment plan. The clinic also addresses co-occurring disorders and trauma or PTSD alongside substance abuse treatment, recognizing that many people in recovery are managing more than one challenge at once.
Heartland's outpatient program is designed to serve a broad population, including individuals who are Deaf or hard of hearing — a specific and often underserved group in addiction treatment settings. The clinic accepts Medicaid, Medicare, TRICARE, private insurance, state insurance, and self-pay, and offers services on a sliding fee scale with financial assistance available. That payment flexibility matters enormously for rural communities where financial barriers frequently stand between people and the substance abuse treatment they need.
Outpatient Addiction Treatment Across Rural Nebraska
For the 17 counties stretching across south-central and western Nebraska that Heartland Counseling Clinic serves, access to consistent outpatient addiction treatment is not a given. Distance, limited local resources, and the practical demands of rural life can all make it harder to pursue recovery. Heartland's outpatient program is designed with that reality in mind — providing structured, ongoing substance abuse treatment and mental health services without requiring people to relocate or enter residential treatment.
The clinic's location in Lexington, Nebraska places it within reach of communities across Dawson, Lincoln, Keith, Red Willow, and a dozen other counties. Whether someone is beginning recovery or maintaining progress after a more intensive treatment episode, the outpatient program offers a consistent point of contact in the recovery community they already live in.
Dual Diagnosis and Trauma-Informed Outpatient Care
Recovery rarely involves a single issue. Heartland Counseling Clinic addresses this directly by treating co-occurring disorders and trauma or PTSD alongside substance abuse — conditions that frequently overlap and reinforce each other. The clinic's use of Cognitive Behavioral Therapy (CBT) gives clients practical tools for understanding and changing the patterns underlying both mental health challenges and addictive behavior.
Medication Assisted Treatment is also available for those whose recovery plan calls for it, providing a clinically grounded approach that supports long-term stability. This combination of therapeutic methods within an outpatient setting means clients can build the skills and supports needed for sustained recovery while remaining connected to their communities, families, and daily lives.
Accessible Care: Insurance, Sliding Scale, and Open Access
One of the most concrete barriers to addiction treatment is cost, and Heartland addresses this with a payment structure designed to reach as many people as possible. The clinic accepts Medicaid, Medicare, TRICARE, private insurance, state insurance, and self-pay arrangements. For those without comprehensive coverage, a sliding fee scale and financial assistance options are available — meaning payment is adjusted based on what a person can realistically afford.
The clinic also offers Open Access hours, which reduce the waiting period between deciding to seek help and actually beginning treatment. In a region where the nearest alternative recovery center may be hours away, that kind of accessibility is a meaningful part of what Heartland offers to the broader recovery community it serves.
Serving Populations Often Overlooked in Addiction Treatment
Heartland Counseling Clinic specifically serves individuals who are Deaf or hard of hearing — a population that frequently encounters significant gaps in addiction treatment and mental health services. The clinic's inclusion of this population reflects a commitment to reaching people who may otherwise find recovery programs inaccessible or unwelcoming.
For family members supporting a loved one's recovery, the clinic's broad insurance acceptance, sliding scale pricing, and outpatient structure can make sustained engagement with a treatment program more realistic. The outpatient format keeps clients anchored in their home communities while still providing the structured, professional support that long-term recovery requires.
Why Choose Region II Human Services
- CARF-accredited outpatient program serving 17 rural Nebraska counties — one of the broadest service footprints in the region
- Open Access hours allow new clients to begin the recovery process without a lengthy wait for a scheduled intake
- Explicitly equipped to serve Deaf and hard of hearing individuals seeking addiction treatment and mental health support
- Sliding fee scale and broad insurance acceptance — including Medicaid, Medicare, and TRICARE — remove common financial barriers to outpatient care
- Integrated treatment for co-occurring disorders and trauma/PTSD alongside substance abuse treatment, with both CBT and Medication Assisted Treatment available
Frequently Asked Questions
What level of addiction treatment does Heartland Counseling Clinic provide?
Heartland Counseling Clinic operates as an outpatient program, offering structured substance abuse treatment and mental health services without requiring overnight stays or residential placement. This level of care is well-matched for people in ongoing recovery who need consistent, community-based support. It is also a common step-down option after more intensive treatment.
Which counties does Heartland Counseling Clinic serve?
The clinic serves 17 counties across south-central and western Nebraska, including Arthur, Chase, Dawson, Dundy, Frontier, Gosper, Grant, Hayes, Hitchcock, Hooker, Keith, Lincoln, Logan, McPherson, Perkins, Red Willow, and Thomas counties. This wide service area makes Heartland one of the more accessible outpatient recovery resources in the region for rural residents.
Does Heartland Counseling Clinic treat co-occurring mental health conditions alongside addiction?
Yes. The clinic treats co-occurring disorders and dual diagnosis conditions, as well as trauma and PTSD, alongside substance abuse treatment. Addressing these interconnected challenges within a single outpatient program can reduce the complexity of coordinating care across multiple providers.
What therapeutic approaches does the clinic use in its outpatient program?
Heartland Counseling Clinic uses Cognitive Behavioral Therapy (CBT) and Medication Assisted Treatment (MAT) as part of its outpatient program. CBT is a widely used approach that helps people recognize and change the thought and behavior patterns connected to substance use. MAT supports those whose recovery plan includes medication as a clinical component.
What insurance does Heartland Counseling Clinic accept?
The clinic accepts Medicaid, Medicare, TRICARE, private insurance, and state insurance. Self-pay is also an option, and services are provided on a sliding fee scale with financial assistance available for those who qualify. This broad range of payment options is designed to reduce financial barriers to outpatient addiction treatment.
Does Heartland Counseling Clinic offer a sliding fee scale?
Yes. Services at Heartland Counseling Clinic are provided on a sliding fee scale, meaning the cost of care can be adjusted based on a client's financial situation. Financial assistance is also available. For many individuals and families in rural Nebraska, this flexibility is a significant factor in making sustained outpatient treatment achievable.
Is Heartland Counseling Clinic accredited?
Yes. Heartland Counseling Clinic holds CARF accreditation, a nationally recognized standard for behavioral health and addiction treatment providers. CARF accreditation indicates that the clinic meets established quality benchmarks for the services it provides.
Does the clinic serve people who are Deaf or hard of hearing?
Yes. Heartland Counseling Clinic specifically identifies Deaf and hard of hearing individuals as a population it serves. This is notable because people in this group often face significant access barriers in addiction treatment settings. Prospective clients with hearing-related needs are encouraged to contact the clinic directly at (308) 324-6754 to discuss how services can be accommodated.
What are Heartland Counseling Clinic's hours?
The clinic is open Monday through Friday from 8:00 AM to 4:30 PM. It is closed on Saturdays and Sundays. The clinic also offers Open Access hours, which allow individuals to begin the intake process without waiting for a scheduled appointment — an important feature for those ready to start recovery now.
Is Heartland Counseling Clinic right for someone looking for long-term recovery support?
Heartland's outpatient program is structured for sustained, ongoing engagement with treatment rather than a single acute episode of care — making it a practical fit for people in longer-term recovery. The combination of CBT, MAT, and dual diagnosis treatment within an accessible outpatient setting supports the kind of continuous progress that lasting recovery requires. Its broad service area and flexible payment options further extend that support to communities with limited local alternatives.
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