Town of Smithtown/Horizons Counseling

The Town of Smithtown Horizons Counseling and Education Center stands apart from typical private outpatient clinics because it is run by the town itself. Situated at 161 East Main Street in Smithtown, NY, this outpatient program is a direct expression of local government's commitment to supporting residents through addiction treatment and long-term recovery. For people who want a recovery center that is genuinely accountable to the community they live in, that distinction matters.

Horizons also works in partnership with the Smithtown Opioid and Addiction Task Force, a body established by unanimous Town Board vote to address substance abuse at the community level. That partnership means clients at Horizons are connected to a wider network of local recovery resources, not just a standalone clinic. For anyone building a recovery plan that extends beyond acute treatment into lasting community integration, that broader network is a real asset.

One of the most notable aspects of Horizons is the breadth of populations the center explicitly serves. Adolescents, young adults between 18 and 25, seniors, men, women, veterans, and pregnant women are all within scope — making this one of the more inclusive outpatient programs in Suffolk County. Whether a family is seeking help for a teenager, a veteran is navigating recovery alongside service-related challenges, or an older adult is confronting long-standing substance use, Horizons has a stated capacity to meet those varying needs.

The center's focus on co-occurring disorders and dual diagnosis reflects an understanding that addiction rarely exists in a vacuum. Trauma and PTSD are also addressed, which is particularly significant for veterans and others whose substance use is connected to unresolved psychological wounds. Cognitive Behavioral Therapy provides a structured framework for working through those connections during outpatient sessions, supporting the kind of deeper, sustained recovery that goes well beyond short-term stabilization.

Cost is one of the most common barriers to entering or continuing addiction treatment, and Horizons addresses that directly through a wide range of accepted payment methods. The center accepts Medicaid, Medicare, private insurance, and state insurance, as well as self-pay and cash arrangements. A sliding scale fee structure and financial assistance options are also available, meaning cost alone should not prevent a Suffolk County resident from accessing outpatient substance abuse treatment.

The center operates Monday through Friday from 9:00 AM to 5:00 PM, providing a stable weekly schedule that fits within the routines of people managing work, caregiving, or school alongside their recovery. Prospective clients and family members can reach Horizons directly at (631) 360-7578 or visit the program online at smithtownny.gov/horizons to learn more about getting started.

At Horizons, Cognitive Behavioral Therapy is the confirmed therapeutic method guiding outpatient treatment. CBT helps people in recovery examine the thinking patterns and behavioral responses that fuel substance use, and develop practical strategies for change — skills that remain useful long after formal treatment ends. For those building a recovery plan with lasting staying power, a CBT-grounded outpatient program offers a structured, skill-building foundation.

The center's dual diagnosis and co-occurring disorder focus is equally important. Many people who seek substance abuse treatment are also managing mental health conditions — anxiety, depression, PTSD, or trauma responses — that, left unaddressed, can undermine recovery progress. By treating these conditions together within the outpatient program, Horizons works toward the kind of integrated care that supports whole-person recovery over the long term.