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1st Step Recovery Center - 5th Street

Lancaster, OH

SAMHSA Verified Outpatient Dual Dx Telehealth

Outpatient · Dual Dx · Telehealth center · in Lancaster, OH · Accepts Medicaid · Private · TRICARE · Serves veterans, adolescents, seniors, trauma survivors.

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Call helpline: +1 (205) 973-2878

Direct line to 1st Step Recovery Center -...: (502) 290-3964

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About 1st Step Recovery Center - 5th Street

1st Step Recovery – 5th Street is a women-only treatment center in Louisville, KY, helping those receiving Kentucky Medicaid on their journeys to lasting wellness and resilience. 1st Step offers residential and outpatient care for co-occurring substance use and serious mental illness (SMI). This DOC-approved program helps women on probation or parole earn good time credit upon completion, supporting lasting recovery and second chances.
Their approach combines structure with compassion. Clients receive care through individual and group counseling, trauma therapy, peer support, and 12-Step groups. These therapies help women build healthy habits, understand their triggers, and grow emotionally. The goal is long-term healing, emotional stability, and readiness for life beyond treatment.
Women in the residential program live in a safe, women-only home with shared or private rooms and access to clean bathrooms. Nutritious meals are provided daily. The facility includes indoor gathering spaces and outdoor areas for fresh air and relaxation. Staff can assist with transportation, helping each woman get the support she needs to recover.

Classified as outpatient mental health facility. private non-profit organization. Primary focus: substance use treatment, mental health treatment.

This listing is sourced from the SAMHSA Behavioral Health Treatment Services Locator. Data last synced: April 2026. Always verify current programs and insurance directly with the facility.

Quick Facts

Programs, populations, and payments verified via SAMHSA.

Level of care
Outpatient · Dual Dx · Telehealth
Service settings
Outpatient
Therapy approaches
Activity therapy, Cognitive behavioral therapy, Couples/family therapy, Dialectical behavior therapy, Eye Movement Desensitization and Reprocessing therapy, Group therapy, Integrated Mental and Substance Use Disorder treatment, Individual psychotherapy
Age groups
Children/Adolescents, Young Adults, Adults, Seniors
Special populations
Young adults, Seniors or older adults, Veterans, Active duty military, Members of military families, Clients with co-occurring mental and substance use disorders, Clients who have experienced intimate partner violence, domestic violence, Clients who have experienced trauma, Persons with traumatic brain injury (TBI), Persons with eating disorders
Recovery supports
Housing services, Mentoring/peer support
Facility operation
Private non-profit organization

Insurance & Payment Accepted

Verify coverage
Medicaid
Medicare
Private insurance
TRICARE / VA
Self-pay / Cash
Sliding scale

Full list from SAMHSA: County or local government funds; Medicaid; Federal military insurance (e.g., TRICARE); Other State funds; Private health insurance; Cash or self-payment; State welfare or child and family services funds

Contact & Location

Address

201 South Columbus Street, Lancaster, OH 43130

Get directions →

Facility direct line

(502) 290-3964

Photos

1st Step Recovery Center - 5th Street — photo 1st Step Recovery Center - 5th Street — photo 1st Step Recovery Center - 5th Street — photo 1st Step Recovery Center - 5th Street — photo

Frequently Asked Questions

Does 1st Step Recovery Center - 5th Street accept Medicaid?
Yes. According to SAMHSA data, 1st Step Recovery Center - 5th Street accepts Medicaid. Coverage specifics (copays, prior authorization) depend on the specific OH Medicaid plan. Call (502) 290-3964 to verify your benefits.
What level of care does 1st Step Recovery Center - 5th Street offer?
This facility offers: Outpatient, Dual Dx, Telehealth. Service settings include: Outpatient. Primary focus: Substance use treatment, Mental health treatment, Treatment for co-occurring substance use plus either serious mental health illness in adults/serious emotional disturbance in children.
Does 1st Step Recovery Center - 5th Street have specialized programs?
Yes — this facility offers programs for: Young adults, Seniors or older adults, Veterans, Active duty military, Members of military families, Clients with co-occurring mental and substance use disorders, Clients who have experienced intimate partner violence, domestic violence, Clients who have experienced trauma.
What therapy methods does 1st Step Recovery Center - 5th Street use?
Evidence-based approaches listed with SAMHSA: Activity therapy, Cognitive behavioral therapy, Couples/family therapy, Dialectical behavior therapy, Eye Movement Desensitization and Reprocessing therapy, Group therapy, Integrated Mental and Substance Use Disorder treatment, Individual psychotherapy, Telemedicine/telehealth therapy, Abnormal involuntary movement scale.
How do I start treatment at 1st Step Recovery Center - 5th Street?
Call the facility directly at (502) 290-3964 for an intake assessment. Our free 24/7 helpline (+1 (205) 973-2878) can also help you compare programs, verify insurance, and navigate options. No physician referral is required.
Is treatment confidential?
Yes. Federal law (42 CFR Part 2) provides strict confidentiality protections for substance use treatment records — stricter than HIPAA. Records cannot be disclosed without written consent, even to family, employers, or law enforcement.
What happens when you call? (general intake process)

Most treatment centers follow a 4-step intake: (1) confidential assessment — substance history, mental health, insurance, preferences (protected by 42 CFR Part 2); (2) insurance verification — facility contacts your plan to confirm coverage and out-of-pocket costs; (3) level-of-care recommendation — clinical staff match you to detox, residential, PHP, IOP, or outpatient based on severity; (4) admission typically within 24–48 hours. Timing varies by facility and bed availability.

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Sources & References

  • SAMHSA — Behavioral Health Treatment Services Locator. Source of facility programs, services, and accepted payments.
  • SAMHSA — NSDUH, 2023.
  • CMS — Mental Health Parity and Addiction Equity Act (MHPAEA).
  • 42 CFR Part 2 — Confidentiality of SUD Patient Records.

Facility data last synced: April 2026. Editorial policy.

24/7 Helpline +1 (205) 973-2878