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Reality House Outpatient

Astoria, NY

SAMHSA Verified Outpatient Telehealth

Outpatient · Telehealth center · in Astoria, NY · Accepts Medicaid · Medicare · Private · TRICARE · Serves veterans, trauma survivors.

Free helpline · 24/7

Need help choosing the right program?

Call helpline: +1 (205) 973-2878

Direct line to Reality House Outpatient: (212) 281-6004

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About Reality House Outpatient

Located in Astoria along Broadway, Reality House offers outpatient addiction and mental health services for adults across New York City. The center supports recovery through medically supervised care, group and individual therapy, and practical life services tailored to each client’s needs. Designed to uplift underserved communities, the program welcomes those impacted by poverty, incarceration, trauma, or chronic substance use.
Each client receives an individualized plan that blends trauma-informed therapy with relapse prevention, psychiatric support, and vocational services. Clinicians use evidence-based methods such as motivational counseling and recovery coaching, while wraparound care includes anger management, case management, and family involvement. Day and evening programs create flexibility, making it easier for clients to remain engaged as they build independence and long-term stability.
Reality House offers unique services rarely found in outpatient settings—support for HIV-positive clients, DUI/DWI assessments, and structured assistance for justice-involved individuals. Veterans receive counseling for post-traumatic stress disorder (PTSD), head trauma, and combat-related substance use. They offer same-day appointments, peer support, and a welcoming space rooted in social justice to help individuals heal and reclaim their futures within their community.

Private non-profit organization. Primary focus: substance use 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 · Telehealth
Service settings
Outpatient, Regular outpatient treatment
Therapy approaches
Anger management, Brief intervention, Cognitive behavioral therapy, Contingency management/motivational incentives, Motivational interviewing, Relapse prevention, Substance use disorder counseling, Trauma-related counseling
Age groups
Young Adults, Adults
Special populations
Young adults, Adult women, Pregnant/postpartum women, Adult men, Seniors or older adults, Veterans, Members of military families, Criminal justice (other than DUI/DWI)/Forensic clients, Clients with co-occurring mental and substance use disorders, Clients with co-occurring pain and substance use disorders
Recovery supports
Self-help groups, Housing services, Assistance with obtaining social services, Recovery coach, Mentoring/peer support, Employment counseling or training
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: Federal, or any government funding for substance use treatment programs; IHS/Tribal/Urban (ITU) funds; Medicare; Medicaid; Federal military insurance (e.g., TRICARE); Private health insurance; Cash or self-payment; State-financed health insurance plan other than Medicaid; SAMHSA funding/block grants

Contact & Location

Address

31-75 23rd Street, Astoria, NY 11106

Get directions →

Facility direct line

(212) 281-6004

Photos

Reality House Outpatient — photo

Frequently Asked Questions

Does Reality House Outpatient accept Medicaid?
Yes. According to SAMHSA data, Reality House Outpatient accepts Medicaid. Coverage specifics (copays, prior authorization) depend on the specific NY Medicaid plan. Call (212) 281-6004 to verify your benefits.
What level of care does Reality House Outpatient offer?
This facility offers: Outpatient, Telehealth. Service settings include: Outpatient, Regular outpatient treatment. Primary focus: Substance use treatment.
Does Reality House Outpatient have specialized programs?
Yes — this facility offers programs for: Young adults, Adult women, Pregnant/postpartum women, Adult men, Seniors or older adults, Veterans, Members of military families, Criminal justice (other than DUI/DWI)/Forensic clients.
What therapy methods does Reality House Outpatient use?
Evidence-based approaches listed with SAMHSA: Anger management, Brief intervention, Cognitive behavioral therapy, Contingency management/motivational incentives, Motivational interviewing, Relapse prevention, Substance use disorder counseling, Trauma-related counseling, Telemedicine/telehealth therapy, 12-step facilitation.
How do I start treatment at Reality House Outpatient?
Call the facility directly at (212) 281-6004 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