Facilities

• Substance use treatment facilities: 17,829 eligible to respond to SAMHSA’s latest survey
• Included in data set: 15,953 substance use treatment facilities that responded
• Private facilities: 90.3% of substance use treatment facilities
• For profit facilities: 42.1% of substance use treatment facilities
• Offer outpatient: 83.8% of substance use treatment facilities
• Offer residential: 22.5% of substance use treatment facilities

Treatment Medications & Payments

• Facilities that offer medications for opioid use disorder: 61.7% increased from 55.3% in the 2021 survey
• Take Medicaid: 77.8% of substance use treatment facilities
• Take private insurance: 78.3% of substance use treatment facilities

Need For Treatment

• Americans with a substance use disorder: 44.6 Million age 12+
• Received treatment: 16.0% of people that need treatment, 7.6 Million people
• Predicted overdose deaths, latest 12 months: 67,798 decreasing by 12.3%

Counselor Workforce

• Employment of addiction and mental health counselors: 533,400
• Median salary for counselors: $59,350 per year
• Job growth forecast: 18% over the next 10 years

There are 17,829 substance use treatment facilities eligible to respond to SAMHSA’s survey and 15,953 that did.

There are a few ways to interpret how many rehab centers are in the US:

You should use the number of eligible substance use facilities when stating how many rehab centers are in the US.

Many facilities offer mental health treatment in addition to substance use treatment:

• Total facilities that responded: 21,205
• Facilities that offer mental health treatment: 14,091
• Facilities that offer substance use & mental health: 8,839
• Survey response rate: 90.4%

Keep in mind this is a voluntary survey, it lists facilities not businesses or beds.

When using these numbers, always state how many eligible substance use treatment facilities there are when referring to rehab centers, along with the date of the survey.

Private facilities account for 90.3% of rehab centers in the US according to SAMHSA’s most recent facility survey.

Almost half of these facilities are run by non-profit organizations and for-profit organizations make up most of the rest.

Less than 1 in 10 rehab centers are operated by a government agency.

For-profit facilities have been growing over the past few years, they accounted for 41.3% of facilities in the 2021 survey and non-profits made up 49.5%.

83.8% of rehab centers offer outpatient treatment in the US, 22.5% offer residential treatment, according to SAMHSA.

Facilities can offer multiple types of care, percentages will not equal 100%.

Most rehab centers in the US are outpatient facilities, residential rehab centers make up less than 1 in 4 facilities.

When people think of rehab, they typically imagine staying at a residential facility, but only a small percentage of rehab centers offer this type of treatment.

Most rehab centers in the US offer outpatient treatment.

61.7% of rehab centers offer treatment medications for Opioid Use Disorder, that number has increased from 55.3% in the 2021 survey, according to SAMHSA.

Medications used to treat opioid use disorder include Methadone, Buprenorphine, and Naltrexone (Injection). Medications used to treat alcohol use disorder include Disulfiram, Naltrexone, and Acamprosate.

All types of medication saw an increase over the past 4 survey years:

While treatment for alcohol use disorder had the biggest jump, half of facilities do not offer these medications.

Additional stats about offering opioid use disorder medications:

• Opioid Treatment Programs: 13.9% of facilities, or 2,224 rehab centers
• Use Prescribers of Buprenorphine: 52.8% of facilities
• Can Prescribe Naltrexone: 48.6% of facilities
• Accept clients already on opioid use disorder medications: 60.1% of facilities
• Provide Overdose/Naloxone Education: 80.3% of facilities

61.7% of rehab centers offer medications for opioid use disorder.

Cash or self-payment is accepted by 89.9% of facilities and private insurance is accepted by 78.3% according to SAMHSA.

Medicare has seen the largest increase, here are all the types of payment:

Almost all rehab centers will take cash, about 1 in 5 do not accept Medicaid.

Rehab Centers that take no form of payment and those that offer free treatment:

• No Form Of Payment: 1.6% of facilities, or 253 rehab centers
• Offer Free Or Low Cost Treatment: 46.3% of facilities

For what rehab costs by payer and level of care, see our rehab cost study.

95.8% of substance use treatment facilities are licensed, certified or accredited in the United States, according to SAMHSA.

Some of the top credentials & services offered at these facilities:

• State substance use agency licensed: 69.0%
• CARF accredited: 33.9%
• Joint Commission accredited: 25.9%
• Special program for those with co-occurring disorders: 64.9%
• Offer suicide prevention: 63.5%, previously 46.4%
• Special program for Veterans: 36.0%, previously 28.7%

According to SAMHSA, programs tailored to adult women are the most common, offered at 56.5% of substance use treatment facilities.

Programs that offer specialized programs to adolescents are still low at only one facility in four.

There are approximately 44.6 Million Americans who have a substance use disorder in 2025, according to SAMHSA’s National Survey on Drug Use and Health. About 1 in 6 of those who needed treatment received it.

Having a substance use disorder here means meeting the survey’s clinical criteria for one in the past year, not necessarily having a formal diagnosis. Someone who needs treatment could have an SUD or have received treatment in the last year.

Here are some statistics that relate to rehab usage and who needs it:

• Individuals with any Substance Use Disorder: 44.6 Million, which is 15.3% of Americans aged 12 and over
• Alcohol Use Disorder: 25.7 Million
• Drug Use Disorder: 26.0 Million
• Have Alcohol & Drug Use Disorder: 7.1 Million
• Received Treatment that needed it: 16.0%, which equates to 7.6 Million individuals

Yes, according to SAMHSA, ages 18-25 had the lowest percentage of those that went to treatment, at only 9.6%.

You can see that the highest age range for someone to have an SUD was ages 18-25, but only 1 in 10 went to treatment.

Out of the 38,100,000 adults who have an SUD and did not receive treatment, 94.5% either didn’t seek treatment or felt they didn’t need it, according to SAMHSA.

• Those 12+ with SUD that did not receive treatment or services: 86.4% of those with an SUD, which equals 38,500,000
• Did not receive treatment, but sought treatment: 0.5%, which is about 187,000 adults
• Believed they should have received treatment, but didn’t seek it: 5.0%, or about 1,900,000 adults
• That have ever had a problem with drugs or alcohol: 30,600,000
• Feel they are recovering from drug/alcohol problem: 73.0%, which equals 22,300,000

The gap is mostly perceived need, not waiting lists: fewer than 200,000 untreated adults actually looked for treatment.

Rates for substance use disorder have gone down, there was a decrease of people that had an SUD from 16.7% to 15.3% for people aged 12 or older, between the 2021 and 2025 surveys.

533,400 jobs are held by substance abuse, behavioral disorder, and mental health counselors, with a median salary of $59,350, according to the Bureau of Labor Statistics.

In the information provided by the Bureau of Labor Statistics, addiction counselors are grouped with Mental Health Counselors.

Here is some additional information that may pertain to working in the field:

• Employment is projected to grow by: 18% over the next decade, compared to 3% for all occupations
• Projected employment growth, number of jobs: 98,000
• Projected Openings Per Year: 50,500, includes replacement openings
• The Bottom 10% Make Less Than: $38,940
• Top 10% Make More Than: $97,590
• Median Salary for ALL Occupations: $50,980

According to BLS, Residential Mental Health and Substance Abuse Facilities pay their counselors the least out of these industries, at only $49,660 a year.

It’s interesting to note that of the five industries, hospitals have the lowest employment but highest wages.

According to the CDC, there are predicted to be 67,798 overdose deaths in the United States over the latest 12-month period, which is a 12.3% decrease from the previous year.

These are considered provisional death counts, the CDC releases both a reported count and projected count that will be adjusted for deaths still under investigation. This is updated on a monthly basis, 4 months behind.

With more facilities providing Medication Assisted Treatment, there may be a decline in overdose deaths. We can’t say if one caused the other.

Remember, this will fluctuate every month, any citations should mention the 12 month period it covers.

SAMHSA collects data from facilities that provide Substance Use Treatment, these can range from outpatient facilities to hospitals. There is no separate federal count of ‘rehabs’, because SAMHSA counts every facility that provides substance use treatment, whatever its setting.

Currently there is no data from a federal statistical agency that would give us this answer. Some private companies that sell research will have this.

SAMHSA’s facility survey does not collect prices. Our rehab cost study compiles what payers report: Peterson-KFF found that residential treatment facility stays for substance use cost large employer plans an average of $21,900 in 2023. The payment section above shows which forms of payment facilities accept.

As you can see, the rehab industry is much bigger than you may think, it can consist of Outpatient, Residential and Inpatient facilities. Many of these are privately owned and the employment outlook looks good for those in this career path.

There is still more to learn, but these statistics should give you an idea of the size of this industry, and what steps we can take to increase treatment rates.

There are 17,829 eligible substance use treatment facilities in the US, and they compete for the same searches. Lead to Recovery builds the SEO, PPC and call tracking that turn those searches into qualified calls for your admissions team.

Book a strategy call or call 855-876-7238.