We believe that everyone deserves access to quality care regardless of their financial situation. That’s why we’re committed to removing financial barriers and ensuring that no one is denied access to services because of an inability to pay. To support this, there is a discounted/sliding fee schedule for residents of the state of Virginia available based on family size and income. Click here to read more about the program and see if it is right for you.

At Pathways, we believe that everyone has unique strengths, talents, and the ability to heal. Our mission is to help individuals and families access the support they need to realize their full potential. Through trauma-informed therapy, addiction support, and community-based services, we are committed to building stronger families and healthier communities.

PathwaysFCS can accept payments from the following insurance payors: Aetna, Anthem, Care First, Cigna, GEHA, HealthKeepers Plus, Innovation Health, Sentara, UMR, Optum, United Healthcare, Tricare and all Medicaid MCO’s. For payors accepted in Reno, please click here.        
That being said, every case is unique and it is best to verify that your chosen clinician is in-network for your insurance.        

Currently we have three physical offices- one in Reno, NV, another in Stafford, VA, and the final in Herndon, VA however we have a fourth location in Mechanicsville, VA opening on January 2nd, 2026. You can view our addresses on our Locations page.

That is 100% okay! We have clinicians that offer both in-person and virtual sessions, so you can experience your counseling from the security of your home if that is what makes you most comfortable.

While we do not prescribe medicine, we have excellent referral partners who are ready and available to support medication management for our clients in collaboration with our counseling.

Click here to fill out our Appointment Request form and get started on your journey with PathwaysFCS. Someone will be in touch within 24 hours to match you with a clinician and get your counseling started.

When you have health insurance through more than one plan, coordination of benefits (COB) is the process insurance companies use to decide which plan pays first and how much the secondary plan will cover. We provide our clients with guidance on this process at the start when you begin counseling at Pathways. To learn more about COB, click here.