Mental Health Counseling


Counseling Services provides mental health services to individuals who are residents of Pend Oreille County and the Spokane County Regional Support catchment area. This would include residents of Spokane, Adams, Ferry, Grant, Lincoln, Okanogan, and Stevens counties. Residents in other counties or states will need to access services in the Regional Support Network they reside.  We accept all referral sources and provide services for young children to geriatric age.  Counseling Services provides the following services:

Intake evaluations with diagnostic assessment


Medication Management

Case Management

Crisis Services

Individual counseling and psychotherapy

Peer Counselor Services

Group counseling (Current Groups available for enrolled clients):

Rest and Relaxation – a short-term group focused on teaching anxiety reduction coping strategies, such as breath work, visualization and progressive muscle relaxation techniques.

 Illness Management Recovery (IMR) – an evidenced based treatment model focused on helping consumers and their identified support persons learn more about their mental illness, as well as develop/enhance illness management skills.

ADULT KEYS and Youth KEYS – a comprehensive cognitive and behavioral modification program that addresses the relationship between thinking, feeling, behaving and choices. Anger management is a component of the KEYS curriculum.

Self Esteem – focus on changing thinking patterns that negatively affect self-esteem and self-worth.

Wellness Recovery Action Plan (WRAP) – is an evidenced based practice that is used world-wide by people who are dealing with mental health and other kinds of life challenges who want to attain the highest possible level of wellness. This is a plan that can be used by anyone who wants to create a positive change in the way they feel, or increase their enjoyment of life. The WRAP strengthens people’s self-awareness of being able to help them selves and avoid going into a crisis. WRAP is also used for kids, teens and family groups.

Staying Connected with Your Teen – a series of workshops built on research on parent education and adult learning. The workshops seek to increase parents’ skills and enhance behavior related to improving communication and building stronger family bonds. Sessions are designed to maximize skill development and increase the likelihood that parents will use their new skills and behaviors at home with their teens.

Wellness Self-Management Group –  Understanding the connection between a healthy lifestyle and mental health recovery. Identifying and using your healthcare resources. Create and maintain a wellness self-management plan that will create endings and new beginnings.

Dialectical Behavioral Therapy DBT Group –  Teaches the skills of learning how to have better control over your emotions and how to build a life worth living. You will learn skills of taking charge of your thoughts and feelings, getting through tough times and having better relationships with others.

Co-Dependency Group – Originally used to describe a set of behaviors and responses people develop from living with drug or alcohol addiction, it has been expanded to describe a dysfunctional pattern of living and problem solving developed from childhood as a result of certain types of family rules. You will learn to integrate setting and enforcing health limits, empowering ways to give and nurture, experience genuine love and forgiveness and letting go of detaching from others’ harmful behaviors.


Counseling Services provides crisis intervention services to ensure personal and public safety.  Services are available 24 hours a day, 7 days per week.   No appointment is necessary for walk in crisis services.  

For crisis services during office hours, please call (509) 447-5651  o r   1(800)404-5151.  For emergency services after hours, call 1(877)266-1818 and a crisis counselor will be available to discuss your needs.    

For immediate assistance with life threatening and/or medically dangerous situations – call 911

**Please note that the crisis line is not intended for use as a line to leave messages. You may leave a message by calling our office at 509-447-5651**



To obtain additional information or to schedule an intake appointment, please call 509-447-5651 or our toll free number at  1(800)404-5151.   TDD/TTY call 509-447-0480.

Please do not e-mail documents due to confidentiality.  The documents must be printed with original signatures.


Payment for services may be covered in one of the following ways:

        • If you are on Medicaid and have a Medical Identification Provider One Card,  your services will be covered by Medicaid, if you meet Washington State Access to Care.    For some, there will be a “spend down” requirement on your part before services are covered in full.
        • If you have private insurance that covers behavioral healthcare services, we will bill your insurance.  You most likely will need to get your primary care physician to make a referral.  We are an authorized provider for numerous insurance companies.


Rural Resources Dial-A-Ride 509-684-2961 or 1-800-776-9026

 Special Mobility Services 509-534-7171 or 1-877-264-7433

 Kalispel Tribe KALTRAN 509-447-7247


Jennifer Stout — Clinical Supervisor/DCR

Renee Morrison — Therapist

Pam Kellogg — Therapist/DCR

Theresa Allen —  Co-Occurring Professional/DCR

Angela Pavey — Behavioral Health Counselor  

Nancy Ashburn — Therapist/DCR

Anita Waterman — Behavioral Health Counselor

RustyMae Squires — Peer Counselor, AAC

Brittany Stemarie — WISe Care Coordinator

Heather Mercer — WISe  Supervisor

Dawn Craig  — WISe Family Partner

Becca Teeters — WISe Youth Partner

Sandra Dexter, MD — Consulting Psychiatrist

Washington State Mental Health Division

Spokane County Regional Behavioral Health Organization (SCRBHO) 312 West 8th Avenue, Fourth Floor, Spokane, WA 99204 Toll Free: 1-800-273-5864.  Ombuds Services: 1-866-814-3409.

National Alliance on Mental Illness