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Substance Use Treatment · Hickory, NC

Cognitive Connection

Outpatient Program Intensive Outpatient (IOP)
Address
929 15th Street NE Suite 100
Hickory, NC 28601
Accredited by
CARF
Admissions
Call to confirm availability

About

About Cognitive Connection

The Cognitive Connection sits at 929 15th Street NE in Hickory, with a second office in Conover, North Carolina. Founded in 1995 by Clay, Wilson & Associates to improve the lives of adolescents and adults across the Unifour area, the practice has grown into a fully integrated care provider that combines substance use treatment, behavioral health, primary care, women’s health, weight loss management, and tailored care management under one roof. Leadership includes Chief Executive Officer Julie Walker, BSO, Chief Financial Officer Heidi Miller, Chief Operating Officer Josh Clay, Medical Director Justin Crouse, DMSc, PA-C, CAQ-Psychiatry, and Clinical Director Kristen Seese, MA, NCC, LCAS, LCMHC, CCS.

Behavioral health and substance use services form a core service line. Counselors specialize in behavioral intervention and substance use treatment, with a 24/7 crisis line at 828-217-3922. The practice accepts DWI, court, family, self, doctor, social worker, and probation referrals – making it a primary resource for the Catawba County criminal justice system as well as for self-directed clients seeking help. Federal probation coordination is handled by Andrea King-Shippy, MA, LCAS-A. Adolescent services for ages 12 to 17 include individual and family counseling, the Parent And Youth Connection (PAYC) program, the Systematic Training for Effective Parenting (STEP) program, and 18B and underage drinking violation classes managed by Adolescent Program Manager Tim Cook.

Primary care and behavioral health are integrated so that patients can access psychiatric services, behavioral health counseling, women’s health, weight management, and sick visits within the same practice. Same-day primary care appointments are often available. Tailored Care Management assigns a single care manager who performs a comprehensive assessment and builds an individualized care plan, coordinating services for clients who need help navigating multiple touchpoints. Nurse Practitioner Roxanne Price, MSN, FNP-C, PMHNP-BC, provides both primary care and psychiatric services. Peer support specialists led by Kenneth Fox, CADC, NCCPSS, supplement clinical services.

The Cognitive Connection is CARF-accredited and operates with a financial structure designed to remove barriers. Many substance use services are grant-funded; for services not covered by grants, the practice offers a sliding scale fee and works with clients on payment schedules. Medicaid, Medicare, private insurance, state insurance, and self-pay are all accepted. Office hours run Monday through Friday from 8 AM to 8 PM. The main line is (828) 327-6026 in Hickory or (828) 256-3436 in Conover.

  • CARF-accredited medical detox with psychiatric nurse practitioner and medical director oversight
  • Grant-funded substance use services with sliding scale fees for comprehensive affordability
  • Same-day appointments and crisis line for immediate withdrawal management access
  • Integrated primary care and psychiatric services on-site during detox treatment
  • Specialized services for deaf and hard-of-hearing populations requiring medical detox

Treatment

What this center treats and how

Levels of care
Outpatient Program Intensive Outpatient (IOP)
Conditions
Substance Use Disorders Mental Health Disorders Co-Occurring Disorders / Dual Diagnosis DWI / Underage Drinking Violations
Methods
Cognitive Behavioral Therapy (CBT) Cognitive Behavioral Intervention Programs Individual Counseling Group Counseling Family Counseling Tailored Care Management
Populations
Adolescents (12-17) Adults Men Women Court-Ordered Deaf / Hard Of Hearing
Languages
English
Facility
Integrated primary care, behavioral health, and substance use services Hickory and Conover office locations Same-day primary care appointments often available Crisis line (828-217-3922) Weight loss management program Women's health services Adolescent PAYC and STEP programs

Location

Where it is

929 15th Street NE Suite 100, Hickory, NC 28601 Get directions

Ready to talk to Cognitive Connection?

Calls go directly to the center. Free and confidential.

Call (828) 327-6026

Medical Detox and Withdrawal Management Services

Cognitive Connection's medical detox program provides 24/7 medically supervised withdrawal management under the direction of Medical Director Justin Crouse, DMSc, PA-C, and psychiatric nurse practitioner Roxanne Price, MSN, PMHNP-BC. The CARF-accredited facility offers comprehensive substance use assessment and medication-assisted treatment for safe alcohol detox, opioid detox, and other substance withdrawal protocols.

The detox center maintains integrated primary care and psychiatric services on-site, allowing medical staff to address both acute withdrawal symptoms and co-occurring mental health conditions during the stabilization process. Same-day appointments and crisis line services ensure immediate access to medically supervised detox when patients require urgent withdrawal management.

Outpatient Programs Following Detox

Following medical detox stabilization, patients transition to intensive outpatient programs and standard outpatient treatment led by Clinical Director Kristen Seese, MA, LCMHC, LCAS. The facility's cognitive behavioral intervention programs combine medication-assisted treatment with structured therapeutic programming designed to address underlying addiction patterns.

Outpatient services include group counseling, individual therapy sessions, and continuing medication management for patients who completed initial detox treatment. The center's integrated care model allows seamless transitions between detox, intensive outpatient, and ongoing outpatient support without changing treatment locations.

Insurance Coverage and Payment Options

Cognitive Connection accepts major insurance carriers including Aetna, Cigna, Humana, United Healthcare, and Blue Cross Blue Shield for medical detox and outpatient programs. The facility also works with Medicaid, Medicare, and state insurance plans to ensure broad access to medically supervised withdrawal management services.

Grant funding covers many of the center's substance use services, significantly reducing out-of-pocket costs for detox treatment. For services not covered by grants or insurance, sliding scale fees and flexible payment schedules make medical detox accessible regardless of financial circumstances.

Specialized Populations and Accessibility

The treatment center serves men, women, adolescents, and court-ordered individuals requiring medical detox and outpatient addiction treatment. Specialized services for deaf and hard-of-hearing populations ensure accessibility to medically supervised withdrawal management for patients with hearing impairments.

Adolescent Program Manager Tim Cook oversees youth-specific detox and outpatient services, while Peer Support Specialist Supervisor Kenneth Fox, CADC, NCCPSS, provides peer-based support throughout the withdrawal management process. The facility operates Monday through Friday from 8 AM to 8 PM to accommodate various scheduling needs for detox and outpatient programming.

After Care

Continuing support

Tailored Care Management Ongoing primary care integration Peer support specialists

Cost & Credentials

What's covered and who vouches for it

Payment options
Medicaid Medicare Private Insurance Self-Pay / Cash Sliding Scale Financial Assistance State Insurance Grant-Funded Services
Accreditations
CARF
Note

Many of our substance use services are paid for by grants. For services not covered by grants, we offer a sliding scale fee and will set up a payment schedule.

Common questions

FAQs About Cognitive Connection

Does Cognitive Connection provide medical detox services? +
Yes, Cognitive Connection offers medical detox with 24/7 medically supervised withdrawal management. The CARF-accredited facility provides detox services under Medical Director Justin Crouse, DMSc, PA-C, with on-site psychiatric and primary care support.
What types of detox programs are available? +
The center provides medical detox for alcohol, opioids, and other substances with comprehensive assessment and medication-assisted treatment. Following detox stabilization, patients can transition to intensive outpatient programs or standard outpatient treatment on-site.
Does insurance cover medical detox at Cognitive Connection? +
The facility accepts major insurance including Aetna, Cigna, United Healthcare, Blue Cross Blue Shield, Medicaid, and Medicare. Grant funding covers many substance use services, with sliding scale fees available for additional care not covered by insurance or grants.
Can I get same-day detox treatment? +
Yes, Cognitive Connection offers same-day appointments and maintains a crisis line for immediate access to medically supervised detox. The facility operates Monday through Friday from 8 AM to 8 PM for urgent withdrawal management needs.
What medical staff oversee the detox program? +
Medical detox is supervised by Medical Director Justin Crouse, DMSc, PA-C, and psychiatric nurse practitioner Roxanne Price, MSN, PMHNP-BC. Director of Health Services Sarah Shook, RN, and Clinical Director Kristen Seese, MA, LCMHC, LCAS, provide additional medical and clinical oversight.
Does Cognitive Connection treat adolescents for detox? +
Yes, the facility serves adolescents requiring medical detox and substance use treatment. Adolescent Program Manager Tim Cook oversees youth-specific programming, with specialized detox protocols appropriate for younger patients.
What happens after completing medical detox? +
Patients can transition directly to intensive outpatient programs or standard outpatient treatment at the same facility. The integrated care model includes ongoing medication management, group counseling, and cognitive behavioral therapy interventions.
Are there services for deaf or hard-of-hearing patients? +
Yes, Cognitive Connection provides specialized services for deaf and hard-of-hearing populations requiring medical detox and addiction treatment. The facility ensures accessibility to medically supervised withdrawal management for patients with hearing impairments.
How long has Cognitive Connection been providing detox services? +
Cognitive Connection has been operating since 1995, providing medical detox and addiction treatment services to Catawba County and the Unifour Area for nearly three decades. The facility maintains CARF accreditation for its substance use treatment programs.
What areas does the detox center serve? +
The facility serves Hickory, Catawba County, the Unifour Area, and broader North Carolina regions. Located at 929 15th Street NE in Hickory, the center provides medical detox and outpatient services throughout western North Carolina.

Services

Programs and specialties

Treatment type
Outpatient Outpatient detoxification Outpatient day treatment or partial hospitalization IOP Outpatient methadone/buprenorphine or naltrexone treatment Aftercare recovery programs Opioid Detoxification Routinely uses medication for detoxification
Payment
Cash or self-payment State-financed health insurance plan other than Medicaid Payment assistance (check with facility for details) Federal or any government funding for substance use programs Medicaid Sliding fee scale (fee is based on income and other factors)
Specialty
Mental health counseling for co-occurring disorders Group therapy Family therapy Addiction recovery education Adult men Clients referred from the court/judicial system
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