Spence Counseling Center | Outpatient Program Omaha, NE

At a Glance

Location

12035 Q Street, Omaha, NE 68137

Phone

402-991-0611 x2022

Website

http://www.spencecounselingcenter.com

Primary Focus

Substance use treatmentCo-occurring mental health and substance use treatment

Treatment Settings

OutpatientRegular outpatient treatment

Treatment Approaches

Cognitive behavioral therapyDialectical behavior therapyMotivational interviewingTrauma-related counselingContingency management/motivational incentivesRelapse preventionRational emotive behavioral therapySubstance abuse counselingAnger management

About Spence Counseling Center

Spence Counseling Center is an outpatient clinic in Omaha, NE, offering structured outpatient programs for individuals, families, couples, and youth dealing with mental health conditions. Rooted in a mission of bringing help, healing, and freedom, the center serves the greater Omaha area, Council Bluffs, IA, and Lawrence, KS.

Spence Counseling Center operates as an outpatient clinic at 12035 Q Street in Omaha, Nebraska, extending its reach to Council Bluffs, Iowa, and Lawrence, Kansas through multiple locations. Founded by Carl Spence after 25 years as a pastor, the center was built on the mission of bringing help, healing, and freedom to those who need it — a philosophy that shapes how the practice approaches every person who walks through its doors. For those navigating longer-term recovery and mental health support, Spence offers a community-rooted alternative to hospital-based or residential settings.

The center delivers outpatient program services, making it a practical fit for people at various stages of recovery who need structured support without requiring residential placement. Outpatient care at Spence is designed to accommodate real-life schedules, with the clinic open Monday through Friday from 8 a.m. to 5 p.m. and on Saturdays from 9 a.m. to 9 p.m. — an extended weekend window that sets it apart from many comparable outpatient clinics in the region.

Spence Counseling Center's therapeutic framework draws on Cognitive Behavioral Therapy (CBT) and medication management, two established methods that address both the psychological and, where appropriate, clinical dimensions of mental health and co-occurring conditions. The center also provides mental health assessments and consultations, giving new clients a structured starting point for building a treatment plan grounded in their specific needs.

Spence serves a broad population — children, youth, individuals, couples, and families — which positions it as a resource not just for the person in recovery but for the support network around them. Payment options include Medicaid, Medicare, private insurance, state insurance, and self-pay, removing common financial barriers to sustained outpatient care. For families and individuals across Douglas County and the wider tri-state service area who are looking for a consistent, community-based recovery partner, Spence Counseling Center offers accessible, ongoing outpatient support.

Outpatient Recovery Support Rooted in Community

Spence Counseling Center was built around a straightforward mission: bringing help, healing, and freedom to people who need it. For those in ongoing recovery or supporting a loved one through the process, that mission translates into consistent, community-based outpatient programming that fits into real life rather than requiring it to stop.

The center's outpatient program serves Omaha and extends to Council Bluffs, Iowa, and Lawrence, Kansas — giving families across the region access to structured support without relocating or entering a residential setting. With multiple locations and expanded Saturday hours, Spence is built to stay alongside clients through the longer arc of recovery, not just the acute phase.

CBT and Medication Management for Mental Health and Co-Occurring Conditions

Spence Counseling Center uses Cognitive Behavioral Therapy (CBT) as a core therapeutic method, helping clients identify and work through thought patterns that affect behavior and emotional wellbeing. CBT is particularly well-suited for outpatient settings because it gives clients practical tools to use between sessions — a meaningful advantage when recovery is happening in everyday life.

Medication management is also available at Spence, addressing the clinical side of conditions treated at the center, including depression, ADHD, and broader mental health concerns. Together, CBT and medication management allow the center to meet clients at different points in their recovery and adjust support as needs evolve over time.

Who Spence Counseling Center Serves

One of the distinctive features of Spence Counseling Center is the range of people it is designed to serve. Children, youth, individuals, couples, and families are all explicitly within the center's scope — making it one of the few outpatient clinics in the Omaha area that can work with a family as a unit rather than isolating treatment to one person.

This matters in recovery. When families attend counseling together or when children and parents are both receiving appropriate support, the network around the person in recovery becomes stronger. Spence's multi-population model reflects an understanding that sustained recovery rarely happens in isolation.

Payment Options and Getting Started

Spence Counseling Center accepts Medicaid, Medicare, private insurance, state insurance, and self-pay, covering a wide spectrum of financial situations. This range of accepted payment methods is particularly important for individuals and families who may be managing the financial weight of longer-term outpatient care and aftercare.

The center also offers mental health assessments and consultations, providing a structured entry point for new clients. Rather than arriving without direction, individuals and families can begin with a formal assessment that helps shape what outpatient support looks like for their specific situation. The clinic is open Monday through Saturday, with evening Saturday hours available for those whose weekday schedules make daytime appointments difficult.

Why Choose Spence Counseling Center

Saturday hours extending to 9 p.m. — rare among outpatient clinics — make ongoing recovery support accessible around work and family schedules
Serves children, youth, couples, and families together, making it a resource for the entire support network in recovery, not just the individual
Multiple locations across a tri-state service area covering Omaha NE, Council Bluffs IA, and Lawrence KS
Founded on a mission of help, healing, and freedom by a pastor-turned-counselor, reflecting a values-driven approach to community mental health
Broad payment access including Medicaid, Medicare, state insurance, private insurance, and self-pay reduces financial barriers to sustained outpatient care

Frequently Asked Questions

What level of care does Spence Counseling Center offer for people in recovery?

Spence Counseling Center provides outpatient program services, which are well-suited for individuals managing ongoing recovery while maintaining work, school, or family responsibilities. This level of care offers structured therapeutic support without requiring residential placement. It is a strong fit for people in the maintenance and aftercare phases of their recovery journey.

Does Spence Counseling Center work with families, not just individuals?

Yes. Spence explicitly serves children, youth, individuals, couples, and families, making it one of the more broadly accessible outpatient clinics in the Omaha area. Family involvement in outpatient care can strengthen the recovery network around the person receiving treatment, and Spence is structured to support that dynamic.

What therapeutic approaches does Spence use in its outpatient program?

Spence Counseling Center uses Cognitive Behavioral Therapy (CBT) and medication management as its confirmed therapeutic methods. CBT helps clients develop practical coping skills applicable to daily life, while medication management addresses clinical aspects of mental health conditions treated at the center.

What mental health conditions does Spence Counseling Center treat?

The center treats mental health conditions including depression and ADHD, along with broader mental health concerns. Mental health assessments and consultations are available to help new clients identify the right starting point for their outpatient treatment plan.

What payment options are accepted at Spence Counseling Center?

Spence accepts Medicaid, Medicare, private insurance, state insurance, and self-pay. This range of payment options is designed to reduce financial barriers for individuals and families seeking consistent outpatient support across various economic circumstances.

Where does Spence Counseling Center provide services?

Spence Counseling Center is located at 12035 Q Street in Omaha, Nebraska, and serves a tri-state area that includes Council Bluffs, Iowa, and Lawrence, Kansas. The center operates multiple locations to extend access across this broader service area.

What are Spence Counseling Center's hours for outpatient appointments?

The center is open Monday through Friday from 8:00 a.m. to 5:00 p.m. and on Saturdays from 9:00 a.m. to 9:00 p.m. The extended Saturday evening hours offer scheduling flexibility for clients who cannot attend weekday appointments due to work or family commitments.

Does Spence Counseling Center serve children and young people?

Yes. Children and youth are among the confirmed populations Spence serves alongside adults, couples, and families. This makes the center a resource for families navigating mental health and recovery challenges across multiple generations or household members at the same time.

How does Spence Counseling Center support the recovery community in Omaha?

Spence has been part of the Omaha community since its founding by Carl Spence, whose background as a pastor shaped the center's mission of bringing help, healing, and freedom to those it serves. The outpatient model, multiple locations, and broad population focus reflect a long-term commitment to community-based recovery support in Douglas County and beyond.

How do I get started with services at Spence Counseling Center?

Spence Counseling Center offers mental health assessments and consultations as a starting point for new clients. This initial step helps establish an appropriate outpatient plan based on each person's specific needs and circumstances. The center's website is at spencecounselingcenter.com for additional information.

Claim this listing Advertise this listing Add a new listing