On Demand Counseling

What On Demand Counseling does

On Demand Counseling is a private outpatient mental health and substance use disorder treatment provider founded in 2018 by Tom and Stefanie Ivany, operating under the legal entity Recovery Management Services and Affiliates (RMS) and headquartered in Austintown, Ohio. The company delivers integrated mental health counseling, addiction counseling, psychiatric medication management, intensive outpatient/partial hospitalization programs (IOP/PHP), ambulatory detox, and medication-assisted treatment (MAT/MOUD) using FDA-approved agents including Suboxone, Subutex, Vivitrol, and Sublocade. Service delivery combines four physical clinics across Northeast Ohio (Austintown, Boardman, East Liverpool, Newton Falls) with a HIPAA-compliant telehealth platform that extends reach statewide, including for rural and mobility-limited patients.

The company employs a team of licensed counselors, LCDC-credentialed addiction specialists, clinical directors, and psychiatric nurse practitioners across modalities such as CBT, DBT, EMDR, and Motivational Interviewing. Its February 2025 expansion added same-day psychiatric appointments, MOUD appointments, and walk-in MAT services at all locations, materially lowering access barriers relative to traditional scheduled-appointment models. Revenue is generated through insurance-based billing across Ohio Medicaid/Medicare and major commercial payers (Molina, Buckeye, CareSource, United Healthcare/Optum, Cigna, Anthem, Aetna, Humana, etc.), creating a recurring services revenue model anchored in long-term MAT and counseling patient relationships. The company maintains CARF International accreditation and 42 CFR Part 2 compliance, and operates referral partnerships with OBGYNs (pregnancy-MAT), certified recovery housing (PHP), and OhioMHAS (peer recovery training).

Name

On Demand Counseling

Legal name

Recovery Management Services and Affiliates

Website

https://ondemandcounseling.com

Company type

Private

Founded year

2018

Operating status

Operating

Headcount range

11–50 employees

Short description

On Demand Counseling is a private, Ohio-based outpatient mental health and substance use disorder treatment provider operating four clinics in Northeast Ohio plus statewide telehealth, delivering MAT/MOUD, counseling, psychiatric medication management, IOP/PHP, and ambulatory detox to individuals with addiction and mental health conditions.

Ownership category

akta.pro rank

Product category

Outpatient Mental Health & Addiction Treatment

NAICS

Outpatient Mental Health and Substance Abuse Centers (62142), Outpatient Mental Health and Substance Abuse Centers (621420), Offices of Mental Health Practitioners (except Physicians) (621330), Offices of Physicians, Mental Health Specialists (621112)

SIC

Services-Specialty Outpatient Facilities, Nec (8093), Services-Social Services (8300), Services-Health Services (8000)

akta.pro primary industry

Outpatient Substance Use Treatment Programs (IOP/PHP/OP) (HLAFACAF)

akta.pro secondary industries

Medication-Assisted Treatment (MAT) & Opioid Treatment Programs (OTPs) (HLAFACAG), Psychiatry & Medication Management Platforms (HLALAEAB), Substance Use Detoxification Centers (Medical Detox) (HLAFACAD)

Keywords

• Outpatient mental health
• Addiction treatment services
• Medication-assisted treatment
• Substance use disorder care
• Behavioral health counseling

Headquarters

HQ city

Youngstown

HQ country

United States

HQ region

North America

Offices4 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Marketing or Sales, Technology or R&D, Infrastructure

Revenue model

1. Outpatient Mental Health Services: Individual counseling, group therapy, psychiatric medication management, and mental health treatment billed through insurance or direct payment. Services include CBT, DBT, EMDR, and other evidence-based therapies.
2. Medication-Assisted Treatment (MAT): Addiction medication management using FDA-approved medications (Suboxone, Subutex, Vivitrol, Sublocade, Campral, Antabuse) combined with counseling. Revenue generated through office visits, medication management, and ongoing treatment sessions billed to insurance.
3. Intensive Outpatient Program (IOP) and Partial Hospitalization Program (PHP): Structured addiction treatment programs including morning and evening sessions. PHP includes partnership with certified recovery housing locations. Billed through insurance as outpatient treatment.
4. Telehealth Services: Remote counseling and medication management via secure video or phone calls. Covered by most insurance including Ohio Medicaid and Medicare. Provides flexible access for rural or mobility-limited patients.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels5 records

Core offering

On Demand Counseling operates an outpatient mental health and substance use disorder treatment practice offering individual counseling, group therapy, psychiatric medication management, and Medication-Assisted Treatment (MAT/MOUD) for opioid and alcohol addiction across four Northeast Ohio locations and a statewide telehealth platform. The company combines evidence-based therapies (CBT, DBT, EMDR) with FDA-approved addiction medications and provides same-day psychiatric appointments and walk-in services to eliminate barriers to care.

Product overview

On Demand Counseling offers a comprehensive outpatient mental health and addiction treatment platform with multiple service modules operating across four Ohio locations (Austintown, Boardman, East Liverpool, Newton Falls) plus telehealth. The core portfolio includes Mental Health Counseling, Addiction Counseling, Medication-Assisted Treatment (MAT/MOUD), Group Counseling (IOP/PHP), Psychiatric Medication-Management, and Telehealth Services. These services are designed to work both independently and in integrated combination—the MAT program pairs medication management with addiction counseling, while the IOP/PHP programs bundle group therapy with individual sessions and education. Same-day psychiatric appointments and walk-in MAT services represent recent additions enabling immediate access. Services are available in-person at physical locations and remotely via HIPAA-compliant telehealth platform.

Differentiator

Problem solved

Functional benefit

Products and services

• Mental Health Counseling

Quantifiable outcome

• Same-day psychiatric appointments and walk-in assessments available Monday through Friday
• +2 more outcomes

Named customers4 records

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Six partnerships are on record, tiered core and minor.

• OhioMHAS (Ohio Mental Health and Addiction Services)coreStrategic or Co-development Partner · 9 May 2022Partnership with OhioMHAS to host Peer Recovery Supporter Training, teaching individuals in recovery to use their experience to help peers. Upon 40-hour training completion, participants become eligible for Ohio state certification as Peer Recovery Supporters.
• Certified Recovery Housing LocationscoreStrategic or Co-development PartnerPartnership with certified recovery housing locations enhances PHP program by providing safe, supportive living environments for participants during intensive treatment. Recovery housing offers accountability and community while clients receive daily group counseling, individual therapy, and skill-building activities during the day.
• OBGYN ProvidersminorStrategic or Co-development PartnerCollaboration with OBGYNs throughout MAT treatment for pregnant women. Professional staff refer to and collaborate with obstetricians during pregnancy care to provide comprehensive, coordinated treatment and support mothers through recovery.
• New Day RecoveryminorChannel Partner/ Reseller/ DistributorAffiliated outpatient counseling center sharing treatment coordination for patient care. Care coordination between RMS affiliates New Day Recovery, On Demand Counseling, and On Demand Occupational Medicine for seamless patient referrals and comprehensive care delivery.
• On Demand Occupational MedicineminorChannel Partner/ Reseller/ DistributorAffiliated company providing occupational medicine services. Care coordination between RMS affiliates for seamless patient referrals and comprehensive care delivery across addiction and occupational health services.
• Local Recovery Community OrganizationsminorStrategic or Co-development PartnerNewton Falls location positioned within walking distance of vibrant recovery community including recovery housing and non-profit organizations. Proximity to these resources enhances treatment effectiveness and provides additional support for individuals seeking lasting recovery.

Scale indicators4 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• Groups: Recover Together: Outpatient group-based MAT provider for opioid use disorder operating in Ohio and other states, combining Suboxone treatment with weekly group therapy. Directly comparable model to On Demand's MAT plus group counseling offering.
• CleanSlate Centers: Multi-state outpatient MAT/MOUD operator with an established Ohio presence, providing medication-assisted treatment for opioid and alcohol use disorder alongside counseling. Closely comparable on specialty MAT focus and walk-in/same-day access model.
• CommQuest Services: Northeast Ohio-based non-profit providing mental health, addiction recovery, and primary care services including MAT across Stark and surrounding counties. Comparable outpatient SUD/MH service model in the same regional market.
• Coleman Health Services: Community mental health and addiction services provider in Northeast Ohio offering outpatient behavioral health, MAT, and counseling across multiple counties. Overlaps directly with On Demand's geographic and clinical footprint.
• AppleGate Recovery: Outpatient MAT provider (Suboxone/Vivitrol) with locations across Ohio, offering medication-assisted treatment combined with counseling. Direct peer on MAT core service line and Ohio market.
• BrightView Health: One of the largest outpatient addiction treatment providers in Ohio, offering MAT/MOUD, counseling, and ambulatory detox across multiple locations. Directly comparable to On Demand Counseling on service mix (MAT, IOP, telehealth) and Ohio footprint.
• New Day Recovery: Northeast Ohio-affiliated outpatient addiction treatment center sharing care coordination with On Demand Counseling (common parent Recovery Management Services). Directly comparable service mix and geography.

Emerging players

• Eleanor Health: Value-based outpatient SUD and co-occurring mental health provider offering MAT, therapy, and care coordination across multiple states with a virtual-first model. Comparable on MAT/co-occurring treatment and telehealth delivery.
• Charlie Health: Virtual-first intensive outpatient program for adolescents and young adults focused on mental health and substance use. Comparable on virtual IOP/PHP delivery and co-occurring disorders treatment, though skews younger.

Broad incumbents

• Acadia Healthcare: Large publicly-traded behavioral health operator running psychiatric hospitals and outpatient treatment programs nationwide. Broad incumbent in the SUD/mental health space that competes for talent, referrals, and payers in Ohio.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles15 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about On Demand Counseling