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G&A Counseling team at ribbon cutting ceremony at 244 W. Irvine Street, Richmond, Kentucky
We Accept Medicaid

You don't have to go through this alone.

Whatever you're going through (anxiety, depression, trauma, substance use, or something you can't quite name yet), our team is here. No judgment. Just help.

Telehealth appointments available for new & existing clients

Behavioral Health in Madison County

Behavioral Health Services in Richmond, KY

G&A Counseling is a locally owned behavioral health practice in Richmond, KY, serving children, teens, adults, and families across Madison County. Since 2017 we have offered a full range of behavioral health care under one roof, in office, in home, in school, and online, so you can find the right support without being passed from clinic to clinic.

Our services include mental health therapy, marriage and couples counseling, substance abuse counseling, targeted case management, medication management, school-based services, and telehealth across Kentucky. We accept all Kentucky Medicaid plans and most major insurance, and most Medicaid members have no out-of-pocket cost.

Why G&A

We treat people, not diagnoses.

G&A Counseling is a locally-owned practice in Richmond, Kentucky, founded on a simple belief: everyone deserves access to compassionate, quality mental health care. We're not a corporate clinic. We're your neighbors: therapists, case managers, and support staff who genuinely care about this community.

  • Warm, judgment-free environment for every client
  • Licensed therapists specializing in trauma, anxiety, and more
  • Flexible scheduling including telehealth options
  • Serving Madison County families since 2017
Meet our team
G&A Counseling team members in the Richmond, Kentucky office
9+
Years Serving Madison County
20+
Team Members
12
Schools Served
What Our Clients Say

Real stories from real people

I am a Veteran and had been through several companies before G&A. Bad experiences all around until I landed here. G&A has given me and my family the support we truly needed.

Joe A.

My experience with G&A Counseling has been nothing short of life changing. Not only have I received compassion and understanding, but real tools to help me navigate my journey.

Lucy S.

The staff at G&A truly care about their clients. Every visit I feel heard, supported, and encouraged. I highly recommend them to anyone looking for real help!

Ammie F.

Excellent counseling services. Really helped me learn to cope with recent PTSD and ADHD diagnosis. Love them!

Kimberly L.

Our Team

People who care about people

Toni Gaines, LPCC-S, Owner and Lead Therapist at G&A Counseling
Owner & Lead Therapist

Toni Gaines, LPCC-S

“I believe in an empathetic, self-empowering approach to therapy which will provide the client with sufficient education and resources necessary to live a more satisfying life.”

Licensed Professional Clinical Counselor (LPCC) • Certified Accelerated Resolution Therapist (ART) • Richmond, KY native

Meet the full team
Mary Foster
Joseph Armstrong
Shelbie Wiles
Kaylie Padgett
Ashley Christman
+15
Getting Started

Three simple steps

1

Reach Out

Call, book online, or submit a referral

2

Get Matched

We'll connect you with the right provider

3

Start Healing

In-person, telehealth, or school-based

The hardest step is the first one.

We'll walk with you.

Whether it's your first time seeking help or you're looking for a new provider, we make it easy to get started.