Psilocybin Facilitation in Oregon

Psilocybin services in Oregon are regulated under the Oregon Psilocybin Services Act (Measure 109, passed 2020, services available since January 2023). Adults 21+ can access psilocybin only through a licensed Service Center, with a licensed Facilitator, who has completed an Oregon Psilocybin Services-approved training program. Psilocybin remains a federally controlled Schedule I substance and remains illegal outside of the Oregon Psilocybin Services framework. This directory's psilocybin listings are for licensed Oregon Facilitators and integration-trained therapists only. Nothing on this page should be read as encouraging the use of psilocybin outside of licensed Oregon services.

These are two distinct roles, often confused. A licensed Oregon Psilocybin Facilitator holds a state license under OHA's Oregon Psilocybin Services and is the person who legally administers and supports a psilocybin session inside a licensed Service Center. A psilocybin-integration therapist is a licensed mental health clinician (LPC, LCSW, PsyD, etc.) who provides preparation and integration talk therapy before and after a psilocybin experience — they do NOT administer psilocybin and typically meet you in their regular therapy office. Most clients work with both: a Facilitator at a Service Center for the session, and a separate therapist for preparation and integration work over weeks or months.

No. As of 2026, neither commercial Oregon insurance nor OHP covers psilocybin services — Service Center sessions are out-of-pocket, typically $1,500–$3,500 per session including the required prep meeting. Some insurance plans WILL cover the preparation and integration talk therapy provided by a licensed mental health therapist (billed under a standard mental-health diagnosis), since that's standard psychotherapy. Check with your therapist directly — many offer sliding-scale rates for psilocybin integration work specifically.

Psilocybin is not appropriate for everyone, and Oregon's licensed framework includes a screening conversation before access. Personal or family history of psychosis, schizophrenia, bipolar I, or severe heart conditions are common contraindications. Active SSRIs, SNRIs, MAOIs, or lithium can interact significantly. Pregnant individuals are excluded. Severe trauma, active suicidality, or significant dissociation may need stabilization with a therapist before considering psilocybin work. A licensed Facilitator must conduct a preparation session before any administration to assess fit; a good integration therapist will also flag concerns. Psilocybin is not a substitute for evidence-based treatment of any condition.

Integration is the process of making meaning from a psilocybin experience and translating insights into ongoing change. Sessions typically run 50–90 minutes, weekly or bi-weekly, for 4–12 weeks following an experience. Therapists trained in integration use approaches like Internal Family Systems (IFS), somatic experiencing, depth psychology, and trauma-informed work to help clients metabolize the material that came up. Integration work doesn't require having had a psilocybin experience yourself — many people seek it for clarifying or grounding past experiences (legal Service Center sessions, ceremonial settings, recreational experiences) without judgment.

Oregon Health Authority maintains the official directory of licensed Facilitators and Service Centers at oregon.gov/oha/PH/PreventionWellness/Psilocybin. This Oregon Counselors Directory does NOT verify state Facilitator licenses — providers listed under our "Psilocybin" or "Psilocybin Facilitation" tags self-identify, and you should always confirm a current OHA license before booking a session. For talk-therapy integration support (a licensed mental-health professional, separate from the Facilitator role), the providers tagged here are licensed Oregon therapists who explicitly list psilocybin integration as a focus area.

Yes — psilocybin integration talk therapy is typically delivered by telehealth or in-person, just like any other psychotherapy. The administration session itself (with a licensed Facilitator at an Oregon Service Center) must be in-person at a licensed location — that's a state requirement, not a clinical one. Many integration therapists work with clients across Oregon via video, especially in rural areas where local options are limited. {{telehealth_count}} of the providers tagged for psilocybin integration on this directory offer telehealth.

No. This directory lists licensed Oregon mental-health professionals who have indicated they work with clients who are pursuing psilocybin services through legal Oregon channels, OR who provide integration support for past experiences. Listing a provider does not constitute medical, legal, or therapeutic advice, an endorsement of psilocybin, or a recommendation that any specific person use psilocybin. Psilocybin services involve real medical, psychological, and legal considerations, and you should make decisions in close consultation with your healthcare team and a licensed Oregon Facilitator.