Personal Counseling from Licensed Mental Health Therapists 

Licensed mental health counselor welcoming patients at Pathways in Iowa.Pathways Behavioral Services is a nonprofit corporation licensed by the Iowa Department of Public Health and accredited by the Department of Human Services.

Founded in 1967 to serve clients solely in Black Hawk County, Pathways’ expanded team of mental health therapists and clinicians now offers diagnosis, counseling and addiction treatment services to people in six northeast Iowa counties — Bremer, Buchanan, Butler, Chickasaw, Grundy and the largest county, Black Hawk.


Working Together for Community Wellness


Mental health therapists meeting at Pathways in Waterloo, Iowa.Improving and enriching the lives of families in our community is at the core of Pathways. The Pathways behavioral health staff members provide high-quality, research-based and outcome-driven mental health counseling and addiction treatment programs for a wide range of clients in northeast Iowa. As a Certified Community Behavioral Health Clinic, Pathways works together with the communities we serve, handling referrals from the Department of Juvenile Court Services, schools, employers, the Department of Human Services and other agencies.

Pathways staff members include psychiatrists, nurse practitioners, clinical social workers and licensed mental health counselors. We offer a full continuum of specialized behavioral healthcare for individuals and families, marital counseling, school-based programming, medication management and 24-hour emergency service. Translation services are also available in over 200 languages including American Sign Language.

Our Mental Health Therapists Focus on Preventive Care


Our broad-based community behavioral health programs focus first on preventive care. This mantra helps to equip individuals with the strategies and tools for a full recovery to prevent ongoing problems with anxiety and stress, and alcohol, tobacco and other drugs. Pathways mental health therapists and substance abuse counselors view secondary prevention as a tool to identify problems early and reduce high-risk behavior. Pathways team members use a mixture of both primary and secondary prevention services.

The path to community wellness starts today with Pathways. Call 319-352-2064 for more information or to schedule an appointment with one of our mental health therapists. Face-to-face and virtual services are available.

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