We have three Roanoke locations:

We specialize in both Mental Health Substance Abuse Counseling at these locations.

3912 Electric Rd, Building C
Roanoke, VA 24018

20 Walnut Avenue
Roanoke, VA 24016


We also have our Treatment Center, Avenues to Recovery.

Please call (540) 693-2229 to talk to someone today!


Our Suboxone Clinic is located at

20 Walnut Ave
Roanoke, VA 24016

Please call (540) 344-3400 to speak to someone today!


We also offer Psychiatry and Medication Counseling at:

16 Walnut Ave
Roanoke, VA 24016

Please call (540) 345-6468 to speak to someone today!


Meet Our Counselors

jDesai200Jitendra Desai, MD

Medical Director

I have lived in Roanoke for over 35 years. In addition to my love of psychiatric medicine, I love playing golf and drumming in my spare time. Co-workers have lovingly dubbed me G2, and I am the founder of both Walnut Avenue Associates and Avenues to Recovery. I am board certified in addiction psychiatry as well as adult and geriatric psychiatry. I enjoy helping people help themselves.

ErikaHayden 200x200Erika Hayden, LPC


Hi, my name is Erika Hayden! I am a clinician for Avenues to Wellness outpatient program in Roanoke, Virginia. I am a proud Virginia Tech Hokie, having received my master's degree in counselor education in 2005. Prior to counseling, I went to VCU and earned my undergraduate degree in fashion merchandising. I worked in the NYC fashion industry for two years. After realizing this was not my true passion, I decided to go back to school to become a counselor. I love being a counselor and I feel it’s a privilege to help others through different chapters of their lives. I have nine years of counseling experience working with adolescents, adults, and their families, specializing in substance abuse, anger management, and suicide prevention. I also have a wonderful dog Stella who offers pet therapy upon request. Outside of work, I like to stay active. I enjoy running and have completed two marathons and a few half marathons. I like to snowboard, kayak, and I recently started CrossFit. My vices are sugar, coffee, and shopping. I’m excited to be a part of ncgCARE’s family and I look forward to getting to know each of you!

lori winesett200x200Lori Winesett, LPC


You have the power to make positive changes, you just need to find the right person to help provide a safe and supportive environment to guide and encourage you to your inner strength. I will help you face your fears, negative thoughts and behavior patterns and develop a greater awareness to feel more empowered and create the change you desire in living a more fulfilled life.

stephanie pendleton200x200Stephanie Pendleton, LPC


I am a Licensed Professional Counselor with thirteen years of experience in the mental health field working with children, adolescents, adults, and families in a variety of settings including community service agencies, foster care agencies, and public schools. Areas of specialty include depression, stress, anxiety, grief and loss, anger, behaviors, and adjustment issues. 

CarolynStClair200Carolyn St. Clair, PA-C

Physician Assistant

I worked for over 20 years in the nursing field before going to Jefferson College of Health Sciences to train as a Physician Assistant. I have also taken some graduate-masters courses in health sciences education at Virginia Tech. In my leisure time, I enjoy being with family and friends, exercising, reading, cooking, and occasionally skydiving.

SarahRodes200Sarah Rodes, PA-C

Physician Assistant

My name is Sarah Rodes. I earned my physician assistant degree from Mountain State University in 1996. I have lived in the Roanoke area for 5 years and I have been working as a psychiatric PA since 2006. I like to travel and spend time with family, friends, and my dog Hippie. I also enjoy reading, cooking, and enjoying a good shot of espresso.

Find out how you can become a member of the Avenues to Wellness team.

Visit the Join Our Team page

Are you or a loved one experiencing any of the following?

  • Anxiety disorders
  • Anger issues
  • Depression
  • Abuse and trauma
  • Image and esteem
  • Behavioral issues
  • Bipolar disorder
  • Impulse control disorders
  • Loss and grief
  • OCD
  • Phobias
  • Serious mental illness

If so, we can help!