Undisclosed
One to One
One Plus
Need-based
Secondary
MobilePlease be aware that this directory includes only those SEPs that are either NASEN Buyers Club Members and have given NASEN authorization to publish their agencies information on this directory or have authorized Buyers Club to publish their information solely for NASEN directory purposes. It is not, nor is it intended to be, a comprehensive listing of all SEPs in the US.
If you operate an SEP and would like to be included in this directory or would like to update your agencies information please reach out to Stephanie@nasen.org
If you operate an SEP and would like to be included in this directory please fill out a Buyers Club Application. Please mark "yes" to the question, "May we publish your information in the NASEN map/directory".
Please be aware if your agency does not respond to annual NASEN directory updates within 30 days your agency may be removed and listed as inactive.
| Exchange | City | State | |
|---|---|---|---|
| Access Point Pueblo | Southern Colorado Health Network | Pueblo | CO |
| ACR Health Expanded Syringe Access Program | ACR Health | Syracuse | NY |
| ACRC Syringe Exchange | AIDS Community Research Consortium | Redwood City | CA |
| Adair County Syringe Exchange Program | Lake Cumberland District Health Department | Columbia | KY |
| After Hours Project, Inc | After Hours Project, Inc | Brooklyn | NY |
| AHOPE: Boston Public Health Commission | AHOPE: Boston Public Health Commission | Boston | MA |
| AIDS Care Ocean State Prevention Center | AIDS Care Ocean State | Providence | RI |
| AIDS Center of Queens County | AIDS Center of Queens County | New York | NY |
| AIDS Connecticut, Inc. | ACT | Hartford | CT |
| AIDS Project Greater Danbury NEP | AIDS Project Greater Danbury | Danbury | CT |
| AIDS Project of Southern Vermont Bennington | AIDS Project of Southern Vermont | Bennington | VT |
| AIDS Project of Southern Vermont Brattleboro | AIDS Project of Southern Vermont | Brattleboro | VT |
| AIDS Resource Group | AIDS Resource Group | Evansville | IN |
| Alliance for Living | Alliance for Living Syringe Access Program | New London | CT |
| Alliance for Positive Health | Alliance for Positive Health | Albany | NY |
| Alliance's LES Harm Reduction Center | The Alliance for Positive Change | New York | NY |
| Angels in Motion | Angels in Motion | Philadelphia | PA |
| Aniz, Inc | Aniz, Inc | Atlanta | GA |
| Any Positive Change Inc. | Any Positive Change Inc. | Lower Lake | CA |
| Any Positive Change Project of Grand Forks | Grand Forks Public Health | Grand Forks | ND |
| Ashland-Boyd County Health Department Syringe Exchange | Ashland-Boyd County Health Department Syringe Exchange | Ashland | KY |
| Asian American Drug Abuse Program, Inc. | Asian American Drug Abuse Program, Inc. | Inglewood | CA |
| ASN Syringe Services Program | Access Support Network | Salinas | CA |
| Aspire Indiana Health | Aspire Indiana Health | Anderson | IN |
| Atlanta Harm Reduction Coalition Inc. | Atlanta Harm Reduction Coalition Inc. | Atlanta | GA |
| Bad River-Gwayakobimaadiziwin Exchange Program | Bad River-Gwayakobimaadiziwin Exchange Program | Odanah | WI |
| Baltimore City Needle Exchange Program | Baltimore City Needle Exchange Program | Baltimore | MD |
| Baltimore County Department of Health Harm Reduction Program | Baltimore County Department of Health | Baltimore | MD |
| Baltimore Harm Reduction Coalition | Baltimore Harm Reduction Coalition | Baltimore | MD |
| Be Safe Harm Reduction Program | Capitol Area Reentry Program, Inc | Baton Rouge | LA |
| Benton County Harm Reduction Program | Benton County Health Department Harm Reduction Program | Corvallis | OR |
| Bienestar | Bienestar Human Services | Los Angeles | CA |
| Blackfeet Action Committee | Blackfeet Tribal Health Department | Browning | MT |
| Blue Mountain Heart To Heart | Blue Mountain Heart To Heart | Walla Walla | WA |
| BOOM! Health Harm Reduction Center | BOOM! Health Harm Reduction Center | Bronx | NY |
| Bread for the City | Bread for the City | Washington | DC |
| Buncombe County Health and Human Services Syringe Services Program | Buncombe County Health and Human Services | Asheville | NC |
| C.A.R.E. | The Coalition for Addiction Recovery and Education | Rocky Mount | NC |
| Cabarrus Health Alliance | Cabarrus Health Alliance | Kannapolis | NC |
| Cabell-Huntington Harm Reduction Program | Cabell-Huntington Harm Reduction Program | Huntington | WV |
| Caracole Prevention Program | Caracole | Cincinnati | OH |
| CarePoint | Public Health-Dayton & Montgomery County | Dayton | OH |
| CARES Ross County | CARES Ross County | Chillicothe | OH |
| Caring Services | Caring Services, Inc. | High Point | NC |
| Central Arkansas Harm Reduction | Central Arkansas Harm Reduction | Little Rock | AR |
| Central Coast HIV/AIDS Services | Central Coast HIV/AIDS Services | Salinas | CA |
| Challenges Inc | Challenges Inc | Piedmont | SC |
| CHCV & New Haven Syringe Service | CHCV & New Haven Syringe Service | New Haven | CT |
| Chicago Recovery Alliance | Chicago Recovery Alliance | Chicago | IL |
| Chippewa County Health Department - Syringe Access Program | Chippewa County Health Department | Sault Ste. Marie | MI |
| Church of Safe Injection | Church of Safe Injection | Lewiston | ME |
| Circle Health Services Syringe Services Program | Circle Health Services | Cleveland | OH |
| Clallam County Health and Human Services Syringe Service Program | Clallam County Health and Human Services | Port Angeles | WA |
| Clark County Indiana Syringe Needle Exchange Program | Clark County Health Department | Jeffersonville | IN |
| Clark County Syringe Exchange | Clark County Health Department | Vancouver | WA |
| Clean Needles Now | Los Angeles Community Health Project | Los Angeles | CA |
| Clean Up Parkersburg | Clean Up Parkersburg | Vienna | WV |
| Clean Works | The Grand Rapids Red Project | Grand Rapids | MI |
| Clinic 555 Syringe Exchange | Ramsey County Public Health | Saint Paul | MN |
| Common Ground Syringe Exchange | Venice Family Clinic | Venice | CA |
| Community Action for Social Justice | Community Action for Social Justice | Hauppauge | NY |
| Community Health Awareness Group | Community Health Awareness Group | Detroit | MI |
| Community Outreach Intervention Projects | The Community Outreach Intervention Projects (“COIP”), School of Public Health, University of I | Chicago | IL |
| County of San Mateo Mobile Health Clinic | County of San Mateo Mobile Health Clinic | San Mateo | CA |
| Cowlitz Family Health Center Harm Reduction Program | Kelso | WA | |
| Crossroads | North Jersey AIDS Alliance Project Access | Newark | NJ |
| DAAC-SHARPS | CP-DAAC Health Services | Santa Rosa | CA |
| Deschutes County Syringe Exchange Program | Deschutes County Health Department | Bend | OR |
| District Health Department No. 2 Syringe Services Program | District Health Department No. 2 | West Branch | MI |
| Dubuque Harm Reduction | Dubuque Harm Reduction | Dubuque | IA |
| Durham County Department of Public Health Safe Syringe Program | Durham County Department of Public Health Safe Syringe Program | Durham | NC |
| Eastern Maine AIDS Network SEP | Syringe Exchange Program of Eastern Maine AIDS Network | Bangor | ME |
| EGYHOP | Emma Goldman Youth and Homeless Outreach Project | Olympia | WA |
| ekiM for Change | ekiM for Change | Greenville | NC |
| El Punto en la Montaña, Inc. | El Punto en la Montaña, Inc. | San Juan | PR |
| Estill County Health Department Syringe Exchange | Estill County Health Department Syringe Exchange | Irvine | KY |
| Evergreen Health Syringe Exchange Program | Evergreen Health | Buffalo | NY |
| Exchange Central | Central Michigan District Health Department | Harrison | MI |
| Expanded Syringe Access Program | Trillium Health | Rochester | NY |
| Face to Face | Face to Face | Santa Rosa | CA |
| Family Medical Counseling Service Inc. | Family Medical Counseling Service Inc. | Washington | DC |
| Family Services Network of New York Harm Reduction Program | Family Services Network of New York, Inc. | Brooklyn | NY |
| Fargo Moorhead Good Neighbor Project | Fargo Moorhead Good Neighbor Project | Moorhead | MN |
| Fayette County Harm Reduction and Recovery Clinic | Fayette County Harm and Recovery Clinic | Fayetteville | WV |
| Flagstaff Needle Exchange | Flagstaff Needle Exchange | Flagstaff | AZ |
| Flashlight of Hope Inc | Flashlight of Hope Inc. | Miami | FL |
| Flathead Syringe Exchange | Flathead City-County Health Department | Kalispell | MT |
| Foothills-Area Harm Reduction Mission | Foothills-Area Harm Reduction Mission | Hickory | NC |
| Fort Wayne Allen County Department of Health SSP | Fort Wayne Allen County Department of Health SSP | Fort Wayne | IN |
| Four A's Syringe Access Program | Alaskan AIDS Assistance Association | Anchorage | AK |
| Franklin County Community Paramedic Program | Franklin County Emergency Services | Louisburg | NC |
| Frannie Peabody Center | Frannie Peabody Center | Portland | ME |
| Frederick County Health Department Syringe Services Program | Frederick County Health Department | Frederick | MD |
| Frederiksted Health Care, Inc. | Frederiksted Health Care, Inc. | Frederiksted | VI |
| Fresno Needle Exchange Program | Fresno Needle Exchange Program | Fresno | CA |
| Gallia County Syringe Service Program | Gallia County Health Department | Gallipolis | OH |
| Gateway to Hope Syringe Services Program | Tippecanoe County Health Department | Lafayette | IN |
| Generations | Tri-City Health Center | Fremont | CA |
| Glide Syringe Access Services (SAS) | Glide Foundation | San Francisco | CA |
| Grackle Action Street Health | Grackle Action Street Health | Austin | TX |
| Grant County Syringe Service Program | Grant County Syringe Service Program | Moses Lake | WA |
| Grays Harbor Syringe Service | Grays Harbor Public Health and Social Services | Aberdeen | WA |
| Greater Bridgeport Area Prevention Program | Greater Bridgeport Area Prevention Program | Bridgeport | CT |
| Greater Hartford Harm Reduction Coalition Inc. | GHHRC | Hartford | CT |
| Greenbrier County Health Department Harm Reduction Program | Greenbrier County Health Department | Ronceverte | WV |
| Guilford County Solution to the Opioid Problem | Guilford County Solution to the Opioid Problem | Greensboro | NC |
| Hampshire County Health Department Harm Reduction Program | Hampshire County Health Department | Augusta | WV |
| Hand-Up Health Services | Hand-Up Health Services | Rochester | NH |
| Harlem United Needle Exchange | Harlem United Community AIDS Center | New York | NY |
| Harm Reduction Action Center | Harm Reduction Action Center | Denver | CO |
| Harm Reduction Center Syringe Services Program | Harm Reduction Center Syringe Services Program | Fargo | ND |
| Harm Reduction Ohio-Dayton Chapter | Harm Reduction Ohio-Dayton Chapter | Granville | OH |
| Harm Reduction Program | Urban League of Westchester County, Inc. | Mount Vernon | NY |
| Harrison County Needle Exchange Program | WEDCO District Health Department | Cynthiana | KY |
| Hawai'i Health & Harm Reduction Center | Hawai'i Health & Harm Reduction Center | Honolulu | HI |
| Health Brigade Comprehensive Harm Reduction Program | Health Brigade | Richmond | VA |
| Health Equity Alliance | Health Equity Alliance | Ellsworth | ME |
| Healthy Streets Outreach Program | Healthy Streets Outreach Program | Lynn | MA |
| Hepatitis Education Project | Hepatitis Education Project | Seattle | WA |
| Highlands Health Harm Reduction | Highlands Health Harm Reduction | Johnstown | PA |
| HIPS | HIPS | Washington | DC |
| HIV Alliance Syringe Service | HIV Alliance | Eugene | OR |
| HIV/HCV Resource Center | HIV/HCV Resource Center | Lebanon | NH |
| Homeless Health Care Los Angeles | Homeless Health Care Los Angeles | Los Angeles | CA |
| Homeless Youth Alliance | Homeless Youth Alliance | San Francisco | CA |
| Homer Exchange | The Homer Exchange | Homer | AK |
| Housing Works, Inc. | Housing Works | Brooklyn | NY |
| Houston Harm Reduction Alliance | Houston Harm Reduction Alliance | Houston | TX |
| Howard Center’s Safe Recovery Program | Howard Center | Burlington | VT |
| Humboldt Area Center for Harm Reduction | Humboldt Area Center for Harm Reduction | Eureka | CA |
| Hy-life SOS | Hyde County Health Department | Swan Quarter | NC |
| Idaho Harm Reduction Project | Idaho Harm Reduction Project | ID | |
| IDEA Exchange | Miami IDEA Exchange-Florida Needle Exchange | Miami | FL |
| In Another Vein | In Another Vein | Houston | TX |
| Indigenous Peoples Task Force Syringe Exchange | Indigenous Peoples Task Force Syringe Exchange | Minneapolis | MN |
| Intercambios Puerto Rico, Inc. | Intercambios Puerto Rico, Inc. | Fajardo | PR |
| Interior AIDS Association | Interior AIDS Association | Fairbanks | AK |
| Iowa Harm Reduction Coalition | Iowa Harm Reduction Coalition | Cedar Rapids | IA |
| Island County Public Health Syringe Exchange | Island County Public Health Syringe Exchange | Langley | WA |
| Jackson County Syringe Exchange Program | Jackson County Syringe Exchange | Medford | OR |
| Jefferson County Syringe Exchange Program | Jefferson County Public Health | Port Townsend | WA |
| Jolt Harm Reduction Center | Jolt Harm Reduction Foundation | Peoria | IL |
| KCCARE Health Center SEP | KCCARE Health Center | Kansas City | MO |
| Keene Serenity Center: GROW | Keene Serenity Center: GROW | Keene | NH |
| Kingman Harm Reduction Program | Sonoran Prevention Works | Kingman | AZ |
| Kings County Syringe Exchange Program | Kings County Syringe Exchange | Hanford | CA |
| Kitsap Public Syringe Exchange Program | Kitsap Public Health District | Bremerton | WA |
| Kittitas County Public Health Outreach Unit | Kittitas County Public Health Department | Cle Elum | WA |
| Lancaster, York, Harrisburg Harm Reduction Program | Lancaster, York, Harrisburg Harm Reduction Program | York | PA |
| Lansing Syringe Access | Lansing Syringe Access | Lansing | MI |
| Lee's Rig Hub - Advocacy and Consulting | Lee's Rig Hub | Minneapolis | MN |
| Lewis County Harm Reduction | Lewis County Health Department | Weston | WV |
| Lifepoint Appleton | AIDS Resource Center of Wisconsin | Appleton | WI |
| Lifepoint Beloit | AIDS Resource Center of Wisconsin | Beloit | WI |
| Lifepoint Eau Claire | AIDS Resource Center of Wisconsin | Eau Claire | WI |
| Lifepoint Green Bay | AIDS Resource Center of Wisconsin | Green Bay | WI |
| Lifepoint Kenosha | AIDS Resource Center of Wisconsin | Kenosha | WI |
| Lifepoint La Crosse | AIDS Resource Center of Wisconsin | La Crosse | WI |
| Lifepoint Madison | AIDS Resource Center of Wisconsin | Madison | WI |
| Lifepoint Milwaukee | AIDS Resource Center of Wisconsin | Milwaukee | WI |
| Lifepoint Superior | AIDS Resource Center of Wisconsin | Superior | WI |
| Lifepoint Wausau | AIDS Resource Center of Wisconsin | Schofield | WI |
| Lincoln County Harm Reduction Syringe Exchange Program | Lincoln County Harm Reduction Program | Stanford | KY |
| Live Healthy Find Hope Project | Live Healthy Find Hope Project | Seattle | WA |
| Love and Safety | Love and Safety | Ipswich | MA |
| Lowell PEERRS | Life Connection Center | Lowell | MA |
| LTDHD Syringe Exchange Program | Lincoln Trail District Health Department | Bardstown | KY |
| Madison & Dane County Needle Exchange | Madison & Dane County Public Health | Madison | WI |
| Madison County Health Department Syringe Exchange Program | Madison County Health Department | Richmond | KY |
| Madison County SEP | Madison County SEP | Anderson | IN |
| Mainline | Justus Health | Minneapolis | MN |
| Mandan Good Neighbor Project | Custer Health Department | Mandan | ND |
| Mendocino County AIDS Viral Hepatitis Network | MCAVHN | Ukiah | CA |
| Mid Fairfield AIDS Project | Mid Fairfield AIDS Project | Norwalk | CT |
| Migrant Health Center | Migrant Health Center | Mayagüez | PR |
| Minnesota Transgender Health Coalition | Minnesota Transgender Health Coalition | Minneapolis | MN |
| Minot Good Neighbor SSP | First District Health Unit | Minot | ND |
| Missouri Safe Project | Missouri Safe Project | St. Louis | MO |
| Monroe County Syringe Service Program | Monroe County Health Department | Bloomington | IN |
| Montgomery County Harm Reduction SEP | Montgomery County Health Department | Mt. Sterling | KY |
| Muckleshoot Behavioral Health | Muckleshoot Behavioral Health | Auburn | WA |
| Multnomah County Harm Reduction Clinic | Multnomah County Harm Reduction Clinic | Portland | OR |
| Narcan Training Columbus Oh | Narcan Training Columbus Oh | Columbus | OH |
| NEED | Needle Exchange Emergency Distribution | Berkeley | CA |
| Needle Exchange Program of Asheville | Needle Exchange Program of Asheville | Asheville | NC |
| Never Share Syringe Exchange | Kittitas County Public Health Department | Ellensburg | WA |
| New England Users Union Head Chapter HRH413 | New England Users Union Head Chapter HRH413 | Northampton | MA |
| New Orleans Syringe Access Program | New Orleans Syringe Access Program | New Orleans | LA |
| New York Harm Reduction Educators | New York Harm Reduction Educators | New York | NY |
| NEXT Distro | Next Harm Reduction | New York | NY |
| North Carolina Harm Reduction Coalition Cumberland | North Carolina Harm Reduction Coalition Cumberland | Cumberland County | NC |
| North Carolina Harm Reduction Coalition Durham | North Carolina Harm Reduction Coalition Durham | Durham | NC |
| North Carolina Harm Reduction Coalition Haywood | North Carolina Harm Reduction Coalition Haywood | Clyde | NC |
| North Carolina Harm Reduction Coalition Raleigh | North Carolina Harm Reduction Coalition Raleigh | Raleigh | NC |
| North Carolina Harm Reduction Coalition Vance | North Carolina Harm Reduction Coalition Vance | Vance | NC |
| North Carolina Harm Reduction Coalition Wake | North Carolina Harm Reduction Coalition Wake | Raleigh | NC |
| North Carolina Harm Reduction Coalition Wilmington | North Carolina Harm Reduction Coalition Wilmington | Wilmington | NC |
| North Coast AIDS Project | Humboldt County Department of Health & Human Services' Public Health's Health Communities Division | Eureka | CA |
| Northeast Tri County Health's Syringe Services Program | Northeast Tri County Health | Colville | WA |
| Northern Minnesota Harm Reduction | Northern Minnesota Harm Reduction | Hill City | MN |
| Northern Sierra Harm Reduction | Plumas County Public Health | Quincy | CA |
| Northwest Ohio Syringe Services | Toledo-Lucas County Health Department | Toledo | OH |
| O.D. AID | O.D. AID | Fort Worth | TX |
| Ohio Valley Harm Reduction Coalition | Ohio Valley Harm Reduction Coalition | Wellsburg | WV |
| Okanogan County Syringe Exchange Program | Okanogan County Public Health | Okanogan | WA |
| ONE STOP | North Shore Health Project | Gloucester | MA |
| One Stop Shop Syringe Service Program | Scott County Health Department | Austin | IN |
| Open Aid Alliance Polson | Open Aid Alliance | Polson | MT |
| Open Aid Alliance Syringe Services Program | Open Aid Alliance Missoula | Missoula | MT |
| Operation in My Back Yard | Operation in My Back Yard | Kensington | PA |
| Orange County Health Department | Orange County Health Department | Hillsborough | NC |
| Ostrich Bay Exchange | Ostrich Bay Exchange | Bremerton | WA |
| Our Revolution SC7 | Our Revolution SC7 | Wallace | SC |
| Outside In | Outside In | Portland | OR |
| Pacific Pride Foundation | Pacific Pride Foundation | Santa Barbara | CA |
| Pascua Yaqui Tribal Exchange | Pascua Yaqui Tribe | Tucson | AZ |
| Pendleton County Harm Reduction Program | Three Rivers District Health Department | Falmouth | KY |
| Person-First Harm Reduction Coalition | Person-First Harm Reduction Coalition | Munice | IN |
| Piedmont North Carolina Urban Survivors' Union | Piedmont North Carolina Urban Survivors' Union | Greensboro | NC |
| Planned Humanity | Planned Humanity | Stewartville | MN |
| Point of Hope Syringe Exchange | Point of Hope | Connersville | IN |
| Point to Point Kane County | Point to Point | Kane County | IL |
| Points West Syringe Services Program | Jefferson County Colorado Public Health | Lakewood | CO |
| Portland Needle Exchange Program | India Street Public Health Center | Portland | ME |
| Positive Resource Connection | Positive Resource Connection | Fort Wayne | IN |
| Preskitt Needle Exchange | Preskitt Needle Exchange | Prescott | AZ |
| Prevention Not Permission | Portsmouth City Health Department | Portsmouth | OH |
| Prevention Point Pittsburgh | Prevention Point Pittsburgh | Pittsburgh | PA |
| Prevention Point Syringe Exchange Program | Prevention Point Philadelphia | Philadelphia | PA |
| Program RISE | Program RISE | Framingham | MA |
| Project ACT Syringe Service Program | Project ACT Knoxville | Knoxville | TN |
| Project NEON | Needle and Sex Education Outreach Network | Seattle | WA |
| Project Safe | Project Safe | Philadelphia | PA |
| Protecting Our Community | Lee County Health Department | Dixon | IL |
| Provincetown Needle Exchange Program | AIDS Support Group Cape Cod | Hyannis | MA |
| Public Health's Harm Reduction Program | Clatsop County Department of Public Health | Astoria | OR |
| Pulaski County Syringe Exchange Program | Pulaski County Health Department | Somerset | KY |
| Punks with Lunch | COHRT | Oakland | CA |
| Punks with Lunch Lansing | Punks with Lunch Lansing | Lansing | MI |
| Queen City Needle Exchange | Queen City Needle Exchange | Charlotte | NC |
| Rebel Recovery FL | Rebel Recovery FL | West Palm Beach | FL |
| Red Door Syringe Services Program | Red Door Clinic | Minneapolis | MN |
| Redwoods Rural Health Center | Redwoods Rural Health Center | Redway | CA |
| Restoration Hope | Restoration Hope | Cosby | TN |
| Risk Reduction Outreach Syringe Services Program | Perception Programs Inc. | Willimantic | CT |
| Robert Clewis Center | Robert Clewis Center | Seattle | WA |
| Rural AIDS Action Network Duluth | Rural AIDS Action Network | Duluth | MN |
| Rural AIDS Action Network Mankato | Rural AIDS Action Network | Mankato | MN |
| Rural AIDS Action Network Virginia | Rural AIDS Action Network | Virginia | MN |
| Russell County Syringe Exchange Program | Russell County Health Department | Jamestown | KY |
| Safe Point Ohio | Equitas Health | Columbus | OH |
| Safe Point San Diego | Family Health Centers of San Diego | San Diego | CA |
| Safe Points Syringe Exchange | Harm Reduction Services | Sacramento | CA |
| Safe Syringe Access and Support Program | Marion County Public Health Department | Indianapolis | IN |
| Safer Alternatives thru Networking & Education | Safer Alternatives thru Networking & Education | Sacramento | CA |
| Safer Use Program | Native American Community Clinic | Minneapolis | MN |
| SafeTrade Fairborn Location | Greene County Public Health | Fairborn | OH |
| SafeTrade Xenia Location | Greene County Public Health | Xenia | OH |
| San Francisco AIDS Foundation | San Francisco AIDS Foundation | San Francisco | CA |
| San Francisco Drug Users Union | San Francisco Drug Users Union | San Francisco | CA |
| San Luis Valley Health Access Risk Reduction Project | San Luis Valley Health Access Risk Reduction Project | Alamosa | CO |
| Santa Clara County Needle Exchange | Santa Clara County Public Health | San Jose | CA |
| Santa Cruz County Syringe Services Program | Santa Cruz County Health Services Agency | Santa Cruz | CA |
| Scott County Syringe Exchange | WEDCO District Health Department | Georgetown | KY |
| Seven Hills, SSP | Seven Hills, SSP | New Bedford | MA |
| SHAC HIV Exchange Program | SHAC HIV Exchange Program | Carrboro | NC |
| Share Mobile Syringe Exchange | Share Mobile Syringe Exchange | Clark County | WA |
| Shasta County Syringe Services Program | Shasta County Public Health | Redding | CA |
| Shot in the Dark | Shot in the Dark | Maricopa County | AZ |
| SHOTS | Stop Harm on Tulsa Streets | Tulsa | OK |
| Sixteenth Street Community Health Center HIV Outreach Center | Sixteenth Street Community Health Center | Milwaukee | WI |
| SLO Bangers Syringe Exchange | SLO Bangers Syringe Exchange | San Luis Obispo | CA |
| South Carolina Harm Reduction Coalition | South Carolina Harm Reduction Coalition | Mount Pleasant | SC |
| Southern Arizona AIDS Foundation Syringe Access Program | Southern Arizona AIDS Foundation | Tucson | AZ |
| Southern Colorado Harm Reduction Association | Southern Colorado Harm Reduction Association | Pueblo | CO |
| Southern Tier AIDS Fix Safe Syringe Exchange Program | Southern Tier AIDS Program | Johnson City | NY |
| Southside Syringe Services | Southside Syringe Services | Minneapolis | MN |
| SPARC Women's Center | SPARC Women's Center | Baltimore | MD |
| Spokane Regional Health District Needle Exchange | Spokane Regional Health District Needle Exchange | Spokane | WA |
| St Ann's Corner of Harm Reduction | St Ann's Corner of Harm Reduction | Bronx | NY |
| St James Infirmary | St James Infirmary | San Francisco | CA |
| St. Clair County Health Department | St. Clair County Health Department | Port Huron | MI |
| Stamford CARES | Family Centers Inc. | Stamford | CT |
| Sterile Syringe Access Program | Camden Area Health Education Center | Camden | NJ |
| Street Works Syringe Service Program | Street Works | Nashville | TN |
| Streetwork Project | Safe Horizon Inc | New York | NY |
| SWAP | Stark Wide Approach to Prevention | Canton | OH |
| Syringe Access Program Atlantic City | South Jersey AIDS Alliance | Atlantic City | NJ |
| Syringe Access Project | Hyacinth AIDS Foundation | Jersey City | NJ |
| Syringe Exchange Program of Cabarrus County | Cabarrus Health Alliance | Kannapolis | NC |
| Syringe Exchange Program of Franklin | Full Circle Recovery Center, LLC | Franklin | NC |
| Syringe Service Alliance of the Nashua Area | Syringe Service Alliance of the Nashua Area | Nashua | NH |
| Syringe Services Program of Worcester | AIDS Project Worcester | Worcester | MA |
| Syringe Trade Education Program of TN Chattanooga | Cempa Community Care (formerly Chattanooga CARES) | Chattanooga | TN |
| Syringe Trade Education Program of TN Johnson City | Cempa Community Care (formerly Chattanooga CARES) | Johnson City | TN |
| Tacoma Needle Exchange | Dave Purchase Project | Tacoma | WA |
| Tapestry Health Syringe Access Program | Tapestry Health Systems Inc. | Springfield | MA |
| Tarzana Treatment Centers | Tarzana Treatment Centers | Tarzana | CA |
| Test Positive Aware Network | Test Positive Aware Network | Chicago | IL |
| Texas Overdose Naloxone Initiative-Wichita Falls | Texas Overdose Naloxone Initiative-Wichita Falls | Wichita Falls | TX |
| The Exchange Project | Hamilton County Public Health | Cincinnati | OH |
| The Exchange Union | The Exchange Union | Charles Town | WV |
| The HIV Education and Prevention Project of Alameda County | Casa Segura | Oakland | CA |
| The LIGHT Program | Milan Puskar Health Right | Morgantown | WV |
| The Minot Good Neighbor Project | First District Health Unit | Minot | ND |
| The Next Step Needle Exchange | Maine General Health | Augusta | ME |
| The People's Harm Reduction Alliance | The People's Harm Reduction Alliance | Seattle | WA |
| The Philadelphia Center | The Philadelphia Center | Shreveport | LA |
| The Phoenix Center | The Phoenix Center | Springfield | IL |
| The Prevention Resource Network | The Prevention Resource Network | Asbury Park | NJ |
| The Solace Foundation of Orange County | The Solace Foundation of Orange County | Rancho Santa Margarita | CA |
| The Spahr Center | Marin AIDS Project | Corte Madera | CA |
| The Steady Collective | The Steady Collective | Asheville | NC |
| The Works Program | Boulder County AIDS Project (BCAP) | Boulder | CO |
| Thurston County Syringe Services Program | The Thurston County Public Health and Social Services Syringe Services Program | Olympia | WA |
| TMBCI Life Works | TMBCI Life Works | Belcourt | ND |
| Trans Thrive | San Francisco Community Health Center (formally API Wellness) | San Francisco | CA |
| TransVision Program | Tri-City Health Center | Fremont | CA |
| Trystereo | Trystereo | New Orleans | LA |
| Twin Cities General Defense Committee Harm Reduction Working Group | Twin Cities General Defense Committee Harm Reduction Working Group | Minneaplis | MN |
| Twin City Harm Reduction Collective | Twin City Harm Reduction Collective | Salem | NC |
| UCSF Alliance Health Project | UCSF Alliance Health Project | San Francisco | CA |
| United Indian Health Services | United Indian Health Services | Weitchpec | CA |
| Upper Ohio Valley Harm Reduction Coalition | Upper Ohio Valley Harm Reduction Coalition | Weirton | WV |
| Utah Harm Reduction Coalition | Utah Harm Reduction Coalition | Midvale | UT |
| Utah Syringe Exchange Network | Utah Syringe Exchange Network | Salt Lake City | UT |
| Valhalla Place | Valhalla Place | Brooklyn Park | MN |
| Ventura County Public Health Syringe Replacement Program | Ventura County Public Health | Ventura | CA |
| Vermont Cares Harm Reduction Services | Vermont Cares | St Johnsbury | VT |
| Vocal New York | Vocal New York | Brooklyn | NY |
| Washington Heights CORNER Project | Washington Heights CORNER Project | New York | NY |
| Wellness HIV/AIDS Services | Wellness Services | Flint | MI |
| West Texas Harm Reduction | West Texas Harm Reduction | Abilene | TX |
| Whatcom County Syringe Exchange Program | Whatcom County Health Department | Bellingham | WA |
| Wheeling-Ohio County Health Department Needle Exchange Program | Wheeling-Ohio County Health Department Needle Exchange Program | Wheeling | WV |
| Whitley County Syringe Exchange | Whitley County Syringe Exchange | Williamsburg | KY |
| Whitman County Needle Exchange | Whitman County Needle Exchange | Colfax | WA |
| Women With A Vision, Inc. | Women With A Vision, Inc. | New Orleans | LA |
| WV Health Right Needle Exchange | West Virginia Health Right | Charleston | WV |
| Yale Community Health Care Van | Yale Community Health Care Van | New Haven | CT |