10+ Years · Alexandria
Experienced Therapists & Counselors in Alexandria, VA
Experience matters. These therapists & counselors in Alexandria have years of proven work behind them — and the reviews to back it up.
As of May 2026, RatingsNearMe ranks 19 therapists & counselors in Alexandria, VA by verified customer ratings and review volume. The highest-rated is Old Town Psychology with a 5.0-star rating from 56 verified reviews. Also in the top tier: Thriveworks Counseling & Psychiatry Alexandria and Lifebulb Counseling & Therapy Alexandria. The average rating across all listed therapists & counselors in Alexandria is 4.9 stars from 24 reviews per business on average.
Therapy in Alexandria: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.
Rankings updated May 17, 2026 · Scored by ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Local Market Snapshot
19
Businesses listed
4.9★
Avg rating
24
Avg reviews
May 17, 2026
Last updated
Top Rated Therapists & Counselors
Old Town Psychology
1221 King St, Alexandria, VA 22314, USA
Thriveworks Counseling & Psychiatry Alexandria
3014 Colvin St Ste 1-A, Alexandria, VA 22314, USA
Lifebulb Counseling & Therapy Alexandria
6210 Old Franconia Rd Unit A, Alexandria, VA 22310, USA
Therapists & Counselors Rankings in Alexandria, VA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Old Town Psychology1221 King St, Alexandria, VA 22314, USA | 5.0★ | 56 |
| #2 | Thriveworks Counseling & Psychiatry Alexandria3014 Colvin St Ste 1-A, Alexandria, VA 22314, USA | 4.7★ | 85 |
| #3 | Lifebulb Counseling & Therapy Alexandria6210 Old Franconia Rd Unit A, Alexandria, VA 22310, USA | 4.7★ | 80 |
| #4 | Counseling Center Group600 Cameron St Suite 104, Alexandria, VA 22314, USA | 5.0★ | 19 |
| #5 | Stepping Stone Psychotherapy, LLC601 King St Suite 303, Alexandria, VA 22314, USA | 5.0★ | 6 |
| #6 | Insight Counseling of Alexandria, LLC113 S St Asaph St #2, Alexandria, VA 22314, USA | 5.0★ | 5 |
| #7 | Moving Forward, PLC — Dr. Michele Cole, PhD, LCSW117 S St Asaph St, Alexandria, VA 22314, USA | 4.8★ | 24 |
| #8 | Del Ray Psych & Wellness, LLC1900 Mt Vernon Ave, Alexandria, VA 22301, USA | 4.8★ | 12 |
| #9 | Counseling of Alexandria, LLC119 Oronoco St 2nd Floor, Alexandria, VA 22314, USA | 4.3★ | 6 |
| #10 | District Psychiatry and Wellness121 N Washington St Suite 202, Alexandria, VA 22314, USA | 5.0★ | 22 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated May 2026
All Therapists & Counselors in Alexandria
Counseling Center Group
600 Cameron St Suite 104, Alexandria, VA 22314, USA
Stepping Stone Psychotherapy, LLC
601 King St Suite 303, Alexandria, VA 22314, USA
Insight Counseling of Alexandria, LLC
113 S St Asaph St #2, Alexandria, VA 22314, USA
Moving Forward, PLC — Dr. Michele Cole, PhD, LCSW
117 S St Asaph St, Alexandria, VA 22314, USA
Del Ray Psych & Wellness, LLC
1900 Mt Vernon Ave, Alexandria, VA 22301, USA
Counseling of Alexandria, LLC
119 Oronoco St 2nd Floor, Alexandria, VA 22314, USA
District Psychiatry and Wellness
121 N Washington St Suite 202, Alexandria, VA 22314, USA
Mental Map to Wellness
211 N Union St Suite 100, Alexandria, VA 22314, USA
Conscious Collective - A Holistic Therapy Center
1451 Belle Haven Rd STE 230, Alexandria, VA 22307, USA
Alexandria Place Therapy, LLC
108A S Columbus St, Alexandria, VA 22314, USA
River Grove Therapy
107 Oronoco St, Alexandria, VA 22314, USA
Hearts and Minds Health
2202 Mt Vernon Ave, Alexandria, VA 22301, USA
Columbia Mental Health Therapists and Psychiatrists - Alexandria
2800 Eisenhower Ave #200, Alexandria, VA 22314, USA
Old Town Psychotherapy, PLLC
218 N Lee St #201, Alexandria, VA 22314, USA
Kendra Sievers, LCSW - Restorative Therapy
324 N Fairfax St #200, Alexandria, VA 22314, USA
Restore Counseling & Consulting, LLC
2121 Eisenhower Ave Suite 307, Alexandria, VA 22314, USA
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Frequently Asked Questions — Therapists & Counselors in Alexandria
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in Alexandria?
Psychiatrists (MD) can prescribe medication and diagnose. PhD/PsyD Psychologists provide therapy and can do psychological testing. LCSWs (Licensed Clinical Social Workers) focus on life circumstances and behavioral patterns. LPCs (Licensed Professional Counselors) specialize in talk therapy and mental health counseling. All four can provide effective therapy — the right choice depends on your needs and whether medication may be relevant.
How do I find a therapist in Alexandria who takes my insurance?
Call your insurance company's member services line or search their online provider directory. When you reach a therapist's office, ask specifically: "Do you accept [insurance name] for in-network benefits?" In-network therapy typically costs $20–$60 per session (copay) instead of $100–$250 out of pocket. Psychology Today's directory at psychologytoday.com lets you filter by insurance.
How much does therapy cost in Alexandria without insurance?
Private pay rates typically run $100–$200/session for LPCs and LCSWs, and $150–$300 for psychologists. Many therapists offer sliding-scale fees based on income — it's worth asking directly. Open Path Collective (openpathcollective.org) lists therapists offering $30–$80 sessions for qualifying clients.
How long does it typically take to see results from therapy?
Research shows meaningful improvement in 8–16 sessions for most anxiety and depression cases. CBT (Cognitive Behavioral Therapy) tends to show results fastest. Complex trauma or personality-related concerns may take longer. A good therapist will set measurable goals with you in the first 1–3 sessions and reassess regularly.
How are the therapists & counselors on this page ranked?
Rankings use a transparent algorithm: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Featured Partner listings have paid for enhanced visibility but must still earn their position through real customer reviews — sponsored listings are clearly labeled.
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How Rankings Work on This Page
Every therapists & counselors on RatingsNearMe is scored transparently: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Businesses labeled exclusive or premium are Featured Partners — they have paid for enhanced visibility but must still rank through real customer reviews. We cap sponsored boosts so bad businesses can never buy the top spot.
Editorial notice: Ratings are based on publicly available data from Google Business listings. Consumers should independently verify licensing, insurance, and credentials before hiring any service provider. Last updated: May 17, 2026.
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