Highest Rated · Alexandria
Top-Rated Therapists & Counselors in Alexandria, VA
Every business ranked by real customer ratings. The pros at the top earned it — through consistent service, not advertising spend.
As of June 2026, RatingsNearMe ranks 19 therapists & counselors in Alexandria, VA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Old Town Psychology with a 5.0-star rating from 56 Google reviews and an RNM Score of 80/100. 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 June 10, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Alexandria, VA is home to a variety of therapists and mental health professionals offering counseling, psychiatry, and holistic wellness services. Consumers can find therapists specializing in areas such as individual, family, and group therapy, as well as those providing integrative approaches to mental health and wellbeing.
- ✓Therapists in Alexandria offer a range of services including individual, family, and group counseling
- ✓Some practices provide integrative and holistic approaches to mental health and wellness
- ✓Consumers can find therapists with expertise in areas such as psychiatry, psychology, and holistic therapy
How to Choose a Therapists & Counselor in Alexandria
What to look for
- • Therapists with experience and expertise in the specific issues you're seeking help with
- • Therapists who accept your health insurance plan or offer sliding scale fees if you're paying out-of-pocket
- • Therapists who have a comfortable, welcoming office environment
- • Therapists who make you feel heard, understood, and respected
Questions to ask
- • What is your experience and approach to treating the issues I'm dealing with?
- • Do you accept my health insurance plan? If not, what are your fees and payment options?
- • Can you describe your office environment and the typical session format?
Red flags
- ⚠ A therapist who seems distracted, rushed, or not fully present during the session
- ⚠ A therapist who makes you feel judged, criticized, or uncomfortable
- ⚠ A therapist who tries to push you into a treatment plan you're not comfortable with
In Virginia, therapists must be licensed by the Virginia Board of Counseling. Be sure to verify a therapist's license and credentials before starting treatment.
Local Market Snapshot
19
Businesses listed
4.9★
Avg rating
24
Avg reviews
Jun 10, 2026
Last updated
Top Rated Therapists & Counselors
5.0-star rated therapist in Alexandria with 56 glowing Google reviews.
1221 King St, Alexandria, VA 22314, USARated 4.7 stars from 85 reviews by clients in Alexandria.
3014 Colvin St Ste 1-A, Alexandria, VA 22314, USA4.7 stars from 80 Google reviews, reflecting strong client satisfaction.
6210 Old Franconia Rd Unit A, Alexandria, VA 22310, USATherapists & 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 | Mental Map to Wellness211 N Union St Suite 100, Alexandria, VA 22314, USA | 5.0★ | 20 |
| #5 | Conscious Collective - A Holistic Therapy Center1451 Belle Haven Rd STE 230, Alexandria, VA 22307, USA | 5.0★ | 19 |
| #6 | Columbia Mental Health Therapists and Psychiatrists - Alexandria2800 Eisenhower Ave #200, Alexandria, VA 22314, USA | 4.4★ | 93 |
| #7 | Kendra Sievers, LCSW - Restorative Therapy324 N Fairfax St #200, Alexandria, VA 22314, USA | 5.0★ | 6 |
| #8 | Old Town Psychotherapy, PLLC218 N Lee St #201, Alexandria, VA 22314, USA | 5.0★ | 3 |
| #9 | Hearts and Minds Health2202 Mt Vernon Ave, Alexandria, VA 22301, USA | 5.0★ | 2 |
| #10 | Alexandria Place Therapy, LLC108A S Columbus St, Alexandria, VA 22314, USA | 5.0★ | 1 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated June 2026
All Therapists & Counselors in Alexandria
Rated 5.0 stars from 20 Google reviews, this Alexandria therapist is highly recommended.
211 N Union St Suite 100, Alexandria, VA 22314, USA
A trusted therapist with a perfect 5.0-star rating from 19 Google reviews.
1451 Belle Haven Rd STE 230, Alexandria, VA 22307, USA
Rated 4.4 stars from 93 Google reviews, this therapist earns strong local trust.
2800 Eisenhower Ave #200, Alexandria, VA 22314, USA
Exceptional 5.0-star rating from 6 Google reviews for a therapist in Alexandria, VA.
324 N Fairfax St #200, Alexandria, VA 22314, USA
Exceptional 5.0-star rating from a handful of Google reviews in Alexandria.
218 N Lee St #201, Alexandria, VA 22314, USA
Rated 5.0 stars from 2 Google reviews for therapy in Alexandria, VA.
2202 Mt Vernon Ave, Alexandria, VA 22301, USA
Rated 5.0 stars from one Google review in Alexandria, VA.
108A S Columbus St, Alexandria, VA 22314, USA
Rated 5.0 stars from one Google review, offering exceptional care in Alexandria.
2121 Eisenhower Ave Suite 307, Alexandria, VA 22314, USA
Rated 5.0 stars from 22 Google reviews, consistently exceptional client feedback.
121 N Washington St Suite 202, Alexandria, VA 22314, USA
Alexandria therapist with a perfect 5.0★ rating from three customer reviews.
107 Oronoco St, Alexandria, VA 22314, USA
Rated 4.8 stars from 24 glowing Google reviews in Alexandria.
117 S St Asaph St, Alexandria, VA 22314, USA
5.0 stars from 19 reviews, reflecting consistently exceptional client feedback.
600 Cameron St Suite 104, Alexandria, VA 22314, USA
Rated 4.8 stars from 12 Google reviews, offering trusted therapeutic support.
1900 Mt Vernon Ave, Alexandria, VA 22301, USA
Rated 5.0 stars from 6 reviews, this Alexandria therapist is highly recommended by past clients.
601 King St Suite 303, Alexandria, VA 22314, USA
Rated 5.0 stars across 5 glowing Google reviews in Alexandria.
113 S St Asaph St #2, Alexandria, VA 22314, USA
4.3 stars from 6 reviews, indicating solid client satisfaction.
119 Oronoco St 2nd Floor, Alexandria, VA 22314, USA
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Therapists & Counselors in Alexandria, VA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Old Town Psychology | 80/100 | 5.0 ★ | 56 |
| 2 | Thriveworks Counseling & Psychiatry Alexandria | 77/100 | 4.7 ★ | 85 |
| 3 | Lifebulb Counseling & Therapy Alexandria | 77/100 | 4.7 ★ | 80 |
| 4 | Mental Map to Wellness | 75/100 | 5.0 ★ | 20 |
| 5 | Conscious Collective - A Holistic Therapy Center | 75/100 | 5.0 ★ | 19 |
| 6 | Columbia Mental Health Therapists and Psychiatrists - Alexandria | 73/100 | 4.4 ★ | 93 |
| 7 | Kendra Sievers, LCSW - Restorative Therapy | 69/100 | 5.0 ★ | 6 |
| 8 | Old Town Psychotherapy, PLLC | 66/100 | 5.0 ★ | 3 |
| 9 | Hearts and Minds Health | 64/100 | 5.0 ★ | 2 |
| 10 | Alexandria Place Therapy, LLC | 62/100 | 5.0 ★ | 1 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · June 2026
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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: June 10, 2026.
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