24/7 Available · Richmond
24-Hour Therapists & Counselors in Richmond, VA — Always Available
Emergencies don't keep business hours. These therapists & counselors in Richmond are available 24 hours a day, 7 days a week — including holidays.
As of May 2026, RatingsNearMe ranks 18 therapists & counselors in Richmond, VA by verified customer ratings and review volume. The highest-rated is H.Y.P.E. Counseling Services with a 4.9-star rating from 132 verified reviews. Also in the top tier: Thriveworks Counseling & Psychiatry Richmond and LifeStance Therapists & Psychiatrists Richmond. The average rating across all listed therapists & counselors in Richmond is 4.8 stars from 48 reviews per business on average.
Therapy in Richmond: $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
18
Businesses listed
4.8★
Avg rating
48
Avg reviews
May 17, 2026
Last updated
Top Rated Therapists & Counselors
H.Y.P.E. Counseling Services
5911 W Broad St, Richmond, VA 23230, USA
Thriveworks Counseling & Psychiatry Richmond
1901 E Franklin St #108, Richmond, VA 23223, USA
LifeStance Therapists & Psychiatrists Richmond
7301 Forest Ave #200, Richmond, VA 23226, USA
Therapists & Counselors Rankings in Richmond, VA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | H.Y.P.E. Counseling Services5911 W Broad St, Richmond, VA 23230, USA | 4.9★ | 132 |
| #2 | Thriveworks Counseling & Psychiatry Richmond1901 E Franklin St #108, Richmond, VA 23223, USA | 4.6★ | 146 |
| #3 | LifeStance Therapists & Psychiatrists Richmond7301 Forest Ave #200, Richmond, VA 23226, USA | 4.4★ | 196 |
| #4 | J Group Counseling Services, LLC715 E 4th St Suite 28, Richmond, VA 23224, USA | 5.0★ | 32 |
| #5 | Fig Tree Therapy6800 Paragon Pl #420, Richmond, VA 23230, USA | 4.7★ | 81 |
| #6 | Richmond Creative Counseling, LLC1900 Byrd Ave, Richmond, VA 23230, USA | 4.3★ | 53 |
| #7 | LaunchPad Counseling5540 Falmouth St # 100, Richmond, VA 23230, USA | 4.8★ | 33 |
| #8 | RVA Counseling8003 Franklin Farms Dr Ste 101 & Ste 131, Richmond, VA 23229, USA | 4.7★ | 31 |
| #9 | HeartMind Resiliency, LLC3108 Semmes Ave, Richmond, VA 23225, USA | 5.0★ | 12 |
| #10 | NEW LYFE COUNSELING SERVICES, LLC6601 Irongate Square, Richmond, VA 23234, USA | 4.9★ | 37 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated May 2026
All Therapists & Counselors in Richmond
J Group Counseling Services, LLC
715 E 4th St Suite 28, Richmond, VA 23224, USA
Fig Tree Therapy
6800 Paragon Pl #420, Richmond, VA 23230, USA
Richmond Creative Counseling, LLC
1900 Byrd Ave, Richmond, VA 23230, USA
LaunchPad Counseling
5540 Falmouth St # 100, Richmond, VA 23230, USA
RVA Counseling
8003 Franklin Farms Dr Ste 101 & Ste 131, Richmond, VA 23229, USA
HeartMind Resiliency, LLC
3108 Semmes Ave, Richmond, VA 23225, USA
NEW LYFE COUNSELING SERVICES, LLC
6601 Irongate Square, Richmond, VA 23234, USA
Whole Journey Services
9211 Forest Hill Ave Suite 201, Richmond, VA 23235, USA
Marriage & Relationship Coaching Center
5700 W Grace St STE 108, Richmond, VA 23226, USA
New Peaks Counseling, LLC
2004 Bremo Rd #101, Richmond, VA 23226, USA
Serenity Counseling Services of VA
1218 Decatur St, Richmond, VA 23224, USA
JuneDay Therapy
2222 Monument Ave Suite 1st floor, Richmond, VA 23220, USA
Nadia Dhillon Counseling
1323 McDonough St Unit B, Richmond, VA 23224, USA
Healing Well Therapy
2801 McRae Rd, Richmond, VA 23235, USA
Nick of Time Services, LLC
7633 Hull Street Rd Suite 300, Richmond, VA 23235, USA
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Frequently Asked Questions — Therapists & Counselors in Richmond
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in Richmond?
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 Richmond 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 Richmond 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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