Licensed · Roanoke
Licensed & Insured Therapists & Counselors in Roanoke, VA
Every therapists & counselors listed here carries proper licensing and insurance in VA. Protect yourself — always verify credentials before work begins.
As of May 2026, RatingsNearMe ranks 20 therapists & counselors in Roanoke, VA by verified customer ratings and review volume. The highest-rated is Thriveworks Counseling & Psychiatry Roanoke with a 4.4-star rating from 179 verified reviews. Also in the top tier: New Choices Counseling and Cynthia Lissau Marriage & Family Therapist, LPC, LMFT. The average rating across all listed therapists & counselors in Roanoke is 4.8 stars from 15 reviews per business on average.
Therapy in Roanoke: $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
20
Businesses listed
4.8★
Avg rating
15
Avg reviews
May 17, 2026
Last updated
Top Rated Therapists & Counselors
Thriveworks Counseling & Psychiatry Roanoke
3235 Electric Rd SW #1A, Roanoke, VA 24018, USA
New Choices Counseling
3618 Brambleton Ave SW, Roanoke, VA 24018, USA
Cynthia Lissau Marriage & Family Therapist, LPC, LMFT
2728 Colonial Ave SW #17, Roanoke, VA 24015, USA
Therapists & Counselors Rankings in Roanoke, VA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Thriveworks Counseling & Psychiatry Roanoke3235 Electric Rd SW #1A, Roanoke, VA 24018, USA | 4.4★ | 179 |
| #2 | New Choices Counseling3618 Brambleton Ave SW, Roanoke, VA 24018, USA | 4.4★ | 29 |
| #3 | Cynthia Lissau Marriage & Family Therapist, LPC, LMFT2728 Colonial Ave SW #17, Roanoke, VA 24015, USA | 4.6★ | 18 |
| #4 | Life Worth Living Counseling, Ltd.1112 2nd St SW, Roanoke, VA 24016, USA | 5.0★ | 4 |
| #5 | Nikki Stup Counseling, LLC924 2nd St SW, Roanoke, VA 24016, USA | 5.0★ | 3 |
| #6 | Women's Therapy Solutions: EMDR and Group Therapy1402 Grandin Rd SW Ste 209, Roanoke, VA 24015, USA | 5.0★ | 4 |
| #7 | Carilion Mental Health Therapy Services Outpatient Psychology - Roanoke4434 Electric Rd SW, Roanoke, VA 24018, USA | 5.0★ | 1 |
| #8 | Fig Tree Counseling1402 Grandin Rd SW suite 203, Roanoke, VA 24015, USA | 5.0★ | 4 |
| #9 | Breakforth Counseling & Consulting3959 N Electric Rd Suite 425, Roanoke, VA 24018, USA | 4.4★ | 13 |
| #10 | Tinker Creek Creative Counseling, LLC8245 Williamson Rd, Roanoke, VA 24019, USA | 4.5★ | 8 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated May 2026
All Therapists & Counselors in Roanoke
Life Worth Living Counseling, Ltd.
1112 2nd St SW, Roanoke, VA 24016, USA
Nikki Stup Counseling, LLC
924 2nd St SW, Roanoke, VA 24016, USA
Women's Therapy Solutions: EMDR and Group Therapy
1402 Grandin Rd SW Ste 209, Roanoke, VA 24015, USA
Carilion Mental Health Therapy Services Outpatient Psychology - Roanoke
4434 Electric Rd SW, Roanoke, VA 24018, USA
Fig Tree Counseling
1402 Grandin Rd SW suite 203, Roanoke, VA 24015, USA
Breakforth Counseling & Consulting
3959 N Electric Rd Suite 425, Roanoke, VA 24018, USA
Tinker Creek Creative Counseling, LLC
8245 Williamson Rd, Roanoke, VA 24019, USA
Live Well Counseling, LLC
2545 Sanford Ave SW, Roanoke, VA 24014, USA
Seeking Wellness Counseling Services
3959 N Electric Rd Ste 330, Roanoke, VA 24018, USA
Babbling Brook Counseling Services PLLC
302 Washington Avenue Southwest, Roanoke, VA 24016, USA
Roanoke Valley Counseling Center, LLC
2727 N Electric Rd #103, Roanoke, VA 24018, USA
A Tree Planted Collective
429 Elm Ave, Roanoke, VA 24016, USA
Thriving Families Counseling, LLC
1719 Grandin Rd SW, Roanoke, VA 24015, USA
Restore Family Counseling, Inc.
3959 N Electric Rd #465, Roanoke, VA 24018, USA
TayCounseling LLC
4005 N Electric Rd #202, Roanoke, VA 24018, USA
The Manassas Group: Mental Health & Wellness
3635 Manassas Dr, Roanoke, VA 24018, USA
Heather L. Clifft, LPC
3239 N Electric Rd Ste B, Roanoke, VA 24018, USA
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Frequently Asked Questions — Therapists & Counselors in Roanoke
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in Roanoke?
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 Roanoke 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 Roanoke 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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