Near You · Roanoke
Therapists & Counselors Near You in Roanoke, VA
Find therapists & counselors close to you in Roanoke. All results are sorted by proximity and rated by real local customers.
As of July 2026, RatingsNearMe ranks 20 therapists & counselors in Roanoke, VA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Thriveworks Counseling & Psychiatry Roanoke with a 4.4-star rating from 179 Google reviews and an RNM Score of 76/100. 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 July 4, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Best Overall
Life Worth Living Counseling, Ltd.
It is consistently ranked as the top therapist in Roanoke, offering a wide range of specialized services and a strong reputation for quality care.
Most Reviewed
Life Worth Living Counseling, Ltd.
A high number of reviews indicates a large client base and proven trust, helping you gauge reliability and satisfaction from many real experiences.
When choosing a therapist, consider your specific needs (e.g., individual, couples, or family therapy) and verify each practice's specialties and insurance acceptance. Reading recent reviews can also give insight into the therapist's approach and availability.
Local Market Snapshot
20
Businesses listed
4.8★
Avg rating
15
Avg reviews
Jul 4, 2026
Last updated
Top Rated Therapists & Counselors
4.4 stars from 179 Google reviews reflects strong local trust.
3235 Electric Rd SW #1A, Roanoke, VA 24018, USARated 4.4 stars from 29 Google reviews, this Roanoke therapist is well-regarded.
3618 Brambleton Ave SW, Roanoke, VA 24018, USAKnown for a strong 4.6-star rating from 18 Google reviews in Roanoke.
2728 Colonial Ave SW #17, Roanoke, VA 24015, USATherapists & 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 | Breakforth Counseling & Consulting3959 N Electric Rd Suite 425, Roanoke, VA 24018, USA | 4.4★ | 13 |
| #5 | Thriving Families Counseling, LLC1719 Grandin Rd SW, Roanoke, VA 24015, USA | 4.3★ | 11 |
| #6 | Tinker Creek Creative Counseling, LLC8245 Williamson Rd, Roanoke, VA 24019, USA | 4.5★ | 8 |
| #7 | Heather L. Clifft, LPC3239 N Electric Rd Ste B, Roanoke, VA 24018, USA | 5.0★ | 5 |
| #8 | Fig Tree Counseling1402 Grandin Rd SW suite 203, Roanoke, VA 24015, USA | 5.0★ | 4 |
| #9 | Life Worth Living Counseling, Ltd.1112 2nd St SW, Roanoke, VA 24016, USA | 5.0★ | 4 |
| #10 | TayCounseling LLC4005 N Electric Rd #202, Roanoke, VA 24018, USA | 5.0★ | 4 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated July 2026
All Therapists & Counselors in Roanoke
Rated 4.4 stars from 13 reviews, reflecting solid client satisfaction.
3959 N Electric Rd Suite 425, Roanoke, VA 24018, USA
Rated 4.3 stars from 11 Google reviews by clients in Roanoke.
1719 Grandin Rd SW, Roanoke, VA 24015, USA
Rated 4.5 stars from 8 reviews, this Roanoke therapist is well-regarded by clients.
8245 Williamson Rd, Roanoke, VA 24019, USA
Rated 5.0 stars from 5 reviews, this Roanoke therapist is highly recommended.
3239 N Electric Rd Ste B, Roanoke, VA 24018, USA
Rated 5.0 stars from 4 Google reviews for therapeutic services in Roanoke.
1402 Grandin Rd SW suite 203, Roanoke, VA 24015, USA
Rated 5.0 stars from 4 Google reviews, this Roanoke therapist is highly recommended.
1112 2nd St SW, Roanoke, VA 24016, USA
Exceptional 5.0-star rating from 4 reviews for a Roanoke therapist.
4005 N Electric Rd #202, Roanoke, VA 24018, USA
Rated 4.8 stars from 4 Google reviews, this Roanoke therapist is highly recommended.
2545 Sanford Ave SW, Roanoke, VA 24014, USA
Rated 5.0 stars from four Google reviews, this therapist earns exceptional client feedback.
1402 Grandin Rd SW Ste 209, Roanoke, VA 24015, USA
Exceptional 5.0-star rating based on 3 reviews from local clients in Roanoke.
3959 N Electric Rd #465, Roanoke, VA 24018, USA
Rated 5.0 stars from 3 Google reviews, this Roanoke therapist is highly recommended.
429 Elm Ave, Roanoke, VA 24016, USA
5.0★ rated therapist in Roanoke, VA, with glowing feedback from clients.
924 2nd St SW, Roanoke, VA 24016, USA
Rated 5.0 stars from a single Google review in Roanoke.
4434 Electric Rd SW, Roanoke, VA 24018, USA
Rated 5.0 stars from one review, this Roanoke therapist offers highly-rated care.
302 Washington Avenue Southwest, Roanoke, VA 24016, USA
Rated 4.0 stars based on 4 reviews from local clients in Roanoke.
2727 N Electric Rd #103, Roanoke, VA 24018, USA
Exceptional 5.0-star rating from 3 Google reviews for a local therapist.
3959 N Electric Rd Ste 330, Roanoke, VA 24018, USA
Rated 4.8 stars from 8 reviews, this Roanoke therapist earns exceptional client feedback.
3635 Manassas Dr, Roanoke, VA 24018, USA
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Therapists & Counselors in Roanoke, VA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Thriveworks Counseling & Psychiatry Roanoke | 76/100 | 4.4 ★ | 179 |
| 2 | New Choices Counseling | 67/100 | 4.4 ★ | 29 |
| 3 | Cynthia Lissau Marriage & Family Therapist, LPC, LMFT | 68/100 | 4.6 ★ | 18 |
| 4 | Breakforth Counseling & Consulting | 62/100 | 4.4 ★ | 13 |
| 5 | Thriving Families Counseling, LLC | 60/100 | 4.3 ★ | 11 |
| 6 | Tinker Creek Creative Counseling, LLC | 62/100 | 4.5 ★ | 8 |
| 7 | Heather L. Clifft, LPC | 68/100 | 5.0 ★ | 5 |
| 8 | Fig Tree Counseling | 67/100 | 5.0 ★ | 4 |
| 9 | Life Worth Living Counseling, Ltd. | 67/100 | 5.0 ★ | 4 |
| 10 | TayCounseling LLC | 67/100 | 5.0 ★ | 4 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · July 2026
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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: July 4, 2026.
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