Same Day · Sacramento
Same-Day Therapists & Counselors in Sacramento, CA
Can't wait a week? These therapists & counselors in Sacramento offer same-day or next-day appointments. Call now to check availability.
As of June 2026, RatingsNearMe ranks 20 therapists & counselors in Sacramento, CA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Mindpath Health Psychiatrists & Therapists - Sacramento with a 4.3-star rating from 466 Google reviews and an RNM Score of 88/100. Also in the top tier: Love Heal Grow: Relationship-Focused Therapy Center and Clinic for Healing and Change, Sacramento. The average rating across all listed therapists & counselors in Sacramento is 4.8 stars from 46 reviews per business on average.
Therapy in Sacramento: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.
Rankings updated June 9, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Sacramento, CA offers a variety of therapist options to meet the mental health needs of the local community. Consumers can find therapists specializing in different areas, such as individual, couples, and family counseling, to address a range of concerns.
- ✓Therapists in Sacramento provide services for individual, couples, and family counseling
- ✓Therapists offer expertise in areas such as mental health, relationships, and personal growth
- ✓Consumers can research local therapist options to find the right fit for their needs
Best Overall
Crosstown Psychology
Crosstown Psychology stands out for its comprehensive, evidence-based approach and strong reputation among top-ranked providers in Sacramento.
Most Reviewed
Crosstown Psychology
A high review count indicates broad patient trust and consistent satisfaction over time.
When choosing a therapist in Sacramento, consider your specific needs (e.g., anxiety, trauma, couples therapy) and check each practice's specialties and insurance compatibility. Reading recent reviews can also help gauge fit and responsiveness.
How to Choose a Therapists & Counselor in Sacramento
What to look for
- • Therapists with experience treating the specific issues you're seeking help for
- • Therapists who accept your health insurance or offer sliding scale fees if you're uninsured
- • Therapists with the appropriate licensing and credentials for your state (e.g. LMFT, LCSW, PhD, PsyD)
- • Therapists who make you feel comfortable and heard during the initial consultation
Questions to ask
- • What is your experience treating clients with my specific concerns?
- • Do you accept my health insurance, and if not, what are your fees and payment options?
- • What type of therapy approach or techniques do you use?
Red flags
- ⚠ Therapist who seems distracted or disengaged during the session
- ⚠ Therapist who pressures you to commit to a long-term treatment plan before you've had a chance to assess the fit
- ⚠ Therapist who discloses inappropriate personal information or makes you feel uncomfortable
In California, therapists must be licensed by the Board of Behavioral Sciences, so be sure to verify their credentials before starting treatment. Many therapists also accept major health insurance plans, so check coverage details if that's a concern.
Local Market Snapshot
20
Businesses listed
4.8★
Avg rating
46
Avg reviews
Jun 9, 2026
Last updated
Top Rated Therapists & Counselors
Trusted by hundreds of clients, this Sacramento therapist holds a strong 4.3-star rating.
2180 Harvard St Suite 210, Sacramento, CA 95815, USATherapists & Counselors Rankings in Sacramento, CA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Mindpath Health Psychiatrists & Therapists - Sacramento2180 Harvard St Suite 210, Sacramento, CA 95815, USA | 4.3★ | 466 |
| #2 | Love Heal Grow: Relationship-Focused Therapy Center2430 K St, Sacramento, CA 95816, USA | 4.8★ | 100 |
| #3 | Clinic for Healing and Change, Sacramento7801 Folsom Blvd Suite 215, Sacramento, CA 95826, USA | 4.9★ | 44 |
| #4 | Attune Counseling Center3336 Bradshaw Rd #340, Sacramento, CA 95827, USA | 4.7★ | 17 |
| #5 | Jennifer Flood L. Flood Marriage and Family Counseling Group Inc.425 University Ave # 221, Sacramento, CA 95825, USA | 4.8★ | 46 |
| #6 | Thrive Therapy & Counseling2131 Capitol Ave #206, Sacramento, CA 95816, USA | 4.3★ | 24 |
| #7 | Sage River Psychotherapy (formerly Three Rivers)1903 21st Street, Sacramento, CA 95811, USA | 5.0★ | 1 |
| #8 | Whole Wellness Therapy2618 J St #2, Sacramento, CA 95816, USA | 4.6★ | 9 |
| #9 | Kathleen Oravec LMFT2118 P St, Sacramento, CA 95816, USA | 4.8★ | 11 |
| #10 | Crosstown Psychology900 Howe Ave Suite 230 Room 2, Sacramento, CA 95825, USA | 5.0★ | 27 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated June 2026
All Therapists & Counselors in Sacramento
3336 Bradshaw Rd #340, Sacramento, CA 95827, USA
425 University Ave # 221, Sacramento, CA 95825, USA
2131 Capitol Ave #206, Sacramento, CA 95816, USA
1903 21st Street, Sacramento, CA 95811, USA
2118 P St, Sacramento, CA 95816, USA
900 Howe Ave Suite 230 Room 2, Sacramento, CA 95825, USA
3101 I St, Sacramento, CA 95816, USA
2220 J St Suite 8, Sacramento, CA 95816, USA
2620 J St, Sacramento, CA 95816, USA
1610 R St Suite 300, Sacramento, CA 95811, USA
455 University Ave Suite 215, Sacramento, CA 95825, USA
650 University Ave #202, Sacramento, CA 95825, USA
1900 Point W Way #188, Sacramento, CA 95815, USA
455 University Ave Suite 215, Sacramento, CA 95825, USA
500 Capitol Mall #2350, Sacramento, CA 95814, USA
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Therapists & Counselors in Sacramento, CA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Mindpath Health Psychiatrists & Therapists - Sacramento | 88/100 | 4.3 ★ | 466 |
| 2 | Love Heal Grow: Relationship-Focused Therapy Center | 92/100 | 4.8 ★ | 100 |
| 3 | Clinic for Healing and Change, Sacramento | 89/100 | 4.9 ★ | 44 |
| 4 | Attune Counseling Center | 81/100 | 4.7 ★ | 17 |
| 5 | Jennifer Flood L. Flood Marriage and Family Counseling Group Inc. | 88/100 | 4.8 ★ | 46 |
| 6 | Thrive Therapy & Counseling | 67/100 | 4.3 ★ | 24 |
| 7 | Sage River Psychotherapy (formerly Three Rivers) | 65/100 | 5.0 ★ | 1 |
| 8 | Whole Wellness Therapy | 67/100 | 4.6 ★ | 9 |
| 9 | Kathleen Oravec LMFT | 80/100 | 4.8 ★ | 11 |
| 10 | Crosstown Psychology | 88/100 | 5.0 ★ | 27 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · June 2026
Frequently Asked Questions — Therapists & Counselors in Sacramento
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in Sacramento?
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 Sacramento 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 Sacramento 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 9, 2026.
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