Best Value · San Antonio
Affordable Therapists & Counselors in San Antonio, TX
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As of June 2026, RatingsNearMe ranks 20 therapists & counselors in San Antonio, TX by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Desta Therapy, LLC with a 4.9-star rating from 94 Google reviews and an RNM Score of 93/100. Also in the top tier: Balanced Counseling of San Antonio and Inspire 2Be You Counseling Services. The average rating across all listed therapists & counselors in San Antonio is 4.9 stars from 38 reviews per business on average.
Therapy in San Antonio: $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.
Best Overall
Yvonne Tejeda LPC SEP® RYT200
Yvonne Tejeda stands out as the top-ranked therapist due to her unique combination of somatic experiencing and yoga therapy credentials, offering a holistic approach not commonly found among other providers.
Most Reviewed
Neely Counseling Center
A high review count indicates broad client trust and consistent satisfaction, making Neely Counseling Center a reliable choice for those seeking proven, community-vetted care.
When choosing a therapist in San Antonio, consider whether you prefer a specialized holistic approach like Yvonne Tejeda's or a well-established practice with extensive client feedback like Neely Counseling Center; always verify current availability and insurance compatibility before booking.
Local Market Snapshot
20
Businesses listed
4.9★
Avg rating
38
Avg reviews
Jun 10, 2026
Last updated
Top Rated Therapists & Counselors
Rated 4.9 stars from 94 Google reviews, earning exceptional client trust.
Building 12 - Suite 12103, 16607 Blanco Rd, San Antonio, TX 78232, USATrusted by 111 San Antonio clients with a strong 4.6-star average rating.
7272 Wurzbach Rd Ste 203, San Antonio, TX 78240, USARated 4.9 stars from 66 Google reviews, this therapist is highly recommended in San Antonio.
4414 Centerview Dr # 106, San Antonio, TX 78228, USATherapists & Counselors Rankings in San Antonio, TX
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Desta Therapy, LLCBuilding 12 - Suite 12103, 16607 Blanco Rd, San Antonio, TX 78232, USA | 4.9★ | 94 |
| #2 | Balanced Counseling of San Antonio7272 Wurzbach Rd Ste 203, San Antonio, TX 78240, USA | 4.6★ | 111 |
| #3 | Inspire 2Be You Counseling Services4414 Centerview Dr # 106, San Antonio, TX 78228, USA | 4.9★ | 66 |
| #4 | Alliance Psychology and Alliance Psychiatry23119 W Interstate 10 Frontage Rd Unit 10, San Antonio, TX 78257, USA | 5.0★ | 49 |
| #5 | Taylor Counseling Group - Alamo Heights1777 NE Interstate 410 Loop Suite 825, San Antonio, TX 78217, USA | 5.0★ | 26 |
| #6 | Starlight Path Counseling- Castle Hills7300 Blanco Rd STE 502 Room D, San Antonio, TX 78216, USA | 5.0★ | 26 |
| #7 | Aligned Mind Counseling, PLLC2632 Broadway Suite 101S, San Antonio, TX 78215, USA | 5.0★ | 16 |
| #8 | Yvonne Tejeda LPC SEP® RYT200Harmony Hills St, Spring Branch, TX 78070, USA | 4.9★ | 61 |
| #9 | Elite Performance Counseling | San Antonio17806 W Interstate 10 Frontage Rd Suite 300, San Antonio, TX 78257, USA | 5.0★ | 27 |
| #10 | Alamo Ranch Counseling and Wellness, PLLC11220 W Loop 1604 N Building 1 Suite 119, San Antonio, TX 78254, USA | 5.0★ | 27 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated June 2026
All Therapists & Counselors in San Antonio
Praised by clients with a perfect 5.0-star rating from 49 reviews in San Antonio.
23119 W Interstate 10 Frontage Rd Unit 10, San Antonio, TX 78257, USA
Rated 5.0 stars from 26 Google reviews, this San Antonio therapist is highly recommended.
1777 NE Interstate 410 Loop Suite 825, San Antonio, TX 78217, USA
Rated 5.0 stars from 26 Google reviews, this San Antonio therapist is highly recommended.
7300 Blanco Rd STE 502 Room D, San Antonio, TX 78216, USA
Rated 5.0 stars from 16 Google reviews in San Antonio.
2632 Broadway Suite 101S, San Antonio, TX 78215, USA
Rated 4.9 stars from 61 Google reviews for exceptional client care.
Harmony Hills St, Spring Branch, TX 78070, USA
Rated 5.0 stars from 27 Google reviews, this San Antonio therapist earns outstanding client feedback.
17806 W Interstate 10 Frontage Rd Suite 300, San Antonio, TX 78257, USA
Earned a perfect 5.0-star rating from 27 local reviews in San Antonio.
11220 W Loop 1604 N Building 1 Suite 119, San Antonio, TX 78254, USA
Rated 5.0 stars from 11 reviews, this San Antonio therapist earns high client praise.
19202 Huebner Rd Ste 104, San Antonio, TX 78258, USA
5.0 stars from 22 reviews, reflecting exceptional client satisfaction in San Antonio.
708 W Summit Ave., San Antonio, TX 78212, USA
5.0 stars from 11 Google reviews reflects consistently high client satisfaction.
8620 N New Braunfels Ave Suite# 538, San Antonio, TX 78217, USA
Rated 5.0 stars from 58 Google reviews, this San Antonio therapist is highly recommended.
8000 West Ave #1, San Antonio, TX 78213, USA
Rated 4.8 stars from 51 reviews, this San Antonio therapist is highly recommended.
11153 Westwood Loop bldg. 1, San Antonio, TX 78253, USA
Rated 4.6 stars from 11 Google reviews, this San Antonio therapist earns strong client satisfaction.
16607 Blanco Rd STE 701, San Antonio, TX 78232, USA
5.0 stars from 2 reviews, reflecting exceptional client satisfaction in San Antonio.
11230 West Ave Ste 2106, San Antonio, TX 78213, USA
Rated 4.9 stars from 56 Google reviews, this San Antonio therapist is highly recommended.
4538 Centerview Dr Suite 180, San Antonio, TX 78228, USA
Rated 4.6 stars from 27 Google reviews, this San Antonio therapist is highly recommended.
4100 E Piedras Dr Suite 162, San Antonio, TX 78228, USA
Rated 5.0 stars based on a small number of Google reviews in San Antonio.
315 Cincinnati Ave Unit 102, San Antonio, TX 78201, USA
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Therapists & Counselors in San Antonio, TX — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Desta Therapy, LLC | 93/100 | 4.9 ★ | 94 |
| 2 | Balanced Counseling of San Antonio | 89/100 | 4.6 ★ | 111 |
| 3 | Inspire 2Be You Counseling Services | 91/100 | 4.9 ★ | 66 |
| 4 | Alliance Psychology and Alliance Psychiatry | 91/100 | 5.0 ★ | 49 |
| 5 | Taylor Counseling Group - Alamo Heights | 88/100 | 5.0 ★ | 26 |
| 6 | Starlight Path Counseling- Castle Hills | 88/100 | 5.0 ★ | 26 |
| 7 | Aligned Mind Counseling, PLLC | 85/100 | 5.0 ★ | 16 |
| 8 | Yvonne Tejeda LPC SEP® RYT200 | 79/100 | 4.9 ★ | 61 |
| 9 | Elite Performance Counseling | San Antonio | 88/100 | 5.0 ★ | 27 |
| 10 | Alamo Ranch Counseling and Wellness, PLLC | 88/100 | 5.0 ★ | 27 |
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 San Antonio
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in San Antonio?
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 San Antonio 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 San Antonio 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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