4.5+ Stars · San Antonio
Highly Rated Therapists & Counselors in San Antonio, TX
Only the best make this list. These therapists & counselors in San Antonio have earned 4.5+ star ratings from real customers — consistently.
As of June 2026, RatingsNearMe ranks 20 therapists & counselors in San Antonio, TX by verified customer ratings and review volume. The highest-rated is Desta Therapy, LLC with a 4.9-star rating from 94 verified reviews. 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 1, 2026 · Scored by ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Local Market Snapshot
20
Businesses listed
4.9★
Avg rating
38
Avg reviews
Jun 1, 2026
Last updated
Top Rated Therapists & Counselors
Desta Therapy, LLC
Building 12 - Suite 12103, 16607 Blanco Rd, San Antonio, TX 78232, USA
Balanced Counseling of San Antonio
7272 Wurzbach Rd Ste 203, San Antonio, TX 78240, USA
Inspire 2Be You Counseling Services
4414 Centerview Dr # 106, San Antonio, TX 78228, USA
Therapists & 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 | San Antonio Authentic Counseling4100 E Piedras Dr Suite 162, San Antonio, TX 78228, USA | 4.6★ | 27 |
| #5 | Elite Performance Counseling | San Antonio17806 W Interstate 10 Frontage Rd Suite 300, San Antonio, TX 78257, USA | 5.0★ | 27 |
| #6 | Stone Oak Counselors19202 Huebner Rd Ste 104, San Antonio, TX 78258, USA | 5.0★ | 11 |
| #7 | Yvonne Tejeda LPC SEP® RYT200Harmony Hills St, Spring Branch, TX 78070, USA | 4.9★ | 61 |
| #8 | Alliance Psychology and Alliance Psychiatry23119 W Interstate 10 Frontage Rd Unit 10, San Antonio, TX 78257, USA | 5.0★ | 49 |
| #9 | Starlight Path Counseling- Castle Hills7300 Blanco Rd STE 502 Room D, San Antonio, TX 78216, USA | 5.0★ | 26 |
| #10 | Taylor Counseling Group - Alamo Heights1777 NE Interstate 410 Loop Suite 825, San Antonio, TX 78217, USA | 5.0★ | 26 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated June 2026
All Therapists & Counselors in San Antonio
San Antonio Authentic Counseling
4100 E Piedras Dr Suite 162, San Antonio, TX 78228, USA
Elite Performance Counseling | San Antonio
17806 W Interstate 10 Frontage Rd Suite 300, San Antonio, TX 78257, USA
Stone Oak Counselors
19202 Huebner Rd Ste 104, San Antonio, TX 78258, USA
Yvonne Tejeda LPC SEP® RYT200
Harmony Hills St, Spring Branch, TX 78070, USA
Alliance Psychology and Alliance Psychiatry
23119 W Interstate 10 Frontage Rd Unit 10, San Antonio, TX 78257, USA
Starlight Path Counseling- Castle Hills
7300 Blanco Rd STE 502 Room D, San Antonio, TX 78216, USA
Taylor Counseling Group - Alamo Heights
1777 NE Interstate 410 Loop Suite 825, San Antonio, TX 78217, USA
Mind to Heart Counseling Therapist San Antonio
315 Cincinnati Ave Unit 102, San Antonio, TX 78201, USA
Alamo Ranch Counseling and Wellness, PLLC
11220 W Loop 1604 N Building 1 Suite 119, San Antonio, TX 78254, USA
Healing House Counseling, PLLC
708 W Summit Ave., San Antonio, TX 78212, USA
Jennifer L. Hillier M.A. LPCS for Online Counseling, Trauma, and Narcissistic Abuse.
8620 N New Braunfels Ave Suite# 538, San Antonio, TX 78217, USA
Sillon LLC
4538 Centerview Dr Suite 180, San Antonio, TX 78228, USA
Aligned Mind Counseling, PLLC
2632 Broadway Suite 101S, San Antonio, TX 78215, USA
Align Couples Therapy
16607 Blanco Rd STE 701, San Antonio, TX 78232, USA
San Antonio Family Therapist
11230 West Ave Ste 2106, San Antonio, TX 78213, USA
Neely Counseling Center
11153 Westwood Loop bldg. 1, San Antonio, TX 78253, USA
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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 1, 2026.
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