Local Pros · San Francisco
Local Therapists & Counselors in San Francisco, CA
Locally owned and operated therapists & counselors serving San Francisco and the surrounding area. Supporting local businesses means faster response and accountability.
As of May 2026, RatingsNearMe ranks 20 therapists & counselors in San Francisco, CA by verified customer ratings and review volume. The highest-rated is Psychiatric Alternatives & Wellness Center with a 4.9-star rating from 1,572 verified reviews. Also in the top tier: Brendan Hall and The Connective - San Francisco. The average rating across all listed therapists & counselors in San Francisco is 4.9 stars from 94 reviews per business on average.
Therapy in San Francisco: $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
4.9★
Avg rating
94
Avg reviews
May 17, 2026
Last updated
Top Rated Therapists & Counselors
Psychiatric Alternatives & Wellness Center
3609 Sacramento St, San Francisco, CA 94118, USA
The Connective - San Francisco
870 Market St Suite 340, San Francisco, CA 94102, USA
Therapists & Counselors Rankings in San Francisco, CA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Psychiatric Alternatives & Wellness Center3609 Sacramento St, San Francisco, CA 94118, USA | 4.9★ | 1,572 |
| #2 | Brendan Hall3095 21st St, San Francisco, CA 94110, USA | 5.0★ | 44 |
| #3 | The Connective - San Francisco870 Market St Suite 340, San Francisco, CA 94102, USA | 5.0★ | 27 |
| #4 | Andrew Kushnick Psychotherapy870 Market St #980, San Francisco, CA 94102, USA | 4.8★ | 18 |
| #5 | Fiachra Figs O'Sullivan LMFT - Couples Therapy999 Sutter St Suite 207, San Francisco, CA 94109, USA | 5.0★ | 22 |
| #6 | Annie Patyk Therapy, AMFT – Whole Health Counseling Center1734 Fillmore St, San Francisco, CA 94115, USA | 5.0★ | 10 |
| #7 | Michelle Deely, MFT Therapy for Burned Out Moms3896 24th St, San Francisco, CA 94114, USA | 5.0★ | 11 |
| #8 | Stillpoint San Francisco Therapy Collective2354 Post St, San Francisco, CA 94115, USA | 5.0★ | 19 |
| #9 | Sara Sanford Therapy4200 18th St #204, San Francisco, CA 94114, USA | 5.0★ | 13 |
| #10 | EAM Therapy4B Godeus St, San Francisco, CA 94110, USA | 5.0★ | 14 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated May 2026
All Therapists & Counselors in San Francisco
Andrew Kushnick Psychotherapy
870 Market St #980, San Francisco, CA 94102, USA
Fiachra Figs O'Sullivan LMFT - Couples Therapy
999 Sutter St Suite 207, San Francisco, CA 94109, USA
Annie Patyk Therapy, AMFT – Whole Health Counseling Center
1734 Fillmore St, San Francisco, CA 94115, USA
Michelle Deely, MFT Therapy for Burned Out Moms
3896 24th St, San Francisco, CA 94114, USA
Stillpoint San Francisco Therapy Collective
2354 Post St, San Francisco, CA 94115, USA
Therapy Now SF
582 Market St Suite 1203, San Francisco, CA 94104, USA
Dr. Cammy Froude | Licensed Couples Trauma Therapist
350 Townsend St, San Francisco, CA 94107, USA
Calm Again Counseling in San Francisco, CA
4155 24th St, San Francisco, CA 94114, USA
San Francisco Stress and Anxiety Center
999 Sutter St #304, San Francisco, CA 94109, USA
Rooted Ethos Counseling & Psychotherapy
80 Alta St, San Francisco, CA 94133, USA
Psyched in San Francisco
Hobart Building, 582 Market St #1110, San Francisco, CA 94104, USA
Good Therapy SF
870 Market St Suite 617, San Francisco, CA 94102, USA
SF Therapy Group
3368 Sacramento St, San Francisco, CA 94118, USA
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Frequently Asked Questions — Therapists & Counselors in San Francisco
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in San Francisco?
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 Francisco 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 Francisco 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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