24/7 Available · San Marcos
24-Hour Therapists & Counselors in San Marcos, TX — Always Available
Emergencies don't keep business hours. These therapists & counselors in San Marcos are available 24 hours a day, 7 days a week — including holidays.
As of July 2026, RatingsNearMe ranks 20 therapists & counselors in San Marcos, TX by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is LifeStance Therapists & Psychiatrists San Marcos with a 4.4-star rating from 299 Google reviews and an RNM Score of 78/100. Also in the top tier: Michele Frances Purvin, LCSW-S, LCDC, LLC & Associates and Mallori Hernandez, Psychiatric Nurse Practitioner. The average rating across all listed therapists & counselors in San Marcos is 4.8 stars from 21 reviews per business on average.
Therapy in San Marcos: $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
Calm Minds Child Therapy, PLLC
This practice specializes exclusively in child therapy, making it a top choice for families seeking targeted, expert care in San Marcos.
Most Reviewed
Michele Frances Purvin, LCSW-S, LCDC, LLC & Associates
A high review count often indicates a larger client base and greater community trust, which can be reassuring when selecting a therapist.
When choosing a therapist in San Marcos, consider your specific needs (e.g., child vs. adult therapy, substance use issues) and check each provider's availability and insurance acceptance, as top-ranked options may have waitlists.
Local Market Snapshot
20
Businesses listed
4.8★
Avg rating
21
Avg reviews
Jul 4, 2026
Last updated
Top Rated Therapists & Counselors
Highly rated with 4.4 stars from nearly 300 reviews in San Marcos.
151 Stagecoach Trail #220, San Marcos, TX 78666, USARated 5.0 stars from 10 reviews, this San Marcos therapist earns exceptional client feedback.
136 E San Antonio St suite 104, San Marcos, TX 78666, USARated 5.0 stars from 27 Google reviews, this therapist is highly recommended.
151 Stagecoach Trail Ste 220, San Marcos, TX 78666, USATherapists & Counselors Rankings in San Marcos, TX
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | LifeStance Therapists & Psychiatrists San Marcos151 Stagecoach Trail #220, San Marcos, TX 78666, USA | 4.4★ | 299 |
| #2 | Michele Frances Purvin, LCSW-S, LCDC, LLC & Associates136 E San Antonio St suite 104, San Marcos, TX 78666, USA | 5.0★ | 10 |
| #3 | Mallori Hernandez, Psychiatric Nurse Practitioner151 Stagecoach Trail Ste 220, San Marcos, TX 78666, USA | 5.0★ | 27 |
| #4 | Calm Minds Child Therapy, PLLC136 E San Antonio St suite 108, San Marcos, TX 78666, USA | 5.0★ | 1 |
| #5 | Therapy San Marcos102 Whitetail Dr # 200, San Marcos, TX 78666, USA | 5.0★ | 6 |
| #6 | Jordan Robertson Therapy1205 TX-123 #103, San Marcos, TX 78666, USA | 4.2★ | 5 |
| #7 | Mary Katherine Kaiser MA, LPCS705 W Hopkins St #101, San Marcos, TX 78666, USA | 5.0★ | 1 |
| #8 | Counseling Center5-4.1, 601 University Dr, San Marcos, TX 78666, USA | 5.0★ | 1 |
| #9 | Springer Counseling100 High Ridge Cir, San Marcos, TX 78666, USA | 5.0★ | 1 |
| #10 | Betsey Johnson, Counselor151 Stagecoach Trail #220, San Marcos, TX 78666, USA | 5.0★ | 1 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated July 2026
All Therapists & Counselors in San Marcos
Rated 5.0 stars from 1 Google review in San Marcos.
136 E San Antonio St suite 108, San Marcos, TX 78666, USA
Rated 5.0 stars from six reviews in San Marcos.
102 Whitetail Dr # 200, San Marcos, TX 78666, USA
Rated 4.2 stars from 5 Google reviews, offering solid local therapy options.
1205 TX-123 #103, San Marcos, TX 78666, USA
Rated 5.0 stars from one Google review, reflecting exceptional client feedback.
705 W Hopkins St #101, San Marcos, TX 78666, USA
Rated 5.0 stars from one Google review, reflecting exceptional client satisfaction.
5-4.1, 601 University Dr, San Marcos, TX 78666, USA
5.0-star rating from 1 Google review in San Marcos, TX.
100 High Ridge Cir, San Marcos, TX 78666, USA
Rated 5.0 stars from 1 review in San Marcos.
151 Stagecoach Trail #220, San Marcos, TX 78666, USA
Rated 5.0 stars from 8 reviews in San Marcos.
151 Stagecoach Trail #220, San Marcos, TX 78666, USA
5.0 stars from 4 Google reviews for a therapist in San Marcos.
829 N LBJ Dr #210, San Marcos, TX 78666, USA
Mixed 3.8-star rating from 15 Google reviews provides varied client feedback.
2003 Medical Pkwy suite c, San Marcos, TX 78666, USA
12 Google reviews give this San Marcos therapist a 3.4-star average rating.
300 S CM Allen Pkwy ste 400, San Marcos, TX 78666, USA
Rated 5.0 stars from 11 reviews, this San Marcos therapist is highly recommended.
151 Stagecoach Trail #220, San Marcos, TX 78666, USA
5.0 stars from initial reviews in San Marcos, reflecting strong client satisfaction.
102 Suttles Ave, San Marcos, TX 78666, USA
Rated 5.0 stars from one Google review, reflecting exceptional client satisfaction.
705 W Hopkins St #109, San Marcos, TX 78666, USA
5.0 stars from a handful of Google reviews shows exceptional local client satisfaction.
151 Stagecoach Trail #220, San Marcos, TX 78666, USA
New to San Marcos, this therapist has no reviews yet to guide your choice.
1101 Thorpe Ln #105-422, San Marcos, TX 78666, USA
Earned a perfect 5.0-star rating from early client reviews in San Marcos.
102 Whitetail Dr, San Marcos, TX 78666, USA
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Therapists & Counselors in San Marcos, TX — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | LifeStance Therapists & Psychiatrists San Marcos | 78/100 | 4.4 ★ | 299 |
| 2 | Michele Frances Purvin, LCSW-S, LCDC, LLC & Associates | 83/100 | 5.0 ★ | 10 |
| 3 | Mallori Hernandez, Psychiatric Nurse Practitioner | 76/100 | 5.0 ★ | 27 |
| 4 | Calm Minds Child Therapy, PLLC | 74/100 | 5.0 ★ | 1 |
| 5 | Therapy San Marcos | 81/100 | 5.0 ★ | 6 |
| 6 | Jordan Robertson Therapy | 58/100 | 4.2 ★ | 5 |
| 7 | Mary Katherine Kaiser MA, LPCS | 74/100 | 5.0 ★ | 1 |
| 8 | Counseling Center | 74/100 | 5.0 ★ | 1 |
| 9 | Springer Counseling | 62/100 | 5.0 ★ | 1 |
| 10 | Betsey Johnson, Counselor | 62/100 | 5.0 ★ | 1 |
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 San Marcos
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in San Marcos?
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 Marcos 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 Marcos 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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