24/7 Emergency · San Mateo
Emergency Therapists & Counselors in San Mateo, CA — Available 24/7
When you can't wait, these therapists & counselors in San Mateo offer emergency response. Call now — most respond within the hour.
As of June 2026, RatingsNearMe ranks 20 therapists & counselors in San Mateo, CA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Christina Wade, LCSW with a 5.0-star rating from 19 Google reviews and an RNM Score of 75/100. Also in the top tier: Jessica Urzua-Jones LMFT, 102349 and Mindpath Health Psychiatrists & Therapists - San Mateo. The average rating across all listed therapists & counselors in San Mateo is 4.9 stars from 8 reviews per business on average.
Therapy in San Mateo: $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
Martin June Ph.D.
As a Ph.D. and Marriage and Family Therapist, Martin June stands out for his advanced credentials and specialized expertise in relationship counseling.
Most Reviewed
Kirsten Kell
A high review count indicates broad client experience and community trust, which can help you gauge reliability and satisfaction.
When choosing a therapist in San Mateo, consider your specific needs such as couples counseling or individual therapy, and check each provider's availability and insurance compatibility to find the best fit.
Local Market Snapshot
20
Businesses listed
4.9★
Avg rating
8
Avg reviews
Jun 10, 2026
Last updated
Top Rated Therapists & Counselors
Rated 5.0 stars from 19 Google reviews for exceptional therapy in San Mateo.
112 W 25th Ave, San Mateo, CA 94403, USARated 5.0 stars from 19 glowing Google reviews in San Mateo.
1611 Borel Pl #5, San Mateo, CA 94402, USARated 4.5 stars from 41 Google reviews, reflecting consistent client satisfaction.
999 Baker Way #150, San Mateo, CA 94404, USATherapists & Counselors Rankings in San Mateo, CA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Christina Wade, LCSW112 W 25th Ave, San Mateo, CA 94403, USA | 5.0★ | 19 |
| #2 | Jessica Urzua-Jones LMFT, 1023491611 Borel Pl #5, San Mateo, CA 94402, USA | 5.0★ | 19 |
| #3 | Mindpath Health Psychiatrists & Therapists - San Mateo999 Baker Way #150, San Mateo, CA 94404, USA | 4.5★ | 41 |
| #4 | Marialena Malejan-Roussere, Marriage and Family Therapist, Certified Group Psychotherapist122 2nd Ave #211, San Mateo, CA 94401, USA | 4.8★ | 18 |
| #5 | Christian Counseling Centers San Mateo1510 Fashion Island Blvd # 110, San Mateo, CA 94404, USA | 5.0★ | 3 |
| #6 | Marriage and Family Therapist, Kirsten Kell1720 S Amphlett Blvd, San Mateo, CA 94402, USA | 5.0★ | 2 |
| #7 | Paul Agustinovich, Ph.D. - Licensed Marriage and Family Therapist501 1st Ave UNIT 1A, San Mateo, CA 94401, USA | 5.0★ | 1 |
| #8 | Izzo Marriage and Family Therapy, P.C. San Mateo Office3130 La Selva St, San Mateo, CA 94403, USA | 3.0★ | 14 |
| #9 | SF Relationship Counseling & Psychotherapy122 2nd Ave, San Mateo, CA 94401, USA | 5.0★ | 8 |
| #10 | Sunny Choi LCSW1700 S Amphlett Blvd Suite 250 I, San Mateo, CA 94402, USA | 5.0★ | 7 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated June 2026
All Therapists & Counselors in San Mateo
Rated 4.8 stars from 18 reviews, this San Mateo therapist is highly recommended.
122 2nd Ave #211, San Mateo, CA 94401, USA
Rated 5.0 stars from three Google reviews, offering exceptional client feedback.
1510 Fashion Island Blvd # 110, San Mateo, CA 94404, USA
Rated 5.0 stars from 2 reviews, reflecting consistently exceptional client feedback.
1720 S Amphlett Blvd, San Mateo, CA 94402, USA
Rated 5.0 stars from a small number of Google reviews.
501 1st Ave UNIT 1A, San Mateo, CA 94401, USA
14 reviews give this San Mateo therapist a mixed 3.0-star rating.
3130 La Selva St, San Mateo, CA 94403, USA
Rated 5.0 stars from 8 Google reviews in San Mateo.
122 2nd Ave, San Mateo, CA 94401, USA
Rated 5.0 stars from 7 Google reviews, this therapist earns exceptional client feedback.
1700 S Amphlett Blvd Suite 250 I, San Mateo, CA 94402, USA
Rated 5.0 stars from 3 Google reviews in San Mateo.
BridgePointe Office Park, 1510 Fashion Island Blvd # 110, San Mateo, CA 94044, USA
Rated 5.0 stars from 2 Google reviews, offering trusted therapeutic support in San Mateo.
120 N El Camino Real, San Mateo, CA 94401, USA
Rated 5.0 stars from 2 reviews on Google.
1100 S El Camino Real #3, San Mateo, CA 94402, USA
Rated 5.0 stars from 1 Google review, this San Mateo therapist is highly regarded.
307 2nd Ave, San Mateo, CA 94401, USA
Rated 5.0 stars from a handful of client reviews in San Mateo.
100 S Ellsworth Ave # 802, San Mateo, CA 94401, USA
Rated 5.0 stars from a small number of Google reviews in San Mateo.
327 N San Mateo Dr #7, San Mateo, CA 94401, USA
Rated 5.0 stars from one Google review, reflecting exceptional early client feedback.
1175 7th Ave, San Mateo, CA 94402, USA
This therapist in San Mateo has no online reviews yet to reference.
120 N El Camino Real, San Mateo, CA 94401, USA
Rated 5.0 stars from 2 Google reviews, a standout choice in San Mateo.
327 N San Mateo Dr #7, San Mateo, CA 94401, USA
Rated 5.0 stars from 5 Google reviews, this therapist is highly regarded by clients.
122 2nd Ave Suite 212, San Mateo, CA 94401, USA
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Therapists & Counselors in San Mateo, CA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Christina Wade, LCSW | 75/100 | 5.0 ★ | 19 |
| 2 | Jessica Urzua-Jones LMFT, 102349 | 75/100 | 5.0 ★ | 19 |
| 3 | Mindpath Health Psychiatrists & Therapists - San Mateo | 70/100 | 4.5 ★ | 41 |
| 4 | Marialena Malejan-Roussere, Marriage and Family Therapist, Certified Group Psychotherapist | 71/100 | 4.8 ★ | 18 |
| 5 | Christian Counseling Centers San Mateo | 66/100 | 5.0 ★ | 3 |
| 6 | Marriage and Family Therapist, Kirsten Kell | 64/100 | 5.0 ★ | 2 |
| 7 | Paul Agustinovich, Ph.D. - Licensed Marriage and Family Therapist | 62/100 | 5.0 ★ | 1 |
| 8 | Izzo Marriage and Family Therapy, P.C. San Mateo Office | 39/100 | 3.0 ★ | 14 |
| 9 | SF Relationship Counseling & Psychotherapy | 70/100 | 5.0 ★ | 8 |
| 10 | Sunny Choi LCSW | 70/100 | 5.0 ★ | 7 |
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 Mateo
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in San Mateo?
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 Mateo 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 Mateo 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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