79/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 12 Google reviews.
Best Addiction Counselors in San Marcos, TX (2026)
62 addiction counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in San Marcos: Positive Recovery Centers - San Marcos, RP Score 79/100; 5.0★ from 12 Google reviews; open 7 days a week.
- 3
Most-reviewed: Windmill Wellness Ranch, 224 Google reviews at 4.7★, the most of 62 ranked; ranked #3.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
62 San Marcos addiction counselors are ranked here by RP Score, from eight published factors. 26 open Saturdays and 20 open Sundays, based on posted hours. The median Google rating is 4.7★ across 62 rated practices.
Top 10 addiction counselors in San Marcos at a glance
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
| Rank | Business | RP Score | Google rating | Based in | Hours | Best for |
|---|---|---|---|---|---|---|
| 1 | Positive Recovery Centers - San Marcos | 79 | 5.0★ (12) | San Marcos | Sat · Sun · Evenings | Overall |
| 2 | Heartwood Recovery | 76 | 5.0★ (206) | Austin, 25 mi away | Sat · Sun · Evenings | — |
| 3 | Windmill Wellness Ranch | 76 | 4.7★ (224) | Canyon Lake, 21 mi away | Sat · Sun · Evenings | Most reviews |
| 4 | Plum Creek Recovery Ranch | 75 | 4.4★ (112) | Lockhart, 17 mi away | Sat · Sun · Evenings | — |
| 5 | Resurgence Texas | 75 | 4.4★ (9) | Canyon Lake, 11 mi away | Sat · Sun · Evenings | — |
| 6 | Recovery Unplugged Residential Treatment Center | 72 | 4.7★ (175) | Austin, 33 mi away | Sat · Sun · Evenings | — |
| 7 | Release Recovery Austin | 67 | 4.3★ (24) | Austin, 30 mi away | Sat · Sun · Evenings | — |
| 8 | Texas Helps | 67 | 4.4★ (49) | San Marcos | Sat · Sun · Evenings | — |
| 9 | Legacy Texas | 67 | 4.6★ (22) | Austin, 41 mi away | Sat · Sun · Evenings | — |
| 10 | New Hope Ranch | 66 | 4.3★ (103) | Austin, 44 mi away | Sat · Sun · Evenings | — |
The 62 best addiction counselors in San Marcos, ranked
Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.
Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.
Scores below: based on 7 of 8 factors; recency not yet collected. Hatched segments mark factors we don't have yet.
Based in Austin, 25 mi away
76/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 206 Google reviews.
Based in Canyon Lake, 21 mi away
76/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 224 Google reviews.
Based in Lockhart, 17 mi away
75/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 112 Google reviews.
Based in Canyon Lake, 11 mi away
75/100RP ScoreRanked #5 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.4★ from 9 Google reviews.
Based in Austin, 33 mi away
72/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 175 Google reviews.
Based in Austin, 30 mi away
67/100RP ScoreRanked #7 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 24 Google reviews.
#8 Texas Helps
Based in San Marcos
67/100RP ScoreRanked #8 because of its Google rating and proximity: 4.4★ from 49 Google reviews, based in San Marcos.
#9 Legacy Texas
Based in Austin, 41 mi away
67/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.6★ from 22 Google reviews.
#10 New Hope Ranch
Based in Austin, 44 mi away
66/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 103 Google reviews.
Based in San Antonio, 41 mi away
66/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 12 Google reviews.
Based in San Antonio, 50 mi away
65/100RP ScoreRanked #12 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.5★ from 114 Google reviews.
Based in San Antonio, 37 mi away
65/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.3★ from 18 Google reviews.
#14 Emotion Wellness
Based in San Antonio, 41 mi away
65/100RP ScoreRanked #14 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 117 Google reviews.
Based in Austin, 23 mi away
64/100RP ScoreRanked #15 because of its Google rating and specialty focus: 5.0★ from 14 Google reviews, listed on Google as “Mental health service”.
Based in Austin, 28 mi away
63/100RP ScoreRanked #16 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 5.0★ from 14 Google reviews.
Based in Cedar Park, 46 mi away
60/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 55 Google reviews.
Based in New Braunfels, 14 mi away
60/100RP ScoreRanked #18 because of its Google rating and specialty focus: 3.4★ from 7 Google reviews, listed on Google as “Mental health clinic”.
Based in Canyon Lake, 28 mi away
59/100RP ScoreRanked #19 because of its Google rating and specialty focus: 4.5★ from 189 Google reviews, listed on Google as “Mental health clinic”.
Based in San Marcos
59/100RP ScoreRanked #20 because of its Google rating and proximity: 5.0★ from 35 Google reviews, based in San Marcos.
#21 Omega Recovery
Based in Austin, 27 mi away
58/100RP ScoreRanked #21 because of its Google rating and specialty focus: 4.4★ from 79 Google reviews, listed on Google as “Mental health clinic”.
#22 Rise Recovery
Based in San Antonio, 44 mi away
58/100RP ScoreRanked #22 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 58 Google reviews.
Based in San Marcos
58/100RP ScoreRanked #23 because of its Google rating and proximity: 4.3★ from 70 Google reviews, based in San Marcos.
Based in San Marcos
57/100RP ScoreRanked #24 because of its Google rating and proximity: 4.8★ from 11 Google reviews, based in San Marcos.
Based in Round Rock, 46 mi away
57/100RP ScoreRanked #25 because of specialty focus and its Google rating: listed on Google as “Addiction treatment center”, 4.7★ from 27 Google reviews.
Addiction counselors ranked #26 to #50
#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 62 ranked addiction counselors here; the rest are on their profiles.
Also serving San Marcos
20 more addiction counselors within 50 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.
How we ranked San Marcos addiction counselors
We scored 62 San Marcos addiction counselors on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.
Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.
| Factor | Weight | Computed from | In San Marcos data |
|---|---|---|---|
| Reputation | 25% | Google star rating, adjusted for how many reviews back it | Measured |
| Review volume | 5% | Number of Google reviews, compared with the most-reviewed practice on the list | Measured |
| Recency | 5% | Share of Google reviews from the last 12 months | Not yet collected |
| Availability | 10% | Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availability | Measured |
| Specialty focus | 25% | How clearly the practice does this specialty (its Google category and name) | Measured |
| Proximity | 15% | Based in the city scores highest, less the farther away it is | Measured |
| Claimed profile | 10% | The practice has claimed its Ranked Psychologists profile (free or paid earn the same) | Measured |
| Partnered | 5% | The practice links to Ranked Psychologists from its own website with our badge, checked periodically | Measured |
How to choose an addiction counselor
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure addiction counseling is a regular part of their work, and ask what approach they use and why.
- Ask which credential the counselor holds (for example a state addiction counselor certification, LPC or LCSW).
- Ask whether they work with a physician if medication for addiction treatment is part of your plan.
- Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
- Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
- After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.
Questions to ask an addiction counselor
- Are you accepting new clients, and how soon could I start?
- Which license do you hold, and in which state or province?
- How much of your work is addiction counseling?
- Do you offer individual sessions, groups or an intensive outpatient program?
- What do you charge per session, and do you take my insurance or provide a superbill?
- Do you offer online sessions?
- What is your cancellation policy?
- What do you keep confidential, and when would you have to share information?
Terms explained
- PhD / PsyD
- Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
- Licensed psychologist
- A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
- Psychological associate
- In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
- LPC / LMHC / LCPC
- US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
- LCSW
- Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
- LMFT
- Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
- RP / RCC
- Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
- PSYPACT
- An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
- Telehealth
- Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
- CBT
- Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
- DBT
- Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
- ERP
- Exposure and response prevention: a form of CBT used for OCD.
Addiction counselors in San Marcos: frequently asked questions
Who is the best addiction counselor in San Marcos?
By RP Score, the highest-ranked addiction counselor in San Marcos, TX is Positive Recovery Centers - San Marcos with an RP Score of 79/100. It has 5.0★ from 12 Google reviews. It is open 7 days a week. Heartwood Recovery (#2) and Windmill Wellness Ranch (#3) follow. We ranked 62 addiction counselors on eight factors, last updated November 9, 2026.
How many addiction counselors are there in San Marcos?
RankedPsychologists ranks 62 addiction counselors serving San Marcos, TX. 5 of them are based in San Marcos; the rest serve it from nearby towns. Another 20 within 50 mi are listed but not ranked yet. Counts are as of November 2026.
What should I do if I need help right now?
In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.
Which addiction counselors in San Marcos work on weekends?
26 of 62 ranked addiction counselors post Saturday hours and 20 post Sunday hours. The highest-ranked open Saturdays are Positive Recovery Centers - San Marcos (#1), Heartwood Recovery (#2) and Windmill Wellness Ranch (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do San Marcos addiction counselors have?
The median Google rating among 62 rated addiction counselors in San Marcos is 4.7★, with a median of 22 reviews. Windmill Wellness Ranch has the most, 224 reviews, and ranks #3. We adjust ratings for review count, so a few five-star reviews cannot top the list.
How does RankedPsychologists rank addiction counselors?
Each addiction counselor gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.
Do addiction counselors outside San Marcos count in this ranking?
Yes, if they are within 50 mi of the San Marcos city center, our service radius for addiction counselors. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.
Can addiction counselors pay to rank higher on RankedPsychologists?
No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.
How are addiction counselors in San Marcos ranked?
Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on addiction counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.
What is the difference between outpatient addiction counseling and rehab?
Outpatient counseling means regular sessions while you live at home and keep working; intensive outpatient programs meet several times a week. Residential rehab and medical detox happen in a facility. Withdrawal from alcohol and some drugs can be medically dangerous, so speak to a doctor before stopping if you drink or use heavily every day.
Can I see an addiction counselor online?
Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.
What if I need help right now?
Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.
Update log for San Marcos
- November 2026: RP Scores recalculated for 62 addiction counselors serving San Marcos.
More addiction counselors and San Marcos pages
Addiction counselors near San Marcos
- Addiction counselors in Kyle, TX48 ranked
- Addiction counselors in Buda, TX37 ranked
- Addiction counselors in Lockhart, TX34 ranked
- Addiction counselors in New Braunfels, TX47 ranked
- Addiction counselors in Canyon Lake, TX52 ranked
- Addiction counselors in Seguin, TX45 ranked
- Addiction counselors in Cibolo, TX39 ranked
- Addiction counselors in Austin, TX36 ranked
- Addiction counselors in Schertz, TX39 ranked
- Addiction counselors in Universal City, TX39 ranked
Other specialties in San Marcos
- Psychologists in San Marcos22 ranked
- Therapists and counselors in San Marcos74 ranked
- Child and teen therapists in San Marcos12 ranked
- Couples therapists in San Marcos38 ranked
- Family therapists in San Marcos43 ranked
- Neuropsychologists in San Marcos8 ranked
- Trauma and PTSD therapists in San Marcos6 ranked
- Eating disorder therapists in San Marcos25 ranked
- Psychiatrists in San Marcos131 ranked
- Clinical social workers in San Marcos61 ranked
- ABA therapy providers in San Marcos50 ranked
- All psychologists in San Marcos