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Best Couples Therapists in National City, CA (2026)

191 couples therapists ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in National City: The Relationship Place, RP Score 72/100; 4.2★ from 46 Google reviews; open 7 days a week.

  2. 5

    Most-reviewed: Closeness — Sex & Intimacy Coach, San Diego, 80 Google reviews at 4.9★, the most of 191 ranked; ranked #5.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

191 National City couples therapists are ranked here by RP Score, from eight published factors. 109 open Saturdays and 25 open Sundays, based on posted hours. The median Google rating is 5.0★ across 191 rated practices.

Most of this list also appears on the Couples therapists in San Diego ranking. See Couples therapists in San Diego

Top 10 couples therapists in National City 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.

Top 10 couples therapists in National City at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1The Relationship Place724.2★ (46)San Diego, 5 mi awaySat · Sun · EveningsOverall
2The Heart of the Matter Relationship Counseling724.8★ (25)San Diego, 7 mi awaySat · Sun · Evenings—
3Nancy Cowden, LMFT713.0★ (4)Chula Vista, 4 mi away——
4Family Therapy with Silvia, Inc. Silvia Aguayo, LMFT.715.0★ (10)Chula Vista, 4 mi awaySat · Evenings—
5Closeness — Sex & Intimacy Coach, San Diego714.9★ (80)San Diego, 10 mi awaySat · SunMost reviews
6Estes Therapy San Diego714.9★ (80)San Diego, 7 mi awaySat · Evenings—
7Dr. Cassidy & Co | Therapy for Parents & Postpartum Support715.0★ (27)San Diego, 9 mi awaySat · Sun—
8Pederson Marriage and Family Therapy705.0★ (3)San Diego, 6 mi away——
9Fawcett Psychology, Inc.705.0★ (4)San Diego, 7 mi away——
10David Peters, MFT705.0★ (3)San Diego, 7 mi away——

The 191 best couples therapists in National City, 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.

  1. Ranked #1 in National City

    Based in San Diego, 5 mi away

    72/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.2★ from 46 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.2★ from 46 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun 9 AM–6 PM
    Address
    2729 Fourth Ave Ste 2, San Diego, CA 92103
  2. Based in San Diego, 7 mi away

    72/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 25 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.8★ from 25 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–2 PM · Sun 8 AM–5 PM
    Address
    2251 San Diego Ave Ste B - 150, San Diego, CA 92110
  3. Based in Chula Vista, 4 mi away

    71/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.0★ from 4 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.0★ from 4 Google reviews
    Address
    815 3rd Ave #306, Chula Vista, CA 91911
  4. 71/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 10 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 10 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–1 PM · Sun closed
    Address
    625 3rd Ave, Chula Vista, CA 91910
  5. Based in San Diego, 10 mi away

    71/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.9★ from 80 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 80 Google reviews
    Hours
    Mon–Fri 7 AM–4:30 PM · Sat–Sun 7 AM–3 PM
    Address
    4455 Murphy Canyon Rd Ste 100, San Diego, CA 92123
  6. Based in San Diego, 7 mi away

    71/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.9★ from 80 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 80 Google reviews
    Hours
    Mon–Fri 9 AM–9 PM · Sat 9 AM–4 PM · Sun closed
    Address
    3333 Camino del Rio S Unit 215, San Diego, CA 92108
  7. Based in San Diego, 7 mi away

    70/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 4 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 4 Google reviews
    Address
    411 Camino del Rio S Suite 205, San Diego, CA 92108
  8. Based in San Diego, 7 mi away

    70/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 3 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 3 Google reviews
    Address
    2525 Camino del Rio S Ste 205, San Diego, CA 92108
  9. Based in San Diego, 7 mi away

    69/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 14 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 14 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun closed
    Address
    411 Camino del Rio S #200, San Diego, CA 92108
  10. Based in La Mesa, 8 mi away

    68/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 3.0★ from 4 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.0★ from 4 Google reviews
    Address
    8295 La Mesa Blvd #208, La Mesa, CA 91941
  11. Based in San Diego, 6 mi away

    68/100RP Score

    Ranked #15 because of its Google rating and specialty focus: 5.0★ from 9 Google reviews, listed on Google as “Psychiatrist”.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    322 1/2 W Washington St, San Diego, CA 92103
    In their words

    They're empathetic, realistic, and straight forward.

    From Happy Sol Health's own description. Not part of the ranking.
  12. Based in La Mesa, 8 mi away

    68/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.0★ from 4 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 4.0★ from 4 Google reviews
    Address
    5360 220D, La Mesa, CA 91942
  13. Based in San Diego, 7 mi away

    68/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 7 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Fri 7 AM–4 PM · Sat 7 AM–12 PM · Sun closed
    Address
    1825 Hancock St, San Diego, CA 92110
  14. Based in San Diego, 8 mi away

    68/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 13 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 13 Google reviews
    Hours
    Mon–Fri 8 AM–6 PM · Sat 8 AM–3 PM · Sun closed
    Address
    5055 N Harbor Dr Ste 320, San Diego, CA 92106
  15. Based in La Mesa, 7 mi away

    68/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 1.0★ from 3 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 1.0★ from 3 Google reviews
    Address
    7171 Alvarado Rd Ste 100A, La Mesa, CA 91942
  16. Based in San Diego, 7 mi away

    68/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 4 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 10 AM–4 PM · Sun closed
    Address
    3333 Camino del Rio S Unit 215, San Diego, CA 92108
  17. Based in San Diego, 6 mi away

    67/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 3 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 3 Google reviews
    Hours
    Mon closed · Tue–Wed 9 AM–7 PM · Thu 9 AM–6 PM · Fri 9 AM–5:30 PM · Sat 8 AM–1 PM · Sun closed
    Address
    3636 Fourth Ave #205, San Diego, CA 92103
  18. Based in San Diego, 7 mi away

    66/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 38 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 38 Google reviews
    Hours
    Mon closed · Tue–Thu 9 AM–6 PM · Fri–Sun closed
    Address
    2635 Camino del Rio S Ste 302, San Diego, CA 92108
  19. Based in San Diego, 5 mi away

    66/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 7 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.4★ from 7 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed 12 PM–7 PM · Thu 11 PM–12 AM · Fri 12 AM–7 PM · Sat–Sun closed
    Address
    2729 Fourth Ave Suite 3, San Diego, CA 92103
  20. Based in San Diego, 5 mi away

    65/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 4 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Tue 10 AM–5 PM · Wed–Thu 10 AM–9 PM · Fri 10 AM–2 PM · Sat–Sun closed
    Address
    2560 First Ave. #202, San Diego, CA 92103

How we ranked National City couples therapists

We scored 191 National City couples therapists 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 13, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn National City data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a couples therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure couples and marriage counseling is a regular part of their work, and ask what approach they use and why.
  3. Ask what training they have in couples work specifically (for example the Gottman Method or Emotionally Focused Therapy).
  4. 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.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a couples therapist

  • 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 couples and marriage counseling?
  • Do you also see each partner on their own?
  • 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.

Couples therapists in National City: frequently asked questions

Who is the best couples therapist in National City?

By RP Score, the highest-ranked couples therapist in National City, CA is The Relationship Place with an RP Score of 72/100. It has 4.2★ from 46 Google reviews. It is open 7 days a week. The Heart of the Matter Relationship Counseling (#2) and Nancy Cowden, LMFT (#3) follow. We ranked 191 couples therapists on eight factors, last updated November 13, 2026.

How many couples therapists are there in National City?

RankedPsychologists ranks 191 couples therapists serving National City, CA. 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 couples therapists in National City work on weekends?

109 of 191 ranked couples therapists post Saturday hours and 25 post Sunday hours. The highest-ranked open Saturdays are The Relationship Place (#1), The Heart of the Matter Relationship Counseling (#2) and Family Therapy with Silvia, Inc. Silvia Aguayo, LMFT. (#4). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do National City couples therapists have?

The median Google rating among 191 rated couples therapists in National City is 5.0★, with a median of 8 reviews. Closeness — Sex & Intimacy Coach, San Diego has the most, 80 reviews, and ranks #5. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank couples therapists?

Each couples therapist 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 couples therapists outside National City count in this ranking?

Yes, if they are within 20 mi of the National City city center, our service radius for couples therapists. 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 couples therapists 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 couples therapists in National City ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on couples and marriage counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Do both partners need to come to couples therapy?

Most couples therapists prefer to see both partners, at least at first, but many will start with one. Ask how they handle individual sessions. If there is violence or fear in the relationship, tell the therapist privately; many do not offer joint sessions in that situation.

Can I see a couples therapist 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 National City

  1. November 2026: RP Scores recalculated for 191 couples therapists serving National City.