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Best Couples Therapists in Tonawanda, NY (2026)

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

The short answer

  1. 1

    Best overall in Tonawanda: Koepke Marriage And Family & Mental Health Counseling, PLLC, RP Score 74/100; 4.6★ from 65 Google reviews; open 7 days a week.

  2. 13

    Most-reviewed: Audubon Counseling, 56 Google reviews at 4.9★, the most of 30 ranked after Koepke Marriage And Family & Mental Health Counseling, PLLC; ranked #13.

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

30 Tonawanda couples therapists are ranked here by RP Score, from eight published factors. 19 open Saturdays and 5 open Sundays, based on posted hours. The median Google rating is 4.8★ across 30 rated practices.

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

Top 10 couples therapists in Tonawanda 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 Tonawanda at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Koepke Marriage And Family & Mental Health Counseling, PLLC744.6★ (65)Buffalo, 6 mi awaySat · Sun · EveningsOverall
2Couples & Individual Counseling Center724.2★ (24)Amherst, 6 mi away——
3Richard Koepke725.0★ (5)Amherst, 6 mi away——
4Lynne Shine, LMHC, CRC714.8★ (35)Amherst, 9 mi away——
5Livernois Relationship Therapy705.0★ (6)Amherst, 4 mi awaySat · Evenings—
6Whole Stories Therapy: A Marriage and Family Therapy Practice, PLLC694.4★ (12)Buffalo, 7 mi awaySat · Evenings—
7Creative Relationship Center654.3★ (6)Amherst, 10 mi awaySat—
8Couples Connect Niagara - Couples Retreats and Intensives655.0★ (3)Niagara Falls, 13 mi awaySat · Sun—
9Creative Relationship Center - Wendy Pegan, LMHC655.0★ (3)Amherst, 10 mi awaySat—
10Lauren Alexandra - Licensed Marriage & Family Therapist644.3★ (6)Amherst, 8 mi awayEvenings—

The 30 best couples therapists in Tonawanda, 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 Tonawanda

    #1 Koepke Marriage And Family & Mental Health Counseling, PLLC

    Based in Buffalo, 6 mi away

    74/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.6★ from 65 Google reviews.

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

    • 4.6★ from 65 Google reviews
    Hours
    Mon–Thu 10 AM–7 PM · Fri 10 AM–1 PM · Sat 10 AM–5 PM · Sun 10 AM–1 PM
    Address
    57 Labelle Terrace, Buffalo, NY 14228
    View profile for Koepke Marriage And Family & Mental Health Counseling, PLLC(716) 688-5002

  3. #3 Richard Koepke

    Based in Amherst, 6 mi away

    72/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Address
    57 Labelle Terrace, Amherst, NY 142281330
    View profile for Richard Koepke(716) 688-5002

  4. #4 Lynne Shine, LMHC, CRC

    Based in Amherst, 9 mi away

    71/100RP Score

    Ranked #4 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 35 Google reviews.

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

    • 4.8★ from 35 Google reviews
    Address
    4800 N French Rd, East Amherst, NY 14051
    View profile for Lynne Shine, LMHC, CRC(716) 689-3110

  5. #5 Livernois Relationship Therapy

    Based in Amherst, 4 mi away

    70/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon closed · Tue 9 AM–5 PM · Wed–Thu 7 AM–10 PM · Fri–Sat 7 AM–1 PM · Sun closed
    Address
    331 Alberta Dr #214, Amherst, NY 14226
    View profile for Livernois Relationship Therapy(716) 550-1928

  6. #6 Whole Stories Therapy: A Marriage and Family Therapy Practice, PLLC

    Based in Buffalo, 7 mi away

    69/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 12 Google reviews.

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

    • 4.4★ from 12 Google reviews
    Hours
    Mon–Sat 9 AM–9 PM · Sun closed
    Address
    257 Lafayette Ave, Buffalo, NY 14213
    View profile for Whole Stories Therapy: A Marriage and Family Therapy Practice, PLLC(716) 303-4385

  7. #7 Creative Relationship Center

    Based in Amherst, 10 mi away

    65/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 6 Google reviews.

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

    • 4.3★ from 6 Google reviews
    Hours
    Mon 9 AM–2 PM · Tue 9 AM–5 PM · Wed 12 PM–5 PM · Thu 9 AM–6 PM · Fri 9 AM–5 PM · Sat 9 AM–3 PM · Sun closed
    Address
    7345 Transit Rd, East Amherst, NY 14051
    View profile for Creative Relationship Center(716) 446-9226

  9. #9 Creative Relationship Center - Wendy Pegan, LMHC

    Based in Amherst, 10 mi away

    65/100RP Score

    Ranked #9 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 10 AM–4 PM · Tue–Thu 10 AM–6 PM · Fri 10 AM–3 PM · Sat 8 AM–3 PM · Sun closed
    Address
    7345 Transit Rd Suite 1, East Amherst, NY 14051
    View profile for Creative Relationship Center - Wendy Pegan, LMHC(716) 446-9226

  10. #10 Lauren Alexandra - Licensed Marriage & Family Therapist

    Based in Amherst, 8 mi away

    64/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 6 Google reviews.

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

    • 4.3★ from 6 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    5586 Main St Ste 206, Williamsville, NY 14221
    View profile for Lauren Alexandra - Licensed Marriage & Family Therapist(716) 440-4445

  11. #11 Michael Caballero, LCSW, PLLC

    Based in Niagara Falls, 13 mi away

    62/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.3★ from 6 Google reviews.

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

    • 4.3★ from 6 Google reviews
    Hours
    Mon 9 AM–3 PM · Tue closed · Wed–Sat 9 AM–3 PM · Sun closed
    Address
    225 Portage Rd, Lewiston, NY 14092
    View profile for Michael Caballero, LCSW, PLLC(716) 754-4449

  13. #13 Audubon Counseling

    Based in Amherst, 9 mi away

    60/100RP Score

    Ranked #13 because of its Google rating and specialty focus: 4.9★ from 56 Google reviews, listed on Google as “Family counselor”.

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

    • 4.9★ from 56 Google reviews
    Hours
    Mon–Fri 8 AM–9 PM · Sat 8 AM–5 PM · Sun 10 AM–4 PM
    Address
    4800 N French Rd, East Amherst, NY 14051
    View profile for Audubon Counseling(716) 689-3110

  15. #15 Family Counseling Associates

    Based in Tonawanda

    59/100RP Score

    Ranked #15 because of its Google rating and proximity: 2.8★ from 20 Google reviews, based in Tonawanda.

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

    • 2.8★ from 20 Google reviews
    Hours
    Mon–Thu 9 AM–8 PM · Fri 9 AM–6 PM · Sat 9 AM–3:30 PM · Sun closed
    Address
    Family Counseling Associates, 884 Brighton Rd, Tonawanda, NY 14150
    View profile for Family Counseling Associates(716) 836-9460

  16. #16 Motivational Counseling

    Based in Cheektowaga, 7 mi away

    57/100RP Score

    Ranked #16 because of its Google rating and specialty focus: 5.0★ from 22 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 22 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–2 PM · Sun closed
    Address
    1925 Kensington Ave, Cheektowaga, NY 14215
    View profile for Motivational Counseling(716) 381-9797

  17. #17 Attune Therapy

    Based in Amherst, 4 mi away

    57/100RP Score

    Ranked #17 because of its Google rating and specialty focus: 5.0★ from 4 Google reviews, listed on Google as “Psychotherapist”.

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

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun closed
    Address
    2122 Eggert Rd Suite 1, Amherst, NY 14226
    View profile for Attune Therapy(716) 204-5311

  18. #18 Adrienne Richardson Niagara Counselling/ Online Therapy

    Based in Niagara Falls, 12 mi away

    54/100RP Score

    Ranked #18 because of its Google rating and specialty focus: 4.8★ from 36 Google reviews, listed on Google as “Psychotherapist”.

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

    • 4.8★ from 36 Google reviews
    Hours
    Mon–Sat 10 AM–9 PM · Sun closed
    Address
    6150 Valley Way #202, Niagara Falls, ON L2E 1X9, Canada
    View profile for Adrienne Richardson Niagara Counselling/ Online Therapy(289) 407-9699

  20. #20 MindView Therapy

    Based in Buffalo, 9 mi away

    53/100RP Score

    Ranked #20 because of its Google rating and specialty focus: 5.0★ from 5 Google reviews, listed on Google as “Counselor”.

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

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat 12 PM–5 PM · Sun closed
    Address
    369 Washington St 1st Floor, Suite 110, Buffalo, NY 14203
    View profile for MindView Therapy(646) 493-4007

  22. #22 Abma Counselling

    Based in Niagara Falls, 13 mi away

    52/100RP Score

    Ranked #22 because of its Google rating and specialty focus: 4.7★ from 18 Google reviews, listed on Google as “Psychotherapist”.

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

    • 4.7★ from 18 Google reviews
    Hours
    Mon–Fri 8 AM–9 PM · Sat 8 AM–3 PM · Sun closed
    Address
    4056 Dorchester Rd, Niagara Falls, ON L2E 6M9, Canada
    View profile for Abma Counselling(905) 321-0550

  23. #23 Couples and Family Therapy

    Based in Welland, 19 mi away

    50/100RP Score

    Ranked #23 because of its Google rating and specialty focus: 5.0★ from 3 Google reviews, listed on Google as “Family counselor”.

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

    • 5.0★ from 3 Google reviews
    Hours
    Mon–Tue 9:30 AM–8 PM · Wed–Thu 9 AM–8 PM · Fri 9 AM–4:30 PM · Sat closed · Sun 9 AM–1 PM
    Address
    637 Niagara St, Welland, ON L3C 1E2
    View profile for Couples and Family Therapy(905) 414-3541

  24. #24 The Health Retreat

    Based in Welland, 19 mi away

    49/100RP Score

    Ranked #24 because of its Google rating and specialty focus: 5.0★ from 46 Google reviews, listed on Google as “Mental health clinic”.

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

    • 5.0★ from 46 Google reviews
    Hours
    Mon–Thu 9 AM–8 PM · Fri 9 AM–6 PM · Sat 9 AM–12 PM · Sun closed
    Address
    440 Niagara St Unit 6A, Welland, ON L3C 1L5
    View profile for The Health Retreat(289) 783-4400

  25. #25 Primary Counseling Services

    Based in Amherst, 10 mi away

    49/100RP Score

    Ranked #25 because of its Google rating and specialty focus: 4.0★ from 4 Google reviews, listed on Google as “Counselor”.

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

    • 4.0★ from 4 Google reviews
    Hours
    Mon–Thu 9 AM–8 PM · Fri–Sun closed
    Address
    4647, 6225 Sheridan Dr #110, Amherst, NY 14221
    View profile for Primary Counseling Services(716) 204-8419

How we ranked Tonawanda couples therapists

We scored 30 Tonawanda 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 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.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Tonawanda 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 Tonawanda: frequently asked questions

Who is the best couples therapist in Tonawanda?

By RP Score, the highest-ranked couples therapist in Tonawanda, NY is Koepke Marriage And Family & Mental Health Counseling, PLLC with an RP Score of 74/100. It has 4.6★ from 65 Google reviews. It is open 7 days a week. Couples & Individual Counseling Center (#2) and Richard Koepke (#3) follow. We ranked 30 couples therapists on eight factors, last updated November 9, 2026.

How many couples therapists are there in Tonawanda?

RankedPsychologists ranks 30 couples therapists serving Tonawanda, NY. 1 of them is based in Tonawanda; the rest serve it from nearby towns. 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 Tonawanda work on weekends?

19 of 30 ranked couples therapists post Saturday hours and 5 post Sunday hours. The highest-ranked open Saturdays are Koepke Marriage And Family & Mental Health Counseling, PLLC (#1), Livernois Relationship Therapy (#5) and Whole Stories Therapy: A Marriage and Family Therapy Practice, PLLC (#6). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Tonawanda couples therapists have?

The median Google rating among 30 rated couples therapists in Tonawanda is 4.8★, with a median of 9 reviews. Koepke Marriage And Family & Mental Health Counseling, PLLC has the most, 65 reviews, and ranks #1. 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 Tonawanda count in this ranking?

Yes, if they are within 20 mi of the Tonawanda 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 Tonawanda 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 Tonawanda

  1. November 2026: RP Scores recalculated for 30 couples therapists serving Tonawanda.

More couples therapists and Tonawanda pages