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Best Therapists And Counselors in Cave Spring, VA (2026)

88 therapists and counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Cave Spring: Thriveworks Counseling & Psychiatry Roanoke, RP Score 77/100; 4.4★ from 190 Google reviews; open 7 days a week.

  2. 26

    Most-reviewed: New Horizons Healthcare, 540 Google reviews at 4.1★, the most of 88 ranked; ranked #26.

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

88 Cave Spring therapists and counselors are ranked here by RP Score, from eight published factors. 10 open Saturdays and 8 open Sundays, based on posted hours. The median Google rating is 4.3★ across 88 rated practices.

Top 10 therapists and counselors in Cave Spring 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 therapists and counselors in Cave Spring at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Thriveworks Counseling & Psychiatry Roanoke774.4★ (190)Roanoke, 1 mi awaySat · Sun · EveningsOverall
2David B. Geho, LSATP744.6★ (22)Roanoke, 1 mi away——
3SARA Roanoke (Sexual Assault Response and Awareness)743.4★ (5)Roanoke, 1 mi awaySat · Sun · Evenings—
4The Breastfeeding Center of Roanoke745.0★ (19)Roanoke, 1 mi away——
5Brett R Roach Lpc Lmft725.0★ (3)Roanoke, 1 mi away——
6Transformed Support Services714.1★ (9)Roanoke, 2 mi away——
7Cynthia Lissau Marriage & Family Therapist, LPC, LMFT714.6★ (21)Roanoke, 3 mi away——
8ADHD Counseling in the Roanoke Valley714.0★ (4)Cave SpringSat · Sun—
9National Counseling Group715.0★ (3)Roanoke, 2 mi away——
10Advanced Psychiatric Services714.0★ (4)Roanoke, 2 mi away——

The 88 best therapists and counselors in Cave Spring, 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.

  2. #2 David B. Geho, LSATP

    Based in Roanoke, 1 mi away

    74/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.6★ from 22 Google reviews.

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

    • 4.6★ from 22 Google reviews
    Address
    3618 Brambleton Ave SW, Roanoke, VA 24018
    View profile for David B. Geho, LSATP(540) 330-3380

  5. #5 Brett R Roach Lpc Lmft

    Based in Roanoke, 1 mi away

    72/100RP Score

    Ranked #5 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
    4800 Pleasant Hill Dr Ste 201, Roanoke, VA 24018
    View profile for Brett R Roach Lpc Lmft(540) 904-6488

  8. #8 ADHD Counseling in the Roanoke Valley

    Based in Cave Spring

    71/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.0★ from 4 Google reviews.

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

    • 4.0★ from 4 Google reviews
    Hours
    Mon–Tue closed · Wed–Thu 10 AM–2 PM · Fri closed · Sat 10 AM–4 PM · Sun 10 AM–5 PM
    Address
    4335 Brambleton Ave, Cave Spring, VA 24018
    View profile for ADHD Counseling in the Roanoke Valley

  9. #9 National Counseling Group

    Based in Roanoke, 2 mi away

    71/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 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
    3922 Electric Rd Ste 200, Roanoke, VA 24018
    View profile for National Counseling Group(540) 776-0716

  13. #13 On Our Own Roanoke Valley

    Based in Roanoke, 5 mi away

    69/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.7★ from 33 Google reviews.

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

    • 4.7★ from 33 Google reviews
    Hours
    Mon–Tue 12 PM–3:30 PM · Wed 12 PM–3 PM · Thu 11 AM–3:30 PM · Fri 12 PM–3:30 PM · Sat 11 AM–3:30 PM · Sun 12 PM–3:30 PM
    Address
    1122 2nd St SW, Roanoke, VA 24016
    View profile for On Our Own Roanoke Valley(540) 362-0061

  14. #14 New Choices Counseling

    Based in Roanoke, 1 mi away

    69/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.5★ from 35 Google reviews.

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

    • 4.5★ from 35 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun closed
    Address
    3618 Brambleton Ave SW, Roanoke, VA 24018
    View profile for New Choices Counseling(540) 330-3380

  15. #15 Inner Flame Counseling

    Based in Roanoke, 4 mi away

    69/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 11 Google reviews.

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

    • 5.0★ from 11 Google reviews
    Address
    1223 3rd St SW, Roanoke, VA 24016
    View profile for Inner Flame Counseling(540) 200-8892

  16. #16 Motivate the Game

    Based in Salem, 5 mi away

    69/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 11 Google reviews.

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

    • 5.0★ from 11 Google reviews
    Address
    211 S Electric Rd, Salem, VA 24153
    View profile for Motivate the Game(540) 404-2411

  18. #18 Big Oak Wellness

    Based in Roanoke, 5 mi away

    68/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 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 8:30 AM–6 PM · Sat 9:30 AM–6 PM · Sun 10 AM–3 PM
    Address
    315 Albemarle Ave SE, Roanoke, VA 24013
    View profile for Big Oak Wellness(540) 315-4898

  19. #19 Apex Psychiatry

    Based in Cave Spring

    67/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.3★ from 7 Google reviews.

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

    • 4.3★ from 7 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat–Sun closed
    View profile for Apex Psychiatry(540) 906-2739

  21. #21 Psychological Health Roanoke

    Based in Roanoke, 1 mi away

    67/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 3.7★ from 26 Google reviews.

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

    • 3.7★ from 26 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    2840 Electric Rd, Roanoke, VA 24018
    View profile for Psychological Health Roanoke(540) 772-5140

  22. #22 A. Lloyd Robrecht

    Based in Cave Spring

    67/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 5.0★ from 4 Google reviews.

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

    • 5.0★ from 4 Google reviews
    Hours
    Mon–Thu 8:45 AM–5:30 PM · Fri 8:45 AM–1 PM · Sat–Sun closed
    Address
    3635 Manassas Dr, Cave Spring, VA 24018
    View profile for A. Lloyd Robrecht(540) 774-4686

  25. #25 Heather L. Clifft, LPC

    Based in Roanoke, 1 mi away

    67/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Thu 9 AM–5 PM · Fri–Sun closed
    Address
    3239 Electric Rd Ste B, Roanoke, VA 24018
    View profile for Heather L. Clifft, LPC(540) 503-3561

Therapists and 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 88 ranked therapists and counselors here; the rest are on their profiles.

therapists and counselors in Cave Spring, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26New Horizons Healthcare664.1★ (540)5 mi
27Breakforth Counseling & Consulting664.3★ (11)2 mi
28Star City Therapy Services, LLC663.5★ (11)1 mi
29Groups Recover Together664.9★ (23)3 mi
30Anderson Treatment664.4★ (75)4 mi
31Center for Care and Resiliency, PLLC663.0★ (30)1 mi
32Roanoke Valley Counseling Center, LLC664.0★ (4)1 mi
33Total Life Counseling Inc.653.9★ (14)2 mi
34Seeking Wellness Counseling Services655.0★ (4)2 mi
35Bradley Free Clinic654.2★ (120)4 mi
36A Tree Planted Collective655.0★ (3)4 mi
37Restore Family Counseling, Inc.654.2★ (5)2 mi
38TayCounseling LLC655.0★ (5)2 mi
39Enjoy Counseling Services, LLC.655.0★ (5)3 mi
40Carilion Children's Pediatric Child Development653.3★ (12)2 mi
41ABT Counseling - Roanoke Office (Associates in Brief Therapy, Inc.)653.3★ (38)2 mi
42Westmoreland Counseling Services653.7★ (3)2 mi
43Thriving Families Counseling, LLC644.3★ (11)3 mi
44Brenda Dominguez LLC642.3★ (3)2 mi
45Live Well Counseling, LLC644.8★ (4)3 mi
46Elizabeth S Gillmore PhD643.2★ (5)7 mi
47Women's Therapy Solutions: EMDR and Group Therapy645.0★ (4)3 mi
48HALL Community Services644.2★ (27)4 mi
49Walnut Avenue Associates634.8★ (10)5 mi
50Avenues to Wellness633.8★ (79)5 mi

Also serving Cave Spring

20 more therapists and counselors within 15 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

Unranked therapists and counselors serving Cave Spring
BusinessGoogle ratingDistance
A Path Foward Behavioral Health, LLCIn Cave Spring
Anchor to Hope Counseling LLCIn Cave Spring
Brightstone TherapyIn Cave Spring
Brightstone TherapyIn Cave Spring
Child & Family Therapy Associates, LlcIn Cave Spring
David W. Peterson, THM5.0★ (1)In Cave Spring
Elizabeth M. Erwin, LPCIn Cave Spring
Erica Cockrell, LPCIn Cave Spring
Family Facilitation ServicesIn Cave Spring
Heartspace Counseling, Plc5.0★ (1)In Cave Spring
Lindsey Vaughn, LCSWIn Cave Spring
Live Well Advising, LLCIn Cave Spring
Personality+In Cave Spring
Serenity Psychiatric & Counseling ServicesIn Cave Spring
Sharon Brammer Lpc1.0★ (1)In Cave Spring
Silver Sky CounselingIn Cave Spring
The Counseling CenterIn Cave Spring
Thomas L. Heasley, MA. LPC, LMFTIn Cave Spring
Walker Therapies, LLCIn Cave Spring
Wren West (Starkey) LPCIn Cave Spring

How we ranked Cave Spring therapists and counselors

We scored 88 Cave Spring therapists and 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.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Cave Spring 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 therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure they regularly work with clients who have your concern, and ask what approach they use and why.
  3. Check which license they hold (for example LPC, LCSW, LMFT or RP) and look it up with the board or college that issued it.
  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 therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How often do you work with concerns like mine?
  • Which license do you hold, and in which state or province?
  • 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.

Therapists and counselors in Cave Spring: frequently asked questions

Who is the best therapist in Cave Spring?

By RP Score, the highest-ranked therapist in Cave Spring, VA is Thriveworks Counseling & Psychiatry Roanoke with an RP Score of 77/100. It has 4.4★ from 190 Google reviews. It is open 7 days a week. David B. Geho, LSATP (#2) and SARA Roanoke (Sexual Assault Response and Awareness) (#3) follow. We ranked 88 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in Cave Spring?

RankedPsychologists ranks 88 therapists and counselors serving Cave Spring, VA. 4 of them are based in Cave Spring; the rest serve it from nearby towns. Another 20 within 15 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 therapists and counselors in Cave Spring work on weekends?

10 of 88 ranked therapists and counselors post Saturday hours and 8 post Sunday hours. The highest-ranked open Saturdays are Thriveworks Counseling & Psychiatry Roanoke (#1), SARA Roanoke (Sexual Assault Response and Awareness) (#3) and ADHD Counseling in the Roanoke Valley (#8). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Cave Spring therapists and counselors have?

The median Google rating among 88 rated therapists and counselors in Cave Spring is 4.3★, with a median of 9 reviews. New Horizons Healthcare has the most, 540 reviews, and ranks #26. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank therapists and counselors?

Each 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 therapists and counselors outside Cave Spring count in this ranking?

Yes, if they are within 15 mi of the Cave Spring city center, our service radius for therapists and 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 therapists and 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 therapists and counselors in Cave Spring ranked?

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

Is a licensed counselor the same as a psychologist?

No. Licensed professional counselors, clinical social workers, marriage and family therapists and, in Ontario, registered psychotherapists hold their own licenses and answer to their own boards or colleges. They provide talk therapy for many of the same concerns; formal psychological testing is usually done by a psychologist.

Can I see a 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 Cave Spring

  1. November 2026: RP Scores recalculated for 88 therapists and counselors serving Cave Spring.
  2. November 2026: 1 duplicate listing merged.

More therapists and counselors and Cave Spring pages