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Best Therapists And Counselors in Fresno, TX (2026)

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

The short answer

  1. 1

    Best overall in Fresno: Hardy Behavioral Health, RP Score 76/100; 5.0★ from 7 Google reviews; open 7 days a week.

  2. 12

    Most-reviewed: One Behavioral Health, 1,024 Google reviews at 4.6★, the most of 532 ranked; ranked #12.

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

532 Fresno therapists and counselors are ranked here by RP Score, from eight published factors. 176 open Saturdays and 53 open Sundays, based on posted hours. The median Google rating is 4.8★ across 532 rated practices.

Top 10 therapists and counselors in Fresno 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 Fresno at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Hardy Behavioral Health765.0★ (7)FresnoSat · Sun · EveningsOverall
2Shifting with Shaobeny765.0★ (7)FresnoSat · Evenings—
3Texas Counseling Center in Pearland744.7★ (44)Pearland, 2 mi awaySat · Sun · Evenings—
4The Resilience Center of Houston - Pearland734.7★ (26)Pearland, 3 mi awaySat · Sun · Evenings—
5Thriveworks Counseling & Psychiatry Pearland724.4★ (83)Pearland, 4 mi awaySat · Sun · Evenings—
6The Psychiatry Society- A Mental Wellness Collective714.7★ (14)FresnoSat · Evenings—
7The Transformation Studio: holistic psychotherapy. wellness. retreats704.7★ (29)Stafford, 9 mi awaySat · Sun · Evenings—
8Passport Journeys: Mother-Daughter Therapy695.0★ (27)Houston, 10 mi awaySat · Sun · Evenings—
9Aspen Counseling and Wellness694.5★ (19)Fresno——
10Thriveworks Counseling & Psychiatry Missouri City694.6★ (72)Missouri City, 8 mi awaySat · Sun · Evenings—

The 532 best therapists and counselors in Fresno, 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 Fresno

    Based in Fresno

    76/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 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 6 AM–8 PM · Sat 7 AM–3 PM · Sun 3 PM–7 PM
    Address
    13806 Sandstone Bridge Ln, Rosharon, TX 77583
  2. Based in Fresno

    76/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 7 Google reviews.

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

    • 5.0★ from 7 Google reviews
    Hours
    Mon 3 PM–9 PM · Tue 12 AM–12 AM · Wed 3 PM–9 PM · Thu 12 AM–12 AM · Fri 3 PM–8 PM · Sat 10 AM–2 PM · Sun closed
  3. 70/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.7★ from 29 Google reviews.

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

    • 4.7★ from 29 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    3023 N Main St, Stafford, TX 77477
  4. Based in Pearland, 4 mi away

    69/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.6★ from 1,024 Google reviews.

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

    • 4.6★ from 1,024 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    12234 Shadow Creek Pkwy Bldg 4 suite 104, Pearland, TX 77584
  5. Based in Pearland, 5 mi away

    69/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.9★ from 726 Google reviews.

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

    • 4.9★ from 726 Google reviews
    Hours
    Mon–Fri 8 AM–6 PM · Sat–Sun closed
    Address
    9430 W Broadway St #120, Pearland, TX 77584
  6. Based in Missouri City, 5 mi away

    69/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 3.9★ from 7 Google reviews.

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

    • 3.9★ from 7 Google reviews
    Address
    5777 Sienna Pkwy Ste 350, Missouri City, TX 77459
  7. Based in Missouri City, 5 mi away

    69/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.6★ from 45 Google reviews.

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

    • 3.6★ from 45 Google reviews
    Hours
    Mon–Fri 8:30 AM–7:30 PM · Sat 9 AM–5:30 PM · Sun 9 AM–4:30 PM
    Address
    6220 Sienna Pkwy, Missouri City, TX 77459
  8. Based in Missouri City, 5 mi away

    69/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.5★ from 11 Google reviews.

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

    • 3.5★ from 11 Google reviews
    Address
    3777 Sienna Pkwy, Missouri City, TX 77459
  9. 68/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.6★ from 26 Google reviews.

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

    • 4.6★ from 26 Google reviews
    Hours
    Mon–Fri 9 AM–7 PM · Sat–Sun closed
    Address
    3129 Kingsley Dr Unit 840, Pearland, TX 77584
  10. Based in Pearland, 4 mi away

    68/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.9★ from 119 Google reviews.

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

    • 4.9★ from 119 Google reviews
    Hours
    Mon 9 AM–5 PM · Tue–Thu 9 AM–6:30 PM · Fri 9 AM–5 PM · Sat–Sun closed
    Address
    2743 Smith Ranch Rd suite 303, Pearland, TX 77584
  11. Based in Houston, 8 mi away

    68/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.5★ from 133 Google reviews.

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

    • 3.5★ from 133 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    12301 S Main St, Houston, TX 77035
  12. Based in Missouri City, 8 mi away

    67/100RP Score

    Ranked #24 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 9 AM–8 PM · Fri 9 AM–6 PM · Sat–Sun 10 AM–5 PM
    Address
    5819 Hwy 6 Ste 240, Missouri City, TX 77459
  13. Based in Missouri City, 5 mi away

    67/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.5★ from 37 Google reviews.

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

    • 4.5★ from 37 Google reviews
    Hours
    Mon–Fri 10 AM–6 PM · Sat 10 AM–3 PM · Sun closed
    Address
    5777 Sienna Pkwy Ste 350, Missouri City, TX 77459

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

therapists and counselors in Fresno, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Thryve Therapy and Wellness | Sex and Couples Counselor- Sugar Land675.0★ (5)8 mi
27Texas Counseling Center in Riverstone Sugar Land675.0★ (9)8 mi
28Ellie Mental Health675.0★ (7)6 mi
29JCV Behavioral Health675.0★ (28)4 mi
30Crisis Intervention of Houston, Inc.661.4★ (11)9 mi
31Illuminated Pathways Family Therapy, LLC of Missouri City, TX665.0★ (46)8 mi
32MilSo 2 MilSo Counseling Services, PLLC665.0★ (11)5 mi
33ASK Therapy, LLC664.0★ (8)3 mi
34A Better Family Now - Clifton Brantley664.7★ (26)4 mi
35Arise Recovery Centers - Sugar Land665.0★ (9)12 mi
36TRS Health664.8★ (933)10 mi
37Motivations Counseling in Sugar Land664.9★ (52)11 mi
38Red Dun Ranch665.0★ (3)8 mi
39Imperfectly Wonderful Counseling655.0★ (8)12 mi
40Pearland Therapeutic Services655.0★ (4)4 mi
41Family PsychSolutions, PLLC652.9★ (16)2 mi
42Heart 2 Heart Counseling Services, LLC654.7★ (36)8 mi
43Brighter Tomorrows653.0★ (6)8 mi
44Pinnacle of Purpose Counseling + Consulting, PLLC654.8★ (4)3 mi
45Solid Foundation Psychiatry654.5★ (60)8 mi
46Therapeutic Alliance and Testing Center654.7★ (59)6 mi
47Peace & Calm Counseling645.0★ (12)8 mi
48Exceptional Wellness Inc644.8★ (41)6 mi
49Houston Healing Collective644.8★ (34)12 mi
50Milieu Psychiatry Consulting645.0★ (28)12 mi

Also serving Fresno

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.

How we ranked Fresno therapists and counselors

We scored 532 Fresno 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 Fresno 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 Fresno: frequently asked questions

Who is the best therapist in Fresno?

By RP Score, the highest-ranked therapist in Fresno, TX is Hardy Behavioral Health with an RP Score of 76/100. It has 5.0★ from 7 Google reviews. It is open 7 days a week. Shifting with Shaobeny (#2) and Texas Counseling Center in Pearland (#3) follow. We ranked 532 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in Fresno?

RankedPsychologists ranks 532 therapists and counselors serving Fresno, TX. 5 of them are based in Fresno; 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 Fresno work on weekends?

176 of 532 ranked therapists and counselors post Saturday hours and 53 post Sunday hours. The highest-ranked open Saturdays are Hardy Behavioral Health (#1), Shifting with Shaobeny (#2) and Texas Counseling Center in Pearland (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Fresno therapists and counselors have?

The median Google rating among 532 rated therapists and counselors in Fresno is 4.8★, with a median of 10 reviews. One Behavioral Health has the most, 1,024 reviews, and ranks #12. 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 Fresno count in this ranking?

Yes, if they are within 15 mi of the Fresno 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 Fresno 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 Fresno

  1. November 2026: RP Scores recalculated for 532 therapists and counselors serving Fresno.