74/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 8 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Best Therapists And Counselors in Lexington, SC (2026)
211 therapists and counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Lexington: Counseling Plus, RP Score 74/100; 5.0★ from 8 Google reviews.
- 27
Most-reviewed: Three Rivers Behavioral Health, 580 Google reviews at 2.3★, the most of 211 ranked; ranked #27.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
211 Lexington therapists and counselors are ranked here by RP Score, from eight published factors. 23 open Saturdays and 7 open Sundays, based on posted hours. The median Google rating is 4.7★ across 211 rated practices.
Top 10 therapists and counselors in Lexington 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 | Counseling Plus | 74 | 5.0★ (8) | Lexington | — | Overall |
| 2 | Bridge of Hope Counseling Center | 74 | 4.5★ (8) | Lexington | — | — |
| 3 | Lexington Christian Counseling | 73 | 4.0★ (8) | Lexington | Sat · Sun | — |
| 4 | LaRue J. Bettis, Med | 73 | 3.4★ (5) | Lexington | — | — |
| 5 | Thriveworks Counseling & Psychiatry Columbia | 72 | 4.7★ (309) | Columbia, 7 mi away | Sat · Sun · Evenings | — |
| 6 | Choices Counseling Center, LLC | 70 | 3.3★ (12) | Lexington | Sat | — |
| 7 | Jill Smith and Associates Counseling | 69 | 4.3★ (35) | Lexington | — | — |
| 8 | TheraMind Psychiatry | 68 | 5.0★ (5) | Lexington | — | — |
| 9 | Together Family Counseling, LLC | 68 | 5.0★ (7) | Lexington | — | — |
| 10 | Crossroads Counseling Center | 68 | 3.7★ (37) | Lexington | — | — |
The 211 best therapists and counselors in Lexington, 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.
Based in Lexington
74/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.5★ from 8 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Lexington
73/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.0★ from 8 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
73/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.4★ from 5 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Columbia, 7 mi away
72/100RP ScoreRanked #5 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.7★ from 309 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
70/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.3★ from 12 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
69/100RP ScoreRanked #7 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.3★ from 35 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
68/100RP ScoreRanked #8 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 5 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
68/100RP ScoreRanked #9 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 7 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
68/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 3.7★ from 37 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
68/100RP ScoreRanked #11 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.7★ from 7 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
67/100RP ScoreRanked #12 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.1★ from 9 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
67/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.2★ from 11 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
#14 McLeod Home Care
Based in Lexington
67/100RP ScoreRanked #14 because of its Google rating and proximity: 4.8★ from 70 Google reviews, based in Lexington.
Based on 7 of 8 factors; recency not yet collected.
Based in West Columbia, 6 mi away
67/100RP ScoreRanked #15 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 23 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Lexington
66/100RP ScoreRanked #16 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.3★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in West Columbia, 6 mi away
65/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 2.0★ from 82 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in West Columbia, 6 mi away
65/100RP ScoreRanked #18 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.7★ from 3 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in West Columbia, 6 mi away
65/100RP ScoreRanked #19 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 4 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Columbia, 12 mi away
65/100RP ScoreRanked #20 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.3★ from 166 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Columbia, 8 mi away
64/100RP ScoreRanked #21 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.9★ from 78 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Irmo, 8 mi away
64/100RP ScoreRanked #22 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.4★ from 7 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Lexington
64/100RP ScoreRanked #23 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 2.4★ from 65 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Columbia, 8 mi away
64/100RP ScoreRanked #24 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.7★ from 197 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Columbia, 8 mi away
64/100RP ScoreRanked #25 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 3.8★ from 8 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
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 211 ranked therapists and counselors here; the rest are on their profiles.
Also serving Lexington
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 Lexington therapists and counselors
We scored 211 Lexington 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.
| Factor | Weight | Computed from | In Lexington 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 a therapist
- Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
- Make sure they regularly work with clients who have your concern, and ask what approach they use and why.
- Check which license they hold (for example LPC, LCSW, LMFT or RP) and look it up with the board or college that issued it.
- 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 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 Lexington: frequently asked questions
Who is the best therapist in Lexington?
By RP Score, the highest-ranked therapist in Lexington, SC is Counseling Plus with an RP Score of 74/100. It has 5.0★ from 8 Google reviews. Bridge of Hope Counseling Center (#2) and Lexington Christian Counseling (#3) follow. We ranked 211 therapists and counselors on eight factors, last updated November 9, 2026.
How many therapists and counselors are there in Lexington?
RankedPsychologists ranks 211 therapists and counselors serving Lexington, SC. 15 of them are based in Lexington; 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 Lexington work on weekends?
23 of 211 ranked therapists and counselors post Saturday hours and 7 post Sunday hours. The highest-ranked open Saturdays are Lexington Christian Counseling (#3), Thriveworks Counseling & Psychiatry Columbia (#5) and Choices Counseling Center, LLC (#6). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Lexington therapists and counselors have?
The median Google rating among 211 rated therapists and counselors in Lexington is 4.7★, with a median of 9 reviews. Three Rivers Behavioral Health has the most, 580 reviews, and ranks #27. 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 Lexington count in this ranking?
Yes, if they are within 15 mi of the Lexington 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 Lexington 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 Lexington
- November 2026: RP Scores recalculated for 211 therapists and counselors serving Lexington.
- November 2026: 1 duplicate listing merged.
More therapists and counselors and Lexington pages
Therapists and counselors near Lexington
- Therapists and counselors in Oak Grove, SC244 ranked
- Therapists and counselors in Seven Oaks, SC243 ranked
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- Therapists and counselors in Irmo, SC246 ranked
- Therapists and counselors in West Columbia, SC246 ranked
- Therapists and counselors in Cayce, SC246 ranked
- Therapists and counselors in Columbia, SC252 ranked
- Therapists and counselors in Forest Acres, SC243 ranked
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Other specialties in Lexington
- Psychologists in Lexington53 ranked
- Child and teen therapists in Lexington27 ranked
- Couples therapists in Lexington84 ranked
- Family therapists in Lexington73 ranked
- Trauma and PTSD therapists in Lexington9 ranked
- Psychiatrists in Lexington71 ranked
- Clinical social workers in Lexington43 ranked
- Addiction counselors in Lexington33 ranked
- ABA therapy providers in Lexington13 ranked
- All psychologists in Lexington