77/100RP Score
Ranked #1 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.4★ from 190 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Best Therapists And Counselors in Roanoke, VA (2026)
87 therapists and counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →
The short answer
- 1
Best overall in Roanoke: Thriveworks Counseling & Psychiatry Roanoke, RP Score 77/100; 4.4★ from 190 Google reviews; open 7 days a week.
- 17
Most-reviewed: New Horizons Healthcare, 540 Google reviews at 4.1★, the most of 87 ranked; ranked #17.
Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank
87 Roanoke 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 87 rated practices.
Top 10 therapists and counselors in Roanoke 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 | Thriveworks Counseling & Psychiatry Roanoke | 77 | 4.4★ (190) | Roanoke | Sat · Sun · Evenings | Overall |
| 2 | Roanoke Comprehensive Treatment Center | 76 | 4.3★ (156) | Roanoke | Sat · Sun | — |
| 3 | SARA Roanoke (Sexual Assault Response and Awareness) | 75 | 3.4★ (5) | Roanoke | Sat · Sun · Evenings | — |
| 4 | The Breastfeeding Center of Roanoke | 75 | 5.0★ (19) | Roanoke | — | — |
| 5 | David B. Geho, LSATP | 75 | 4.6★ (22) | Roanoke | — | — |
| 6 | Cynthia Lissau Marriage & Family Therapist, LPC, LMFT | 75 | 4.6★ (21) | Roanoke | — | — |
| 7 | Inner Flame Counseling | 74 | 5.0★ (11) | Roanoke | — | — |
| 8 | On Our Own Roanoke Valley | 74 | 4.7★ (33) | Roanoke | Sat · Sun | — |
| 9 | Big Oak Wellness | 73 | 5.0★ (4) | Roanoke | Sat · Sun | — |
| 10 | Transformed Support Services | 73 | 4.1★ (9) | Roanoke | — | — |
The 87 best therapists and counselors in Roanoke, 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 Roanoke
76/100RP ScoreRanked #2 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.3★ from 156 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
75/100RP ScoreRanked #3 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.4★ from 5 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
75/100RP ScoreRanked #4 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 5.0★ from 19 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Roanoke
75/100RP ScoreRanked #5 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.
Based in Roanoke
75/100RP ScoreRanked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.6★ from 21 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Roanoke
74/100RP ScoreRanked #7 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.
Based in Roanoke
74/100RP ScoreRanked #8 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.
Based in Roanoke
73/100RP ScoreRanked #9 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.
Based in Roanoke
73/100RP ScoreRanked #10 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.1★ from 9 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Roanoke
73/100RP ScoreRanked #11 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.
Based in Roanoke
73/100RP ScoreRanked #12 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.
Based in Roanoke
73/100RP ScoreRanked #13 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.0★ from 4 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Roanoke
72/100RP ScoreRanked #14 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.2★ from 5 Google reviews.
Based on 6 of 8 factors; recency and availability not yet collected.
Based in Hollins, 1 mi away
72/100RP ScoreRanked #15 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.
Based in Roanoke
71/100RP ScoreRanked #16 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.8★ from 8 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
71/100RP ScoreRanked #17 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.1★ from 540 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
70/100RP ScoreRanked #18 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.4★ from 75 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
70/100RP ScoreRanked #19 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.
Based in Roanoke
70/100RP ScoreRanked #20 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 5.0★ from 3 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
70/100RP ScoreRanked #21 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.2★ from 120 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
69/100RP ScoreRanked #22 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.9★ from 23 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Salem, 5 mi away
69/100RP ScoreRanked #23 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.
Based in Roanoke
68/100RP ScoreRanked #24 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.8★ from 10 Google reviews.
Based on 7 of 8 factors; recency not yet collected.
Based in Roanoke
68/100RP ScoreRanked #25 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.2★ from 27 Google reviews.
Based on 7 of 8 factors; recency 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 87 ranked therapists and counselors here; the rest are on their profiles.
Also serving Roanoke
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.
| Business | Google rating | Distance |
|---|---|---|
| Adult & Teen Challenge, Eastern Appalachian Region | 3.1★ (27) | In Roanoke |
| Angela Mitchell | 4.0★ (4) | In Roanoke |
| Anita S. Kablinger, MD | 5.0★ (2) | In Roanoke |
| Ann B. Sollinger, PHD | 5.0★ (4) | In Roanoke |
| Babbling Brook Counseling Services PLLC | 5.0★ (2) | In Roanoke |
| Blue Ridge Services Co LLC | 3.0★ (2) | In Roanoke |
| BrightView | 4.5★ (91) | In Roanoke |
| CenterWell Home Health | 4.7★ (47) | In Roanoke |
| Claytor Memorial Clinic | 3.8★ (33) | In Roanoke |
| Dominion Care | 3.5★ (2) | In Roanoke |
| Dr. Alice Jackie Wilkerson | 4.2★ (5) | In Roanoke |
| EHS / Roanoke Psychosocial Rehabilitation | 5.0★ (2) | In Roanoke |
| Jennifer C. Wells, MD | 4.4★ (12) | In Roanoke |
| Justin J. Gray, Psy D | 5.0★ (3) | In Roanoke |
| Katharine Herman, Ph.D. | 5.0★ (5) | In Roanoke |
| Lanahan Rob | 3.9★ (7) | In Roanoke |
| Mental Wellness Group, PLLC | 3.8★ (5) | In Roanoke |
| Richard J. Milan Jr, PHD | 5.0★ (6) | In Roanoke |
| Savida Health Roanoke | 4.8★ (101) | In Roanoke |
| Shawn P. Mordhorst, Psy D | 4.4★ (7) | In Roanoke |
How we ranked Roanoke therapists and counselors
We scored 87 Roanoke 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 Roanoke 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 Roanoke: frequently asked questions
Who is the best therapist in Roanoke?
By RP Score, the highest-ranked therapist in Roanoke, 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. Roanoke Comprehensive Treatment Center (#2) and SARA Roanoke (Sexual Assault Response and Awareness) (#3) follow. We ranked 87 therapists and counselors on eight factors, last updated November 9, 2026.
How many therapists and counselors are there in Roanoke?
RankedPsychologists ranks 87 therapists and counselors serving Roanoke, VA. 48 of them are based in Roanoke; 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 Roanoke work on weekends?
10 of 87 ranked therapists and counselors post Saturday hours and 8 post Sunday hours. The highest-ranked open Saturdays are Thriveworks Counseling & Psychiatry Roanoke (#1), Roanoke Comprehensive Treatment Center (#2) and SARA Roanoke (Sexual Assault Response and Awareness) (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.
What Google rating do Roanoke therapists and counselors have?
The median Google rating among 87 rated therapists and counselors in Roanoke is 4.3★, with a median of 9 reviews. New Horizons Healthcare has the most, 540 reviews, and ranks #17. 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 Roanoke count in this ranking?
Yes, if they are within 15 mi of the Roanoke 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 Roanoke 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 Roanoke
- November 2026: RP Scores recalculated for 87 therapists and counselors serving Roanoke.
More therapists and counselors and Roanoke pages
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Other specialties in Roanoke
- Psychologists in Roanoke14 ranked
- Couples therapists in Roanoke12 ranked
- Family therapists in Roanoke17 ranked
- Psychiatrists in Roanoke30 ranked
- Clinical social workers in Roanoke14 ranked
- Addiction counselors in Roanoke32 ranked
- ABA therapy providers in Roanoke5 ranked
- All psychologists in Roanoke