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Best Therapists And Counselors in San Luis Obispo, CA (2026)

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

The short answer

  1. 1

    Best overall in San Luis Obispo: Aspire Counseling Services, RP Score 81/100; 4.7★ from 41 Google reviews; open 7 days a week.

  2. 4

    Most-reviewed: LivewellSLO Chiropractic + Wellness, 128 Google reviews at 4.8★, the most of 82 ranked; ranked #4.

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

82 San Luis Obispo therapists and counselors are ranked here by RP Score, from eight published factors. 18 open Saturdays and 11 open Sundays, based on posted hours. The median Google rating is 4.8★ across 82 rated practices.

Top 10 therapists and counselors in San Luis Obispo 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 San Luis Obispo at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Aspire Counseling Services814.7★ (41)San Luis ObispoSat · Sun · EveningsOverall
2Windhorse Integrative Mental783.9★ (7)San Luis ObispoSat · Sun · Evenings—
3Central Coast Psychotherapy774.9★ (14)San Luis ObispoSat · Sun · Evenings—
4LivewellSLO Chiropractic + Wellness774.8★ (128)San Luis ObispoSatMost reviews
5Katja Ahlstrom754.4★ (7)San Luis Obispo——
6Lewis "Scott" Peterson, LMFT755.0★ (5)San Luis Obispo——
7SLO Couples Therapy755.0★ (26)San Luis ObispoSat · Evenings—
8Erik Edler LMFT755.0★ (7)San Luis ObispoSat · Sun—
9Jessica Bany, LMFT and Associates755.0★ (3)San Luis Obispo——
10Sarah Becker, LMFT755.0★ (3)San Luis Obispo——

The 82 best therapists and counselors in San Luis Obispo, 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 San Luis Obispo

    Based in San Luis Obispo

    81/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.7★ from 41 Google reviews.

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

    • 4.7★ from 41 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    895 Aerovista Pl #106, San Luis Obispo, CA 93401
  2. Based in San Luis Obispo

    75/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.4★ from 7 Google reviews.

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

    • 4.4★ from 7 Google reviews
    Address
    508 Higuera St, San Luis Obispo, CA 93401
  3. Based in San Luis Obispo

    75/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 26 Google reviews.

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

    • 5.0★ from 26 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–5 PM · Sun closed
    Address
    956 Walnut St Ste 200 C, San Luis Obispo, CA 93401
  4. Based in San Luis Obispo

    75/100RP Score

    Ranked #8 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.

    • 5.0★ from 7 Google reviews
    Hours
    Mon–Fri 11 AM–6 PM · Sat–Sun 11 AM–4 PM
    Address
    599 Higuera St, San Luis Obispo, CA 93401
  5. Based in San Luis Obispo

    75/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “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
    1415 Higuera St, San Luis Obispo, CA 93401
  6. 75/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 20 Google reviews.

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

    • 5.0★ from 20 Google reviews
    Hours
    Mon–Fri 7 AM–9 PM · Sat 9 AM–4 PM · Sun closed
    Address
    1248 Laurel Ln # B, San Luis Obispo, CA 93401
  7. Based in San Luis Obispo

    75/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.3★ from 3 Google reviews.

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

    • 4.3★ from 3 Google reviews
    Address
    4251 S Higuera St #300, San Luis Obispo, CA 93401
  8. Based in San Luis Obispo

    74/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 2.3★ from 6 Google reviews.

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

    • 2.3★ from 6 Google reviews
    Address
    11573 Los Osos Valley Rd, San Luis Obispo, CA 93405
  9. Based in San Luis Obispo

    73/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 5.0★ from 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Hours
    Mon–Sat 9 AM–7 PM · Sun closed
    Address
    599 Higuera St Ste F-4, San Luis Obispo, CA 93401
  10. Based in San Luis Obispo

    72/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 5.0★ from 42 Google reviews.

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

    • 5.0★ from 42 Google reviews
    Hours
    Mon–Tue 9 AM–5 PM · Wed closed · Thu–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    866 Calle del Caminos, San Luis Obispo, CA 93401
  11. Based in San Luis Obispo

    72/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 32 Google reviews.

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

    • 5.0★ from 32 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    555 Chorro St Suite A-2, San Luis Obispo, CA 93405
  12. Based in San Luis Obispo

    72/100RP Score

    Ranked #18 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–Tue 9 AM–3 PM · Wed–Thu 9 AM–5 PM · Fri 9 AM–3 PM · Sat closed · Sun 9 AM–3 PM
    Address
    1411 Marsh St #201, San Luis Obispo, CA 93401
  13. 72/100RP Score

    Ranked #19 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 21 Google reviews.

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

    • 5.0★ from 21 Google reviews
    Hours
    Mon–Fri 8 AM–5 PM · Sat–Sun closed
    Address
    1039 Murray Ave #220, San Luis Obispo, CA 93405
  14. Based in San Luis Obispo

    71/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.7★ from 13 Google reviews.

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

    • 4.7★ from 13 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat–Sun closed
    Address
    3889 Long St Ste 200, San Luis Obispo, CA 93401
  15. Based in San Luis Obispo

    70/100RP Score

    Ranked #22 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 8 AM–7 PM · Fri 8 AM–5 PM · Sat–Sun closed
    Address
    441 Marsh St, San Luis Obispo, CA 93401
  16. Based in San Luis Obispo

    70/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 5.0★ from 8 Google reviews.

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

    • 5.0★ from 8 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    441 Marsh St, San Luis Obispo, CA 93401
  17. Based in San Luis Obispo

    70/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.0★ from 8 Google reviews.

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

    • 4.0★ from 8 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat–Sun closed
    Address
    1411 Marsh St, San Luis Obispo, CA 93401
  18. Based in San Luis Obispo

    70/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat–Sun closed
    Address
    1110 California Blvd Ste E, San Luis Obispo, CA 93401

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

therapists and counselors in San Luis Obispo, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Elizabeth Karsh Psychotherapy705.0★ (3)In San Luis Obispo
27California Coastal Mental Health695.0★ (4)In San Luis Obispo
28Greenbrook Mental Wellness Centers694.2★ (5)In San Luis Obispo
29Community Counseling Center (CCC)693.8★ (8)In San Luis Obispo
30Balance Treatment Center - San Luis Obispo693.4★ (5)In San Luis Obispo
31Amanda Selman, PMHNP-BC - Psychiatric Clinician | Mindpath Health695.0★ (3)In San Luis Obispo
32San Luis Obispo Mental Health693.4★ (9)In San Luis Obispo
33Heartpoint Psychiatry and Wellness- A Professional Nursing Corporation695.0★ (3)In San Luis Obispo
34Transitions - Mental Health Association693.3★ (32)In San Luis Obispo
35County of San Luis Obispo- Behavioral Health Department693.3★ (8)In San Luis Obispo
36Thais (Guimaraes) Sky, MA, LMFT695.0★ (5)In San Luis Obispo
37Gamut Somatic Counseling695.0★ (6)In San Luis Obispo
38Bauman Clinic694.0★ (4)In San Luis Obispo
39Martha's Place694.0★ (5)In San Luis Obispo
40Rachel Quigley Therapy685.0★ (4)In San Luis Obispo
41Dr Michelle Matoff684.0★ (4)In San Luis Obispo
42Neurogenesis Neurofeedback685.0★ (6)7 mi
43Jane A. Hill, Therapist664.5★ (4)In San Luis Obispo
44FIREFLY HAVEN655.0★ (16)11 mi
45Dawson Individual & Family Counseling Inc.634.7★ (58)14 mi
46New Beginnings Therapy635.0★ (5)12 mi
47Developmental Specialty Partners634.1★ (14)In San Luis Obispo
48O & A Wellness Group, Inc625.0★ (11)12 mi
49360 Behavioral Health615.0★ (4)In San Luis Obispo
50LivewellSLO Chiropractic + Wellness614.6★ (11)10 mi

Also serving San Luis Obispo

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 San Luis Obispo
BusinessGoogle ratingDistance
Center for Autism & Related Disorders3.0★ (2)In San Luis Obispo
Central Coast Psychiatric3.0★ (2)In San Luis Obispo
Christy Lyons, PhD LPCC | Counseling & Consultation Services5.0★ (2)In San Luis Obispo
Coastal Center for Anxiety Treatment5.0★ (3)In San Luis Obispo
Cortney Wagner5.0★ (2)In San Luis Obispo
Emily Elrod-Black, MA, LPCC5.0★ (2)In San Luis Obispo
Empower TCT5.0★ (2)In San Luis Obispo
Erin D. Elfant, PhD5.0★ (2)In San Luis Obispo
John Roorda, LCSW5.0★ (2)In San Luis Obispo
Kristin Makena, Ph.D5.0★ (2)In San Luis Obispo
Liliana Escobar-Thies, PSYD5.0★ (3)In San Luis Obispo
Pacific Psychiatry, Inc.3.9★ (180)In San Luis Obispo
PEAKS Clinic - Psychological and Educational Assessments for Kids and Students, P.C.3.5★ (2)In San Luis Obispo
Planted Practice - Therapists San Luis Obispo5.0★ (2)In San Luis Obispo
Priscilla Kiessig, LCSW5.0★ (2)In San Luis Obispo
Psychiatric Health Facility - Crestwood (PHF Inpatient) - San Luis Obispo County3.0★ (2)In San Luis Obispo
Psychotherapy Today - Nadine La Fleur, Psy.D.3.0★ (2)In San Luis Obispo
San Luis Obispo Mental Health Youth Services4.0★ (2)In San Luis Obispo
Swell Therapy & Wellness5.0★ (2)In San Luis Obispo
Wylie Thomas F PhD3.4★ (5)In San Luis Obispo

How we ranked San Luis Obispo therapists and counselors

We scored 82 San Luis Obispo 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 San Luis Obispo 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 San Luis Obispo: frequently asked questions

Who is the best therapist in San Luis Obispo?

By RP Score, the highest-ranked therapist in San Luis Obispo, CA is Aspire Counseling Services with an RP Score of 81/100. It has 4.7★ from 41 Google reviews. It is open 7 days a week. Windhorse Integrative Mental (#2) and Central Coast Psychotherapy (#3) follow. We ranked 82 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in San Luis Obispo?

RankedPsychologists ranks 82 therapists and counselors serving San Luis Obispo, CA. 44 of them are based in San Luis Obispo; 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 San Luis Obispo work on weekends?

18 of 82 ranked therapists and counselors post Saturday hours and 11 post Sunday hours. The highest-ranked open Saturdays are Aspire Counseling Services (#1), Windhorse Integrative Mental (#2) and Central Coast Psychotherapy (#3). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do San Luis Obispo therapists and counselors have?

The median Google rating among 82 rated therapists and counselors in San Luis Obispo is 4.8★, with a median of 6 reviews. LivewellSLO Chiropractic + Wellness has the most, 128 reviews, and ranks #4. 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 San Luis Obispo count in this ranking?

Yes, if they are within 15 mi of the San Luis Obispo 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 San Luis Obispo 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 San Luis Obispo

  1. November 2026: RP Scores recalculated for 82 therapists and counselors serving San Luis Obispo.