Local Pros · Alexandria
Local Therapists & Counselors in Alexandria, VA
Locally owned and operated therapists & counselors serving Alexandria and the surrounding area. Supporting local businesses means faster response and accountability.
As of July 2026, RatingsNearMe ranks 19 therapists & counselors in Alexandria, VA by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Old Town Psychology with a 5.0-star rating from 56 Google reviews and an RNM Score of 80/100. Also in the top tier: Thriveworks Counseling & Psychiatry Alexandria and Lifebulb Counseling & Therapy Alexandria. The average rating across all listed therapists & counselors in Alexandria is 4.9 stars from 24 reviews per business on average.
Therapy in Alexandria: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.
Rankings updated July 4, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Local Market Snapshot
19
Businesses listed
4.9★
Avg rating
24
Avg reviews
Jul 4, 2026
Last updated
Top Rated Therapists & Counselors
5.0-star rated therapist in Alexandria with 56 glowing Google reviews.
1221 King St, Alexandria, VA 22314, USARated 4.7 stars from 85 reviews by clients in Alexandria.
3014 Colvin St Ste 1-A, Alexandria, VA 22314, USA4.7 stars from 80 Google reviews, reflecting strong client satisfaction.
6210 Old Franconia Rd Unit A, Alexandria, VA 22310, USATherapists & Counselors Rankings in Alexandria, VA
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Old Town Psychology1221 King St, Alexandria, VA 22314, USA | 5.0★ | 56 |
| #2 | Thriveworks Counseling & Psychiatry Alexandria3014 Colvin St Ste 1-A, Alexandria, VA 22314, USA | 4.7★ | 85 |
| #3 | Lifebulb Counseling & Therapy Alexandria6210 Old Franconia Rd Unit A, Alexandria, VA 22310, USA | 4.7★ | 80 |
| #4 | District Psychiatry and Wellness121 N Washington St Suite 202, Alexandria, VA 22314, USA | 5.0★ | 22 |
| #5 | River Grove Therapy107 Oronoco St, Alexandria, VA 22314, USA | 5.0★ | 3 |
| #6 | Moving Forward, PLC — Dr. Michele Cole, PhD, LCSW117 S St Asaph St, Alexandria, VA 22314, USA | 4.8★ | 24 |
| #7 | Counseling Center Group600 Cameron St Suite 104, Alexandria, VA 22314, USA | 5.0★ | 19 |
| #8 | Del Ray Psych & Wellness, LLC1900 Mt Vernon Ave, Alexandria, VA 22301, USA | 4.8★ | 12 |
| #9 | Stepping Stone Psychotherapy, LLC601 King St Suite 303, Alexandria, VA 22314, USA | 5.0★ | 6 |
| #10 | Insight Counseling of Alexandria, LLC113 S St Asaph St #2, Alexandria, VA 22314, USA | 5.0★ | 5 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated July 2026
All Therapists & Counselors in Alexandria
Rated 5.0 stars from 22 Google reviews, consistently exceptional client feedback.
121 N Washington St Suite 202, Alexandria, VA 22314, USA
Alexandria therapist with a perfect 5.0★ rating from three customer reviews.
107 Oronoco St, Alexandria, VA 22314, USA
Rated 4.8 stars from 24 glowing Google reviews in Alexandria.
117 S St Asaph St, Alexandria, VA 22314, USA
5.0 stars from 19 reviews, reflecting consistently exceptional client feedback.
600 Cameron St Suite 104, Alexandria, VA 22314, USA
Rated 4.8 stars from 12 Google reviews, offering trusted therapeutic support.
1900 Mt Vernon Ave, Alexandria, VA 22301, USA
Rated 5.0 stars from 6 reviews, this Alexandria therapist is highly recommended by past clients.
601 King St Suite 303, Alexandria, VA 22314, USA
Rated 5.0 stars across 5 glowing Google reviews in Alexandria.
113 S St Asaph St #2, Alexandria, VA 22314, USA
Rated 5.0 stars from 20 Google reviews, this Alexandria therapist is highly recommended.
211 N Union St Suite 100, Alexandria, VA 22314, USA
A trusted therapist with a perfect 5.0-star rating from 19 Google reviews.
1451 Belle Haven Rd STE 230, Alexandria, VA 22307, USA
Rated 4.4 stars from 93 Google reviews, this therapist earns strong local trust.
2800 Eisenhower Ave #200, Alexandria, VA 22314, USA
Exceptional 5.0-star rating from 6 Google reviews for a therapist in Alexandria, VA.
324 N Fairfax St #200, Alexandria, VA 22314, USA
Exceptional 5.0-star rating from a handful of Google reviews in Alexandria.
218 N Lee St #201, Alexandria, VA 22314, USA
Rated 5.0 stars from 2 Google reviews for therapy in Alexandria, VA.
2202 Mt Vernon Ave, Alexandria, VA 22301, USA
Rated 5.0 stars from one Google review in Alexandria, VA.
108A S Columbus St, Alexandria, VA 22314, USA
Rated 5.0 stars from one Google review, offering exceptional care in Alexandria.
2121 Eisenhower Ave Suite 307, Alexandria, VA 22314, USA
4.3 stars from 6 reviews, indicating solid client satisfaction.
119 Oronoco St 2nd Floor, Alexandria, VA 22314, USA
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Therapists & Counselors in Alexandria, VA — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Old Town Psychology | 80/100 | 5.0 ★ | 56 |
| 2 | Thriveworks Counseling & Psychiatry Alexandria | 77/100 | 4.7 ★ | 85 |
| 3 | Lifebulb Counseling & Therapy Alexandria | 77/100 | 4.7 ★ | 80 |
| 4 | District Psychiatry and Wellness | 75/100 | 5.0 ★ | 22 |
| 5 | River Grove Therapy | 66/100 | 5.0 ★ | 3 |
| 6 | Moving Forward, PLC — Dr. Michele Cole, PhD, LCSW | 72/100 | 4.8 ★ | 24 |
| 7 | Counseling Center Group | 75/100 | 5.0 ★ | 19 |
| 8 | Del Ray Psych & Wellness, LLC | 69/100 | 4.8 ★ | 12 |
| 9 | Stepping Stone Psychotherapy, LLC | 69/100 | 5.0 ★ | 6 |
| 10 | Insight Counseling of Alexandria, LLC | 68/100 | 5.0 ★ | 5 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · July 2026
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Frequently Asked Questions — Therapists & Counselors in Alexandria
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in Alexandria?
Psychiatrists (MD) can prescribe medication and diagnose. PhD/PsyD Psychologists provide therapy and can do psychological testing. LCSWs (Licensed Clinical Social Workers) focus on life circumstances and behavioral patterns. LPCs (Licensed Professional Counselors) specialize in talk therapy and mental health counseling. All four can provide effective therapy — the right choice depends on your needs and whether medication may be relevant.
How do I find a therapist in Alexandria who takes my insurance?
Call your insurance company's member services line or search their online provider directory. When you reach a therapist's office, ask specifically: "Do you accept [insurance name] for in-network benefits?" In-network therapy typically costs $20–$60 per session (copay) instead of $100–$250 out of pocket. Psychology Today's directory at psychologytoday.com lets you filter by insurance.
How much does therapy cost in Alexandria without insurance?
Private pay rates typically run $100–$200/session for LPCs and LCSWs, and $150–$300 for psychologists. Many therapists offer sliding-scale fees based on income — it's worth asking directly. Open Path Collective (openpathcollective.org) lists therapists offering $30–$80 sessions for qualifying clients.
How long does it typically take to see results from therapy?
Research shows meaningful improvement in 8–16 sessions for most anxiety and depression cases. CBT (Cognitive Behavioral Therapy) tends to show results fastest. Complex trauma or personality-related concerns may take longer. A good therapist will set measurable goals with you in the first 1–3 sessions and reassess regularly.
How are the therapists & counselors on this page ranked?
Rankings use a transparent algorithm: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Featured Partner listings have paid for enhanced visibility but must still earn their position through real customer reviews — sponsored listings are clearly labeled.
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How Rankings Work on This Page
Every therapists & counselors on RatingsNearMe is scored transparently: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Businesses labeled exclusive or premium are Featured Partners — they have paid for enhanced visibility but must still rank through real customer reviews. We cap sponsored boosts so bad businesses can never buy the top spot.
Editorial notice: Ratings are based on publicly available data from Google Business listings. Consumers should independently verify licensing, insurance, and credentials before hiring any service provider. Last updated: July 4, 2026.
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