Couples therapists in Louisville, KY

28 verified listings 122 more licensed therapists from the NPI registry Updated October 1, 2026

28 couples therapists in Louisville are listed with details from their own websites. 19 of them offer online sessions, and the approaches mentioned most often are Emotionally Focused Therapy (EFT), Gottman Method and Internal Family Systems (IFS). Listed fees run from $75 to $250 per session. Whether you’re working through a hard stretch or getting ready to marry, compare how they work and what they charge below.

If you or your partner are in crisis, call or text 988 any time, day or night. If someone is in danger, call 911.

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Approach

Emotionally Focused Therapy (EFT) , 7 listings
Gottman Method , 3 listings
Imago , 1 listing
Prepare/Enrich Clear Approach: Prepare/Enrich

1 more

Internal Family Systems (IFS) , 1 listing

What these approaches mean

Emotionally Focused Therapy (EFT): Developed by Sue Johnson and grounded in attachment theory. Helps partners change the negative patterns that drive them apart.
Gottman Method: Developed by John and Julie Gottman. Usually starts with an assessment, then works on friendship, managing conflict and shared meaning.
Imago: Developed by Harville Hendrix and Helen LaKelly Hunt. Built on the idea that we carry an image from childhood into adult relationships.
Prepare/Enrich: An online relationship assessment followed by feedback sessions with a trained facilitator, for engaged or married couples.
Internal Family Systems (IFS): Developed by Richard Schwartz. Works with the different “parts” of each person; also adapted for couples.

Couples therapy approaches, explained

Sessions

Online (telehealth) Clear Sessions: Online (telehealth)
In person , 1 listing

1 of 28 verified listings matches:

Prepare/Enrich Remove filter Approach: Prepare/Enrich
Online (telehealth) Remove filter Sessions: Online (telehealth)
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Charmaine Smith, LMFT

Type

Marriage & family therapist

Approach

Prepare/Enrich

Sessions

Online and in person; online for clients in KY and TX

Also

Premarital counseling

Visit website of Charmaine Smith (opens in a new tab) Call Charmaine Smith at (502) 804-5410

Source: emerge2day.com, checked Oct 1, 2026 NPI 1154680270

122 more licensed therapists from the NPI registry aren’t covered by these filters. See the registry list.

Questions about couples therapy in Louisville

How many couples therapists are listed in Louisville?

This page lists 28 verified couples therapists in Louisville. Another 122 licensed marriage and family therapists with Louisville practice addresses appear in the federal NPI registry but haven’t been confirmed yet.

How much does couples therapy cost in Louisville?

Among the 4 verified therapists here who list a fee, session prices range from $75 to $250. 4 mention a sliding scale. Fees change, so confirm the current rate with the therapist.

Can we do couples therapy online in Kentucky?

Yes. 19 of the 28 verified therapists in Louisville offer online sessions. A therapist can generally only see clients online while those clients are located in a state where the therapist is licensed, so both partners should be in Kentucky (or another state where the therapist holds a license) during sessions.

Do couples therapists in Louisville take insurance?

Some do. Of the 28 verified therapists, 9 mention Medicaid, 4 mention Aetna and 4 mention Medicare on their websites. Many plans cover couples therapy only in limited cases, so ask your insurer and the therapist before your first session.

Which couples therapy approaches do therapists in Louisville use?

Of the 28 verified therapists, 8 mention Emotionally Focused Therapy (EFT), 4 mention Gottman Method, 2 mention Internal Family Systems (IFS) and 1 mentions Imago on their websites. Many therapists combine approaches, so ask how they work with couples and how they trained.

Are couples therapists in Louisville accepting new clients?

4 of the 28 verified therapists say on their websites that they’re accepting new clients. Openings change quickly, so contact a therapist to confirm.

Are there couples therapists in Louisville with evening or weekend hours?

1 of the 28 verified therapists lists evening or weekend appointments on their websites.

Can we talk to a therapist in Louisville before booking?

3 of the 28 verified therapists mention a free consultation. It’s a chance to ask how they work with couples, what they charge and when they have openings.

Choosing a therapist in Louisville

How to choose a couples therapist: license types, how to check a license, and questions to ask before a first session.
Gottman Method vs. EFT: here, 4 verified listings mention the Gottman Method and 8 verified listings mention EFT.
Couples therapy approaches, explained: what Emotionally Focused Therapy (EFT), Gottman Method and Internal Family Systems (IFS) involve, and who developed them.
What couples therapy costs: how Louisville fees compare with other cities, and what to ask about insurance.
All cities in Kentucky with verified listings.

About these listings

Listings come from the public NPI registry and therapists’ own websites. Each verified listing shows its source and when it was last checked. About our listings.

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Verified listings

Charmaine Smith, LMFT