Couples therapists in San Antonio, TX

30 verified listings 103 more licensed therapists from the NPI registry Updated September 30, 2026

30 couples therapists in San Antonio are listed with details from their own websites. 22 of them offer online sessions, and the approaches mentioned most often are Emotionally Focused Therapy (EFT), Internal Family Systems (IFS) and Gottman Method. Listed fees run from $100 to $210 per session. Whether you’re working through a hard stretch or getting ready to marry, compare how they work and what they charge below.

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1 of 30 verified listings matches:

UnitedHealthcare / Optum Remove filter Insurance: UnitedHealthcare / Optum
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Open Gates Counseling PLLC

Type

Marriage & family therapy practice

Sessions

Online (telehealth)

Insurance

UnitedHealthcare / Optum and Blue Cross Blue Shield

Fee

$150–$200 per session

New clients

Listed as accepting new clients

Visit website of Open Gates Counseling PLLC (opens in a new tab) Call Open Gates Counseling PLLC at (210) 870-8715

Source: opengatescounselingpllc.com, checked Sep 30, 2026 NPI 1306635438

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

Questions about couples therapy in San Antonio

How much does couples therapy cost in San Antonio?

Among the 9 verified therapists here who list a fee, session prices range from $100 to $210. Fees change, so confirm the current rate and any sliding-scale options with the therapist.

Can we do couples therapy online in Texas?

Yes. 22 of the 30 verified therapists in San Antonio 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 Texas (or another state where the therapist holds a license) during sessions.

Do couples therapists in San Antonio take insurance?

Some do. Insurers mentioned on verified therapists’ websites include UnitedHealthcare / Optum, Blue Cross Blue Shield and Aetna. Many plans cover couples therapy only in limited cases, so ask your insurer and the therapist before your first session.

Choosing a therapist in San Antonio

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), Internal Family Systems (IFS) and Gottman Method involve, and who developed them.
What couples therapy costs: how San Antonio fees compare with other cities, and what to ask about insurance.
All cities in Texas 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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