Couples Counseling

Online Couples Therapy in Texas

Work with an expert therapist to restore connection and strengthen your relationship in Texas. Every relationship requires nurturing. Whether things just got complicated, or it’s been awhile, we can help restore communication & trust. Our couples therapists bring a fresh perspective so you can rediscover the love & commitment needed for a thriving relationship.

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Mental Health & Couples Therapy in Texas

Understanding the landscape of mental health care access and the challenges
couples face across the state.

Mental Illness Prevalence

The adult mental illness prevalence rate in Texas is 21.9 percent.

Wait Time

The average wait time for therapy in Texas is 12–16 weeks.

Median Household Income

The median household income in Texas is $76,292.

Percentage Who Need Therapy

The share of adults in Texas who needed mental health treatment but did not receive it is 19.3 percent.

Provider Shortage

In Texas, 67.84 percent of counties are designated as Mental Health Professional Shortage Areas.

Mental Health Providers per 100k Residents

Texas has 162.1 mental health providers per 100,000 residents.

Texas faces measurable mental health strain that directly affects access to Couples Therapy from Houston to El Paso. The adult mental illness prevalence rate in Texas is 21.9 percent, and the share of adults in Texas who needed mental health treatment but did not receive it is 19.3 percent. Even when residents are ready to start care, the average wait time for therapy in Texas is 12-16 weeks, which delays support during periods when relationship stress can intensify. Capacity constraints are visible in the workforce numbers: Texas has 162.1 mental health providers per 100,000 residents. At the county level, the system is further stretched because 67.84 percent of counties are designated as Mental Health Professional Shortage Areas. These figures sit within a large and complex service area, with Texas's 31,290,831 residents spread across 268,596 square miles and 254 counties from the Panhandle to the Rio Grande Valley, creating a scale problem that affects both scheduling and continuity. For couples, access barriers are not only about finding a clinician, but also about reliably attending sessions together. Texas couples face average 27-minute commutes that add up to 47 hours annually, and that time burden compounds when two work schedules in Dallas, Austin, or NASA Johnson must align for a single appointment. In major metros near the Texas Medical Center and downtown Houston, parking costs can add $10 to $40 per session, totaling $520 to $2,080 yearly, which can discourage consistent attendance even after a provider is found. When 67.84 percent of counties are shortage areas and the statewide provider supply is 162.1 per 100,000 residents, the result is a system where many couples in San Antonio, Fort Worth, and the Permian Basin are funneled into long waits of 12-16 weeks or forced to accept limited appointment options. Across 268,596 square miles, the practical challenge becomes staying engaged in care week after week, especially when relationship repair depends on regular sessions and predictable follow-through.

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UNDERSTANDING THE CHALLENGE

Couples Therapy challenges in Texas

The Problem

Texas's 31,290,831 residents stretched across 268,596 square miles, from Houston and the Texas Medical Center corridor to Dallas, Fort Worth, San Antonio, and Austin, face long driving burdens that create significant barriers to consistent Couples Therapy attendance. With 162.1 mental health providers per 100,000 residents serving 254 counties, providers exist, but reaching them with both partners present is often the real obstacle. Residents face average 27-minute commutes (47 hours annually), and parking costs near Texas Medical Center clinics or downtown Austin practices can add $10 to $40 per session ($520 to $2,080 yearly). For oil and gas workers cycling through Permian Basin shifts, or Fort Hood military families coordinating two schedules, even a 15-mile drive can become a 75-minute logistical chain that makes weekly Couples Therapy difficult to sustain.

The Impact

Texas's 31,290,831 residents who need Couples Therapy for communication breakdown, recurring conflict, trust ruptures, or parenting disagreements often struggle to attend together consistently when traffic on I-35 between Austin and San Antonio, sprawl across Houston's Energy Corridor, or distance from Rio Grande Valley towns to the nearest clinic creates major friction. A 27-minute commute can turn a routine weekly session into a recurring 2-hour time commitment that competes with NASA Johnson schedules, Texas Medical Center shifts, and caregiving obligations. When sessions require coordinating two partners, missed appointments become more likely, and progress on the work both partners came in to do can stall.

The Solution

For Texas couples seeking therapy across 268,596 square miles, from El Paso to the Piney Woods, Grouport removes the travel and scheduling barriers that make in-person care difficult for two partners. Couples in Dallas, Houston, San Antonio, Austin, and the Hill Country can connect with a licensed couples clinician by secure video from home, avoiding traffic, parking near Texas Medical Center, and the coordination of two work schedules around a single drive. At $114 per session on average ($492/month), Grouport sits 50 to 60 percent below national Couples Therapy pricing of $175 to $300 per session ($757 to $1,299 per month), so couples can commit to weekly sessions without the premium costs typical of private practices in Austin tech corridors or Dallas suburbs.

In Texas, 67.84 percent of counties are designated as Mental Health Professional Shortage Areas.

Online Couples Therapy reduces missed sessions for Texas residents by removing commute time and parking logistics, which matters most when both partners need to attend the same appointment from Houston, Dallas, or a Permian Basin job site. It also expands the pool of specialized couples clinicians beyond what is locally available in Panhandle towns or Rio Grande Valley counties, so Texas couples can start sooner and stay consistent even when oil-and-gas rotations, Fort Hood deployments, or Austin tech sprints would otherwise interrupt care.

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Getting Couples Therapy in Texas: Wait Times and Barriers

Texas's access picture for Couples Therapy is shaped by statewide capacity limits and uneven distribution of care from the Texas Medical Center in Houston out to Rio Grande Valley clinics. Texas has 162.1 mental health providers per 100,000 residents, yet 67.84 percent of counties are designated as Mental Health Professional Shortage Areas. When the adult mental illness prevalence rate is 21.9 percent and 19.3 percent of adults report needing treatment but not receiving it, demand routinely outpaces appointment availability. For couples trying to coordinate two schedules, whether around Permian Basin shift work or Austin tech sprints, limited openings can turn a search for help into a prolonged, stop-start process.

Geographic Barriers

Texas's size adds a practical layer to availability. With 31,290,831 residents across 268,596 square miles and 254 counties, from El Paso to Houston, reaching care often depends on travel logistics rather than clinical fit. Residents face average 27-minute commutes that total 47 hours annually, and that time commitment becomes more complicated when both partners must attend the same Couples Therapy appointment window. In shortage-designated counties of the Panhandle, Piney Woods, and Rio Grande Valley, distance to a provider can be paired with fewer options for evening or weekend sessions, increasing the likelihood that couples postpone care or attend inconsistently. The result is not simply inconvenience; it is a structural friction that makes it harder to build momentum in treatment when one partner is driving in from a Permian Basin job and the other is leaving downtown Dallas at rush hour.

Extended Wait Times

The average wait time for therapy in Texas is 12-16 weeks, which can be especially disruptive for couples seeking timely Couples Therapy for conflict, communication breakdown, or trust concerns. A delay of that length can force couples in Houston, Fort Worth, or San Antonio to rely on short-term coping strategies while stressors continue in real time. When demand is high and provider supply is limited, appointment slots in Austin tech corridors and the Texas Medical Center are often booked far in advance, and rescheduling can push the start date even further out. For couples, missed or delayed starts can also create uneven motivation between partners, where one person is ready to engage and the other disengages during the 84 to 112 day waiting period.

Systemic Challenges

The combination of provider scarcity and high unmet need in Texas means access barriers are systemic, not incidental. With 19.3 percent of adults who needed mental health care unable to receive it, the underlying inefficiencies of the current system restrict both choice and continuity for Texas couples seeking relationship-focused services. These barriers extend beyond scheduling: couples in Dallas, Houston, El Paso, and smaller Hill Country towns often face logistical challenges securing appointments that accommodate two calendars, managing absences due to waitlist bottlenecks, and contending with the emotional impact of delayed or fragmented care. While urban centers like Austin and the Texas Medical Center offer greater provider density, the statewide figures reflect a persistent difficulty in accessing relationship-focused services regardless of whether a couple lives in a metro core or the Permian Basin.

Urban-Rural Divide

In Houston, Dallas, Fort Worth, San Antonio, and Austin, the challenge is congestion and time cost; in the Panhandle, Piney Woods, and Rio Grande Valley, it is fewer nearby options. Couples in major Texas metros can face parking costs of $10 to $40 per session near downtown clinics and Texas Medical Center practices, adding $520 to $2,080 yearly for weekly care, while still dealing with the average 27-minute commute each way. In counties designated as shortage areas, the issue shifts toward limited provider availability and fewer appointment times that work for two partners juggling oil and gas shift work or healthcare rotations. Across 254 counties, these patterns create different versions of the same problem: couples must invest significant time and coordination just to maintain a consistent cadence of sessions.

For Texas couples, availability is not only about whether care exists, but whether it can be accessed consistently across long distances, long waits, and limited scheduling flexibility from El Paso to Houston. Grouport reduces these barriers by offering secure online Couples Therapy that removes commute time and downtown parking, helping couples in Dallas, Austin, San Antonio, and the Hill Country stay engaged even when local access is constrained.

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Affordable Couples Therapy for Texas Residents

Grouport provides Texas couples with Couples Therapy at $114 per session on average ($492/month), compared with national pricing of $175–$300 per session and $757–$1,299 per month. That difference matters when the average wait time for therapy in Texas is 12-16 weeks and 67.84 percent of counties are designated as Mental Health Professional Shortage Areas, since delays from Houston to the Texas Medical Center to Permian Basin towns can push couples toward higher-cost options or fragmented care. With online access and faster matching, cost and timing become more predictable for couples in Dallas, Austin, and San Antonio who want to start without a prolonged search.

Affordability and Income

At $114 per session on average ($492/month), Grouport's Couples Therapy pricing is positioned well below the national per-session range of $175–$300. Against Texas's median household income of $76,292, a single Grouport session represents 0.15% of annual income per session, compared with 0.23%–0.39% for traditional per-session pricing. For couples in Austin tech, NASA Johnson, or Fort Hood households budgeting for ongoing care, that gap can influence whether sessions remain consistent over time, especially when the statewide system is already strained. With 162.1 mental health providers per 100,000 residents and 67.84 percent of counties designated as Mental Health Professional Shortage Areas, many couples face limited choice and longer waits, and cost becomes intertwined with access. When 19.3 percent of adults report needing treatment but not receiving it, affordability is not only a financial concern; it can determine whether couples in the Rio Grande Valley or Piney Woods can secure and sustain care once an opening appears.

Hidden Cost and Barriers

Beyond session fees, Texas couples often absorb additional costs tied to attending in-person appointments. In Houston near the Texas Medical Center, downtown Dallas, and Austin's tech corridors, parking can add $10 to $40 per session, totaling $520 to $2,080 yearly for weekly visits. Time costs also accumulate: the average 27-minute commute each way adds up to 47 hours annually, and couples typically need to coordinate that travel for two people at the same time. Those hours can translate into missed work for energy sector employees, childcare expenses for parents, or reduced flexibility for rescheduling, which is especially challenging when provider availability is already constrained across 254 counties and 268,596 square miles. Online Couples Therapy removes the recurring parking expense and eliminates the commute burden, which can make it easier for couples in Fort Worth, San Antonio, or El Paso to keep appointments consistent rather than treating sessions as optional when logistics become difficult.

Immediate Availability

Texas's 12-16 week average wait time for Couples Therapy equals 84-112 days without professional support while relationship stress continues day to day in Houston households, Dallas suburbs, and Permian Basin job sites. When access is delayed across a system where 67.84 percent of counties are shortage areas, couples may cycle through cancellations, limited appointment windows, or long gaps between sessions once care begins. Grouport eliminates this wait entirely with therapist matching in 24-48 hours, giving Texas couples a faster path to structured support without relying on scarce local openings in San Antonio, Austin, or Rio Grande Valley clinics.

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How it Works

Choose a Service

Choose the right service you are looking for and then simply sign up for a plan.

Personalized match

We’ll get in touch with you to get brief context to make sure we match you with the therapist that best fits your needs & schedule. (Typically match in 24 hours - 72 hours)

Start Therapy

Meet weekly with your therapist for 45-minute video sessions for consistent care with real results.

We’re Ready

What Couples Therapy Can Help with:

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Communication and fighting
Power dynamics
Financial conflict
Parenting or caretaker stress
Challenges with intimacy

Repairing after infidelity
Identifying unhealthy patterns
Restoring trust
Conflict resolution strategies

Types of Couples Therapy in Texas

Relationship counseling

Every couple faces challenges that test their relationship. It can happen early on or after years in a relationship. No matter the circumstance, couples counseling offers unbiased support and structure in a comfortable setting. You’ll learn conflict-resolution strategies, identify recurring patterns, while building a healthier, stronger, loving relationship.

Marriage counseling

Marriage is work, and it’s normal to need outside trusted guidance. Marriage counseling will allow you and your spouse to tackle these issues head on. Sessions will help you identify the root of your problems and come up with effective strategies to address them on a routine basis. Having this open communication and weekly time to just hone in on your marriage, will allow your relationship to thrive.

Premarital counseling

The days leading up to a wedding can be stressful. Premarital counseling can help you prior to getting married, but also prepare you both for married life. Premarital counseling allows you to start your lives together on a solid footing. Having this dynamic going into a marriage, will allow for the open communication and relevant skills so that you continually invest in a successful marriage.

Mental Health Conditions We Treat in

Texas

Beyond couples therapy, Grouport offers licensed therapists who specialize across the full spectrum of mental health needs and evidence-based approaches. Whatever you're looking for, we have a therapist for your needs.

Antisocial Personality Disorder

Anxiety

Attachment Issues

Autism Spectrum Disorder

Avoidant Personality Disorder

Binge Eating Disorder

Bipolar Disorder

Body Dysmorphic Disorder

Borderline Personality

Dependent Personality Disorder

Depression

Dissociative Disorders

Histrionic Personality Disorder

Imposter Syndrome

Infertility

Insomnia

Intermittent Explosive Disorder

Loneliness

Low Self-Esteem

Narcissistic Abuse Recovery

Narcissistic Personality Disorder

OCD

Obsessive-Compulsive Personality Disorder

PMDD

Panic Disorder

Paranoid Personality Disorder

Persistent Depressive Disorder

Phobias

Postpartum Depression

Pregnancy Loss

Relationship Issues

Schizophrenia

Schizotypal Personality Disorder

Seasonal Affective Disorder

Self-Harm

Sexual Performance Anxiety

Social Anxiety

Somatic Symptom Disorder

Stress Management

Substance Use & Addiction

Suicidal Ideation

Trauma & PTSD

Trichotillomania

Acceptance and Commitment Therapy (ACT)

Behavioral Activation

Cognitive Behavioral Therapy (CBT)

Cognitive Processing Therapy (CPT)

Dialectical Behavior Therapy (DBT)

EMDR (Eye Movement Desensitization and Reprocessing)

ERP (Exposure and Response Prevention)

Emotionally Focused Therapy (EFT)

Exposure Therapy

IFS (Internal Family Systems)

Interpersonal Therapy (IPT)

Mindfulness-Based Cognitive Therapy (MBCT)

Motivational Interviewing

Narrative Therapy

Prolonged Exposure Therapy

Psychodynamic Therapy

Rational Emotive Behavior Therapy (REBT)

Schema Therapy

Solution-Focused Brief Therapy (SFBT)

Somatic Therapy

Trauma-Focused CBT (TF-CBT)

Meaningful Results

Check out how our services have helped our members see life-changing results

Sarah

Relationship Issues

"It’s helped our family improve communication, control anger, and it’s helped my husband and I parent better. I’m forever grateful for bringing our family even closer together."

Isabel

Trauma & PTSD

"I joined Grouport to work on myself and to heal. I’m learning so much at every session! The change I see not only in myself but in my fellow group members is abundantly encouraging and profoundly fulfilling. Group therapy with Grouport is a powerful healing tool."

Danielle

Anxiety

"Grouport can help you with your issues. Their therapists are well trained to work with you on your issues. I felt my anxiety greatly improve after only a few sessions. I highly recommend it!"

Glenn

DBT

"Grouport's approach to DBT is a real strength. This approach provides tools and methods for working with difficult emotions and getting a handle on them. It has given me hope where other approaches have failed."

Benjamin

Anxiety

Depression

"Adam is helping me to approach my anxieties from a different perspective. So I’m working on developing this awareness and not be too fearful about it."

Briana

Anxiety

Depression

“I learn a lot of skills and hearing other people’s experiences help”

Charlotte

Anxiety

Depression

“Group therapy depends on the facilitator and the participants. This particular one is great for both.”

Melanie

Anxiety

“I love getting another perspective on an issue from another participant. It changes my whole thought process and really helps me see things clearly. I like Grouport because there is no pressure to discuss your problems. During my good weeks, I usually have a similar problem to someone else in the group that's in the back of my mind. They bring that problem to life when they talk about their own situations. We always come to a solution for these negative thoughts or emotions.”

Carrie

Relationship Issues

“It is helping my family.”

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Meet Our Therapists

Grouport therapists are caring, expert mental health professionals with years of experience helping people get the tools they need to see long-lasting change.

Grouport therapists are fully licensed clinical professionals (LCSW, LMFT, PhD, PsyD) with specialized training in evidence-based Couples Therapy in Texas.

FIND YOUR MATCH

Affordable Care, Geared to Your Needs

$337/week
billed at $1,348/month

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FAQs for Couples Therapy in Texas

What if my therapy needs to end suddenly due to an emergency?

Sometimes therapy needs to end unexpectedly due to emergencies like natural disasters, sudden illness, or other crises. Therapists try to provide at least one termination session to close out treatment appropriately, but that's not always possible. With Grouport, in a rare situation, if your therapist has an emergency, we can transition you to another therapist on the platform quickly that would be a good fit for your needs.

Is online therapy cheaper than in-person therapy in Texas?

Generally yes. In-person private practice therapy in cities often costs $200-400+ per session. Grouport costs less because there's no office rent, smaller geographic markets to draw from, and efficiency of scale. You also save on transportation costs and time. Online therapy has made affordable therapy accessible to people who couldn't afford traditional in-person rates.

How can online therapy work if I don't trust outsiders in Texas?

We get it. You may feel that outsiders just don't get what life is actually like there. But consider mental health care requires someone outside your immediate community. Even if local therapy existed, you probably wouldn't want to see your neighbor's cousin for therapy. Sometimes outside perspective helps. Give it a few sessions before deciding.

Can online therapy address shortage area mental health crises?

Therapy isn't crisis intervention. Suicidal? Call 988. Psychosis? Go to the ER. Shortage areas often lack psychiatric emergency services which is genuinely dangerous. Therapy is preventive and ongoing, it hopefully reduces crisis frequency. But it can't replace emergency psychiatric care when that's what you need.

Can you help us prepare for marriage (premarital counseling)?

Yes, premarital couples therapy helps couples strengthen their foundation before marriage. It can address any issues you may already be having head on and prevent problems from arising later on or escalating as a married couple.

How do we maintain progress after therapy ends in Texas?

It’s important to practice what you learned. Maintaining relationship improvements requires ongoing effort. Your therapist will help you create a maintenance plan including warning signs that you need a tune-up session, schedule regular check-ins with each other using skills learned in therapy, continue practicing communication techniques, and remember what you learned about each other's needs and perspectives. Some couples do periodic maintenance sessions while others end therapy completely. The key is continuing intentional effort as relationships don't maintain themselves. Many couples find the skills become second nature with practice. Ultimately, keep in mind that you can also always return to couples therapy if new issues arise or old patterns resurface.

How is online couples therapy different from in-person in Texas?

Online couples therapy has been shown to be as effective as in-person therapy. It is more convenient, and therefore because of that convenience couples often find it easier to adhere to treatment and keep it part of their routine since you’re meeting over video chat with your therapist each week. By not having the stress of having to commute to sessions and by doing sessions in your own environment, couples often find the online format to be easier to maintain and more comforting. That’s ultimately important as consistency drives progress. Ultimately, what’s most important is the therapist fit, and ensuring that you are working with a therapist who specializes in your needs.

Will the therapist take sides in Texas?

No, good couples therapists focus on patterns and not blame. Couples therapists are supposed to remain neutral, and first and foremost listen to each partner’s challenges and take both sides into account. The role of the therapist is to establish improved communication between partner’s, so they can figure out things on their own with greater respect and mutual understanding and not fight every time conflict arises. Even if you don’t see eye to eye, your couples therapist will help you see things from the other partner’s lens, so that you can have greater empathy towards each other and work through your challenges with compassion. If you feel the therapist is taking sides, this should certainly be discussed as effective couples therapy requires both partners feeling equally heard. The therapist is supposed to equally listen to both partners and provide strategies and tips that hold both partners accountable for change as much of that change often happens outside of session based on the skills learned together in session. Sometimes, switching therapists may be appropriate if one partner feels uncomfortable with the dynamic, and after vocalizing that a number of times they don’t see changes being made so things remain balanced. In the event, you’d like to switch therapists, our care coordination team can certainly help you with that.

Will online couples therapy save our relationship?

It depends. Couples therapy can't guarantee saving every relationship as some issues are too challenging to work through or partners aren't willing to change. However, couples therapy significantly improves the chances of relationship health and strengthening your relationship. Some things that can affect success include whether both partners are committed to the relationship, are willing to change parts of themselves rather than just wanting their partner to change, and attending consistently while actually putting in the work to practice skills between sessions. Couples therapy gives your relationship the best possible chance, and the outcome depends on both partners' effort.

Is online therapy as effective as in-person therapy?

Yes, extensive research shows that online therapy is equally effective as in-person therapy for most mental health conditions. Multiple studies published in peer-reviewed journals have found no significant difference in treatment outcomes between online and in-person formats for anxiety, depression, relationship issues, and most other mental health diagnoses or concerns. In some cases, online therapy is even more effective because it eliminates barriers like travel time, scheduling difficulties, and access to specialists that wouldn’t otherwise be easily available. The key factors in therapy effectiveness are the therapeutic relationship, evidence-based techniques, and consistent attendance, which are all present in our online therapy sessions.

Can I record my therapy sessions?

No, therapy sessions are not allowed to be recorded for confidentiality reasons. However, if you want to remember specific exercises or coping skills from your session from material that is being referenced during the session, you can ask your therapist to have our administrative staff email you the resources after your appointment if the therapist is willing to provide such materials to email to you. Certain types of sessions, like our DBT groups, come with reading manuals that we universally provide and you can review on your own time at your own pace outside of sessions. You can also take notes during sessions.

What if someone walks in during my session in Texas?

If someone unexpectedly enters your space during a session you can simply turn off your camera until you have privacy again. Your therapist will understand and wait for you to return. For this reason, we recommend choosing a private location for sessions and if possible using headphones so your conversation isn't overheard.

Couples Therapy Across All of Texas

Counties

Anderson County
Andrews County
Angelina County
Aransas County
Archer County
Armstrong County
Atascosa County
Austin County
Bailey County
Bandera County
Bastrop County
Baylor County
Bee County
Bell County
Bexar County
Blanco County
Borden County
Bosque County
Bowie County
Brazoria County
Brazos County
Brewster County
Briscoe County
Brooks County
Brown County
Burleson County
Burnet County
Caldwell County
Calhoun County
Callahan County
Cameron County
Camp County
Carson County
Cass County
Castro County
Chambers County
Cherokee County
Childress County
Clay County
Cochran County
Coke County
Coleman County
Collin County
Collingsworth County
Colorado County
Comal County
Comanche County
Concho County
Cooke County
Coryell County
Cottle County
Crane County
Crockett County
Crosby County
Culberson County
Dallam County
Dallas County
Dawson County
Deaf Smith County
Delta County
Denton County
DeWitt County
Dickens County
Dimmit County
Donley County
Duval County
Eastland County
Ector County
Edwards County
Ellis County
El Paso County
Erath County
Falls County
Fannin County
Fayette County
Fisher County
Floyd County
Foard County
Fort Bend County
Franklin County
Freestone County
Frio County
Gaines County
Galveston County
Garza County
Gillespie County
Glasscock County
Goliad County
Gonzales County
Gray County
Grayson County
Gregg County
Grimes County
Guadalupe County
Hale County
Hall County
Hamilton County
Hansford County
Hardeman County
Hardin County
Harris County
Harrison County
Hartley County
Haskell County
Hays County
Hemphill County
Henderson County
Hidalgo County
Hill County
Hockley County
Hood County
Hopkins County
Houston County
Howard County
Hudspeth County
Hunt County
Hutchinson County
Irion County
Jack County
Jackson County
Jasper County
Jeff Davis County
Jefferson County
Jim Hogg County
Jim Wells County
Johnson County
Jones County
Karnes County
Kaufman County
Kendall County
Kenedy County
Kent County
Kerr County
Kimble County
King County
Kinney County
Kleberg County
Knox County
La Salle County
Lamar County
Lamb County
Lampasas County
Lavaca County
Lee County
Leon County
Liberty County
Limestone County
Lipscomb County
Live Oak County
Llano County
Loving County
Lubbock County
Lynn County
McCulloch County
McLennan County
McMullen County
Madison County
Marion County
Martin County
Mason County
Matagorda County
Maverick County
Medina County
Menard County
Midland County
Milam County
Mills County
Mitchell County
Montague County
Montgomery County
Moore County
Morris County
Motley County
Nacogdoches County
Navarro County
Newton County
Nolan County
Nueces County
Ochiltree County
Oldham County
Orange County
Palo Pinto County
Panola County
Parker County
Parmer County
Pecos County
Polk County
Potter County
Presidio County
Rains County
Randall County
Reagan County
Real County
Red River County
Reeves County
Refugio County
Roberts County
Robertson County
Rockwall County
Runnels County
Rusk County
Sabine County
San Augustine County
San Jacinto County
San Patricio County
San Saba County
Schleicher County
Scurry County
Shackelford County
Shelby County
Sherman County
Smith County
Somervell County
Starr County
Stephens County
Sterling County
Stonewall County
Sutton County
Swisher County
Tarrant County
Taylor County
Terrell County
Terry County
Throckmorton County
Titus County
Tom Green County
Travis County
Trinity County
Tyler County
Upshur County
Upton County
Uvalde County
Val Verde County
Van Zandt County
Victoria County
Walker County
Waller County
Ward County
Washington County
Webb County
Wharton County
Wheeler County
Wichita County
Wilbarger County
Willacy County
Williamson County
Wilson County
Winkler County
Wise County
Wood County
Yoakum County
Young County
Zapata County
Zavala County

Cities

Houston
San Antonio
Dallas
Fort Worth
Austin
El Paso
Arlington
Corpus Christi
Plano
Lubbock
Irving
Laredo
Garland
Frisco
McKinney
Amarillo
Grand Prairie
Brownsville
Pasadena
Mesquite
McAllen
Killeen
Waco
Carrollton
Denton
Midland
Abilene
Beaumont
Round Rock
Odessa

Zip Codes

77002, 77003, 77004, 77005, 77006, 77007, 77008, 77009, 77010, 77011, 77012, 77013, 77014, 77015, 77016, 77017, 77018, 77019, 77020, 77021, 77022, 77023, 77024, 77025, 77026, 77027, 77028, 77029, 77030, 77031, 77032, 77033, 77034, 77035, 77036, 77037, 77038, 77039, 77040, 77041, 77042, 77043, 77044, 77045, 77046, 77047, 77048, 77049, 77050, 77051, 77052, 77053, 77054, 77055, 77056, 77057, 77058, 77059, 77060, 77061, 77062, 77063, 77064, 77065, 77066, 77067, 77068, 77069, 77070, 77071, 77072, 77073, 77074, 77075, 77076, 77077, 77078, 77079, 77080, 77081, 77082, 77083, 77084, 77085, 77086, 77087, 77088, 77089, 77090, 77091, 77092, 77093, 77094, 77095, 77096, 77097, 77098, 77099, 78201, 78202, 78203, 78204, 78205, 78207, 78208, 78209, 78210, 78211, 78212, 78213, 78214, 78215, 78216, 78217, 78218, 78219, 78220, 78221, 78222, 78223, 78224, 78225, 78226, 78227, 78228, 78229, 78230, 78231, 78232, 78233, 78234, 78235, 78236, 78237, 78238, 78239, 78240, 78241, 78242, 78243, 78244, 78245, 78247, 78248, 78249, 78250, 78251, 78252, 78253, 78254, 78255, 78256, 78257, 78258, 78259, 78260, 75201, 75202, 75203, 75204, 75205, 75206, 75207, 75208, 75209, 75210, 75211, 75212, 75214, 75215, 75216, 75217, 75218, 75219, 75220, 75221, 75222, 75223, 75224, 75225, 75226, 75227, 75228, 75229, 75230, 75231, 75232, 75233, 75234, 75235, 75236, 75237, 75238, 75240, 75241, 75242, 75243, 75244, 75246, 75247, 75248, 75249, 75251, 75252, 75253, 75254, 76102, 76103, 76104, 76105, 76106, 76107, 76108, 76109, 76110, 76111, 76112, 76114, 76115, 76116, 76117, 76118, 76119, 76120, 76123, 76126, 76127, 76129, 76131, 76132, 76133, 76134, 76135, 76137, 76140, 76148, 76155, 76164

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Source Citation

Becker's Hospital Review
Common Wealth Fund
HRSA HPSA
US CENSUS