A group practice like nothing else out there
Jill Smith & Associates Counseling is different at our core. You will find there is no other place like us in the Midlands of South Carolina.
What makes us unique
Jill Smith & Associates is different at our core. These are the commitments clients and clinicians feel once they are here.
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Ongoing growth
Our therapists work in supervision and consultation with clinical leadership and with each other, staffing cases and training each month. We live the belief that this work is extraordinarily complex, and doing less would be an injustice to our clients.
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Lifespan expertise
We work with children, teens, adults, couples, and families, so clients can receive continuous care throughout every stage of life.
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Community engagement
We are well known, active, and respected in our community. We are connected to, understand, and support community initiatives and companies.
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Stress-free communication
We offer a modern, tech-forward office experience and personal, live contact. A real person answers the phone, and you will be called back.
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Deep connection
Our clients become part of our counseling family. Once here, they stay. They may pause, and then they come back. They refer their people to us.
Four things we know for sure
Jill Smith and Associates is built differently—from the inside out.
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Our truth
We know being human is hard, and harder to do alone.
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Our passion
We believe in healing and growing through relationships.
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Our what
We provide the highest-quality psychotherapy at every stage of life.
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Our how
We offer seasoned, structured, accountable psychotherapy.
Community Recognition
Recognized in our community
Neighbors across Columbia and Lexington have voted Jill Smith & Associates among the Best of Columbia and Best of Lexington year after year.
- Free Times Best of Columbia 2022 · 2023 · 2024 · 2025 · 2026
- Lexington Life Best of Lexington 2023 · 2024 · 2025
- Best of Columbia Metropolitan 2024 · 2026
Jill Smith & Associates is proud to be named Free Times Best of Columbia in 2022, 2023, 2024, 2025, and 2026, Columbia Metropolitan Best of Columbia in 2024 and 2026, and Lexington Life Best of Lexington in 2023, 2024, and 2025. Awards do not replace clinical skill—they simply reflect how our community experiences the way we show up.
We are one of the largest locally owned counseling practices in the greater Columbia region, with offices in Downtown Columbia, Lexington, and Northeast Columbia / Blythewood. Whether you prefer in-person care or secure telehealth across South Carolina, our team is here to match you thoughtfully.
- 3 Midlands Offices
- 15+ Licensed Clinicians
Ready to take the next step?
Tell us what you are looking for and we will help match you with the right therapist. Most new clients are seen within five business days.
If you are in crisis, please call or text 988 (Suicide & Crisis Lifeline) or call 911.