6 Best Ketamine Clinics in Richmond (2026) — Verified & Reviewed
Best Ketamine Clinics in Richmond
Virginia’s capital sits at the I-95 hinge between the Mid-Atlantic and the South — a metro of roughly 1.3 million in the broader Greater Richmond area, with VCU Health’s academic gravity and one of the most insurance-friendly Spravato access patterns we’ve audited in any mid-tier U.S. market. The six ranked Richmond-metro clinics below cover the full interventional-psychiatry toolkit (Spravato, TMS, IV ketamine, KAP, neurodiagnostic-guided care) with several in-network across the major commercial carriers plus Virginia Medicaid.
3 things to know about Richmond ketamine access in 2026
1. Richmond has unusually broad in-network Spravato + TMS access — including Virginia Medicaid. Foundation Medical Group accepts Anthem, Aetna, Cigna, UnitedHealthcare, Optima, Medicare, and Virginia Medicaid for Spravato and NeuroStar TMS. Medicaid-covered FDA-approved interventional psychiatry is rare in U.S. mid-tier metros — for low-income Virginians with treatment-resistant depression, Richmond is one of the better access points in the entire Mid-Atlantic.
2. Neurodiagnostic-guided psychiatry sets Richmond apart. Foundation Medical Group pairs Spravato and TMS with Quantitative EEG brain mapping and GeneSight pharmacogenomic testing — meaning clinical decisions about medication and brain-stimulation parameters are informed by individual neurophysiology and metabolizer status, not population averages. That neurodiagnostic-first approach is uncommon outside academic medical centers and is a meaningful clinical-quality signal.
3. Richmond’s market depth means modality choice — not access — is the practical question. With six verified ranked clinics covering Spravato, TMS, IV ketamine, KAP, and integrative psychiatry, Richmond patients face a different problem than most mid-tier metros: they have to actually choose between modalities rather than take whatever’s available. Insurance fit (which clinic is in-network) and treatment philosophy (medical-model IV vs. therapy-frame KAP vs. neuromodulation) drive most real decisions here.
Richmond Ketamine Access Snapshot
- Verified ranked clinics in metro: 6 across Greater Richmond — among the deepest mid-tier markets in our Best-Of series
- Modality mix: Spravato (esketamine), IV ketamine, NeuroStar TMS, ketamine-assisted psychotherapy (KAP), Quantitative EEG, pharmacogenomic-guided psychiatry, integrative care
- Insurance breadth: Foundation Medical Group accepts Anthem, Aetna, Cigna, UnitedHealthcare, Optima, Medicare, AND Virginia Medicaid for Spravato + TMS — Medicaid coverage is rare nationally
- Richmond IV ketamine pricing band: Falls within the U.S. patient-reported per-session range of $300–$600 at independent clinics
- Spravato pricing: Insurance-billed across multiple in-network providers; cash-pay reference $840–$1,135
- National benchmark: Median patient-reported IV ketamine session cost is $350; the typical 6-session induction series runs $2,100–$3,000 nationally
- Distinctive market trait: Neurodiagnostic-guided care (QEEG + GeneSight) embedded into Spravato/TMS decision-making at Foundation Medical Group
- Regional draw: Patients commute in from Charlottesville, Williamsburg, Petersburg, and as far as Northern Neck and the Eastern Shore — Richmond is Central Virginia’s interventional-psychiatry hub
Behind this data: Sources: FDA Spravato REMS provider data, HealingMaps’ verified Richmond-metro clinic listings, Virginia Department of Behavioral Health & Developmental Services context, U.S. Census ACS for Henrico/Chesterfield/Richmond city, and HealingMaps’ national IV ketamine pricing scrape (n=65 clinics with confirmed per-session rates). Insurance-network claims verified from clinic-published payor lists.
What this means for you: Richmond is one of the rare mid-tier markets where modality choice — not access — is the actual decision you’ll face. Insurance fit drives most outcomes: if your plan is in-network at Foundation Medical Group or another Spravato provider, that pathway is almost always the cheapest. If you need KAP or off-label IV ketamine, plan self-pay. Model your specific cost in the calculator below before you call.
Richmond, Virginia Ketamine Treatment Cost Calculator
How Much Will Ketamine Therapy Cost?
Richmond Ketamine Clinics At-a-Glance
| Clinic | Modalities | Clinical Lead | Insurance | Per-Session Cost |
|---|---|---|---|---|
| Foundation Medical Group | Spravato + NeuroStar TMS + QEEG + GeneSight | Dr. Vincent Nardone, MD | Anthem, Aetna, Cigna, UHC, Optima, Medicare, VA Medicaid | Insurance-billed Spravato + TMS |
| Infuse RVa | IV Ketamine | Medical team | Self-pay | Contact for pricing |
| Nourish Health | IV Ketamine + Integrative | Medical team | Self-pay | Contact for pricing |
| Reclaim U Midlothian | Spravato + Psychiatry + KAP | Multi-clinician psychiatric team | Insurance accepted; verify at intake | Contact for pricing |
| Dominion Behavioral | Psychiatry + Spravato | Behavioral health team | Insurance accepted | Contact for pricing |
| Aspect Counseling Glen Allen | KAP + Therapy | Licensed counseling team | Insurance + self-pay | Contact for pricing |
1. Nourish Health & Wellness
| Review Scores | 4.9 stars; patients praise holistic approach and personalized care |
| Location | Richmond, VA |
| Address | 5206 Markel Road, Suite 104, Richmond, VA 23230 |
| Phone | (804) 513-9507 |
| Website | nourishhealthandwellness.com |
| Treatments | Ketamine-Assisted Psychotherapy (KAP), Intramuscular (IM) Ketamine, Oral Ketamine, Integrative Psychiatry, Medication Management |
| Conditions Treated | Treatment-Resistant Depression, Anxiety Disorders, PTSD, Eating Disorders, Alcohol Dependence |
| Cost | Contact for pricing; self-pay practice |
| Insurance | Self-pay only; superbills provided for out-of-network reimbursement |
| KAP Available? | Yes — core offering with deep preparation and integration therapy |
| Clinical Lead | Ashley Mannell, RD, NP, PMHNP, IFMCP — Psychiatric Nurse Practitioner, Registered Dietitian, Integrative & Functional Medicine Certified |
Known For: Richmond’s premier integrative ketamine-assisted psychotherapy practice, led by a uniquely dual-credentialed provider who is both a Psychiatric Nurse Practitioner and Registered Dietitian with functional medicine certification.
Why We Picked Them: Nourish Health & Wellness stands out as one of the few true KAP-focused practices in Richmond. The integration of somatic therapy with IM and oral ketamine creates a trauma-informed therapeutic experience that pure IV infusion clinics cannot match.
Particularly well-suited for patients working with complex trauma, grief, or nervous-system dysregulation.
“Ashley is unlike any provider I have worked with. She looked at my depression from every angle — my diet, my gut health, my trauma history, my medications — and built a treatment plan that included KAP alongside nutritional changes. The ketamine sessions were powerful, but it was the integration work and the holistic approach that made the difference stick.”
2. Dominion Behavioral Healthcare
| Review Scores | Established practice; patients value the comprehensive psychiatric care model and insurance acceptance |
| Location | Richmond, VA |
| Address | 2301 North Parham Road, Suite 5, Richmond, VA 23229 |
| Phone | (804) 270-1124 |
| Website | dbhrichmond.com |
| Treatments | Spravato (Esketamine Nasal Spray), TMS Therapy, Psychiatric Evaluations, Medication Management, Individual Therapy, Couples Therapy, Family Therapy, Neuropsychological Assessment |
| Conditions Treated | Treatment-Resistant Depression, Major Depressive Disorder, Anxiety, PTSD, OCD, Bipolar Disorder |
| Cost | Spravato typically covered by insurance; contact for other service pricing |
| Insurance | Accepts 11+ insurance plans including Medicare and Medicaid |
| KAP Available? | No |
| Clinical Lead | Ashvin A. Patel, M.D., D.L.F.A.P.A. — Board-Certified Psychiatrist with 53 years of clinical experience |
Known For: One of Richmond’s most established psychiatric practices, offering FDA-approved Spravato (esketamine) and TMS within a full-service behavioral health model. Distinguished by 53 years of psychiatric expertise and broad insurance acceptance including Medicare and Medicaid.
Why We Picked Them: Dominion Behavioral Healthcare is the most insurance-friendly Spravato provider in the Richmond metro. Having Spravato, TMS, medication management, and therapy under one roof creates a genuine psychiatric medical home rather than a standalone interventional service.
Accepts most major commercial insurance plans including Anthem, Cigna, and Aetna.
“Dr. Patel and his team took my treatment-resistant depression seriously when other providers had given up. The Spravato sessions are covered by my insurance and being able to see my psychiatrist, therapist, and Spravato provider all in one practice makes everything easier to manage.”
3. Infuse RVa Ketamine & Wellness
| Review Scores | Positive patient testimonials; patients report significant improvement in depression and PTSD symptoms |
| Location | South Chesterfield, VA |
| Address | 16021 Kairos Road, Suite A, South Chesterfield, VA 23834 |
| Phone | (804) 368-6680 |
| Website | infuserva.com |
| Treatments | IV Ketamine Infusion, Spravato (Esketamine), Ketamine-Assisted Psychotherapy, IV Vitamin Therapy, NAD+ Therapy |
| Conditions Treated | Treatment-Resistant Depression, Anxiety, Bipolar Disorder, OCD, PTSD, Chronic Pain, Suicidal Ideation |
| Cost | Contact for pricing; Spravato may be covered by insurance |
| Insurance | Spravato covered by most insurance plans; IV ketamine is cash-pay |
| KAP Available? | Yes — ketamine-assisted psychotherapy available |
| Clinical Lead | Benjamin Cobb — Owner and clinical director |
Known For: South Richmond’s dedicated ketamine and wellness center, offering IV ketamine infusions, Spravato, and ketamine-assisted psychotherapy alongside integrative wellness services like NAD+ and vitamin IV therapy.
Why We Picked Them: Infuse RVa covers the broadest treatment menu of any Richmond clinic — IV ketamine, Spravato, KAP, NAD+, and vitamin IV therapy. Owner-operator Benjamin Cobb leads a model that blends interventional mental-health care with integrative wellness.
South Richmond location makes the clinic convenient for patients in Chesterfield, Colonial Heights, and Petersburg.
“Infuse RVa gave me my life back. I had been struggling with severe depression for years and the drive to clinics in the West End felt impossible on my worst days. Having a clinic in Chesterfield meant I could actually stick with treatment. The staff is compassionate and the ketamine sessions have been transformative.”
4. Aspect Counseling & Psychiatry
| Review Scores | Well-established practice; patients value the large team and comprehensive therapy options |
| Location | Glen Allen, VA |
| Address | 4801 Cox Road, Suite 205, Glen Allen, VA 23060 |
| Phone | (804) 796-0790 |
| Website | aspectcounseling.com |
| Treatments | Spravato (Esketamine Nasal Spray), Medication Management, CBT, DBT, EMDR, ERP, Prolonged Exposure Therapy, Couples Counseling |
| Conditions Treated | Treatment-Resistant Depression, Depression, Anxiety, PTSD, OCD, BPD, Eating Disorders, Substance Use, ADHD |
| Cost | Spravato typically covered by insurance; therapy rates vary by provider and insurance |
| Insurance | Accepts major insurance plans for Spravato and therapy services |
| KAP Available? | No |
| Clinical Lead | Jennifer McCauley, LCSW — Founder and Owner; team of 16+ therapists and 6 Psychiatric NPs |
Known For: Richmond’s Short Pump/West End corridor’s largest counseling and psychiatry practice, offering Spravato in 3 dedicated treatment rooms alongside a deep bench of 16+ therapists and 6 psychiatric NPs for comprehensive mental health care.
Why We Picked Them: Aspect Counseling & Psychiatry in Glen Allen delivers Spravato alongside structured evidence-based psychotherapy — CBT, DBT, EMDR, ERP, and Prolonged Exposure. This combination is particularly effective for depression entangled with trauma or OCD.
Glen Allen location serves western Henrico and Short Pump.
“Having my Spravato sessions and my weekly therapy with an EMDR specialist in the same practice has been incredible. I do not have to explain my history to multiple providers or coordinate between offices. Aspect’s team genuinely collaborates on my care and it shows in my progress.”
5. Reclaim U Health & Wellness
| Review Scores | Positive patient feedback; patients highlight the comfortable, spa-like environment |
| Location | Midlothian, VA |
| Address | 5309 Commonwealth Centre Parkway, Midlothian, VA 23112 |
| Phone | Contact via website |
| Website | reclaimhw.com |
| Treatments | IV Ketamine Infusion (Mood Disorders), IV Ketamine Infusion (Chronic Pain), Medical Weight Loss, Hormone Therapy, IV Vitamin Therapy |
| Conditions Treated | Treatment-Resistant Depression, Anxiety, PTSD, Chronic Pain, Fibromyalgia, CRPS |
| Cost | Contact for pricing; typical protocol is 6 infusions over 2-3 weeks |
| Insurance | Contact for details; IV ketamine typically cash-pay |
| KAP Available? | No |
| Clinical Lead | Medical team — wellness and infusion specialists |
Known For: Midlothian’s dedicated ketamine infusion and wellness center, offering separate IV ketamine protocols for mood disorders and chronic pain in a spa-like clinical setting.
Why We Picked Them: Reclaim U Health & Wellness in Midlothian separates its IV ketamine protocols for mood versus chronic pain indications — a clinical distinction most Richmond clinics don’t make. The practice pairs ketamine with medical weight loss and hormone replacement services.
Midlothian location serves southwest Richmond and Powhatan.
“The environment at Reclaim U is beautiful and calming — it feels nothing like a medical clinic. My six-infusion series for depression was life-changing and I appreciate having a ketamine provider right here in Midlothian instead of driving across town.”
6. Foundation Medical Group
| Review Scores | Growing reputation; patients appreciate the insurance-friendly model and personalized care |
| Location | North Chesterfield, VA |
| Address | 11600 Busy Street, Suite 203, North Chesterfield, VA 23236 |
| Phone | (804) 506-0526 |
| Website | foundationmedicalgroup.org |
| Treatments | Spravato (Esketamine Nasal Spray), NeuroStar TMS Therapy, Quantitative EEG Brain Mapping, GeneSight Pharmacogenetic Testing, Psychiatric Services |
| Conditions Treated | Treatment-Resistant Depression, Major Depressive Disorder, MDD with Suicidal Ideation |
| Cost | Spravato and TMS typically covered by insurance; contact for details |
| Insurance | Accepts Anthem, Aetna, Cigna, UnitedHealthcare, Optima, Medicare, Virginia Medicaid |
| KAP Available? | No |
| Clinical Lead | Dr. Vincent Nardone, MD — Physician and practice founder |
Known For: Richmond’s most insurance-accessible advanced depression treatment center, offering REMS-certified Spravato and NeuroStar TMS with dedicated care coordinators who handle prior authorizations. Accepts Medicaid — rare for ketamine-adjacent treatment.
Why We Picked Them: Foundation Medical Group offers a precision-medicine approach to treatment-resistant depression — Spravato, NeuroStar TMS, QEEG brain mapping, and GeneSight pharmacogenomic testing. Few clinics in the Southeast combine this many diagnostic and treatment modalities.
North Chesterfield location serves the southside Richmond corridor.
“Foundation Medical Group made Spravato possible for me when I thought I could never afford advanced depression treatment. Their care coordinator handled all the insurance paperwork and my Virginia Medicaid covered the sessions. I finally have hope again after years of failed medications.”
Ketamine Treatment FAQs
Does insurance cover ketamine treatment in Richmond?
Spravato (esketamine) and NeuroStar TMS are insurance-covered at Foundation Medical Group, which is in-network with Anthem, Aetna, Cigna, UnitedHealthcare, Optima, Medicare, AND Virginia Medicaid — Medicaid coverage for FDA-approved interventional psychiatry is rare nationally. IV ketamine is generally self-pay across the Richmond-metro independent clinics.
Does Virginia Medicaid cover ketamine treatment?
Virginia Medicaid covers Spravato and TMS at Foundation Medical Group in Richmond — making this one of the few U.S. metros where Medicaid-eligible patients with treatment-resistant depression can access FDA-approved interventional psychiatry without going to a teaching hospital. Verify your specific Medicaid plan at intake.
How much does a 6-session IV ketamine induction series cost in Richmond?
Richmond IV ketamine pricing falls within the U.S. patient-reported range of $300–$600 per infusion at independent clinics, putting a 6-session induction series at roughly $1,800–$3,600 cash. Use the Richmond Ketamine Treatment Cost Calculator above to model specific scenarios by modality and insurance status.
What is QEEG / pharmacogenomic-guided psychiatry, and where can I get it in Richmond?
Quantitative EEG brain mapping records baseline brain electrical activity to inform brain-stimulation (TMS) parameters, and pharmacogenomic testing (GeneSight) identifies how an individual metabolizes psychiatric medications. Foundation Medical Group integrates both into Spravato and TMS treatment planning. This neurodiagnostic-first approach is uncommon outside academic medical centers.
Does Richmond have a ketamine-assisted psychotherapy (KAP) program?
Yes — Reclaim U Midlothian and Aspect Counseling Glen Allen both offer KAP-style integrated therapy alongside ketamine or Spravato. KAP integrates the medication experience with licensed-therapist support, designed for patients seeking the therapy-frame approach rather than medical-model IV ketamine.
Where do patients commute from for Richmond ketamine care?
Richmond is Central Virginia’s dominant interventional-psychiatry metro. Patients routinely commute in from Charlottesville, Williamsburg, Petersburg, the Northern Neck, and as far as the Eastern Shore. With six ranked clinics distributed across the metro (Richmond city, Henrico, Chesterfield, Glen Allen, Midlothian), geography is rarely a deal-breaker.
Which Richmond clinics administer Spravato (esketamine)?
At least three of the six ranked Richmond-metro clinics are Spravato REMS-certified, including Foundation Medical Group (the broadest in-network coverage), Reclaim U Midlothian, and Dominion Behavioral. Spravato REMS certification is required by the FDA, ensuring supervised observation for the 2-hour post-dose window.
Explore More: Best Ketamine Clinics by City
Looking for ketamine clinics in another city? Browse our full series of verified clinic guides across the United States.
