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4.5+ Stars · Saint Louis
Highly Rated Therapists & Counselors in Saint Louis, MO
Only the best make this list. These therapists & counselors in Saint Louis have earned 4.5+ star ratings from real customers — consistently.
As of July 2026, RatingsNearMe ranks 20 therapists & counselors in Saint Louis, MO by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO with a 5.0-star rating from 13 Google reviews and an RNM Score of 84/100. Also in the top tier: Deep Roots Counseling and Thriveworks Counseling & Therapy St. Louis. The average rating across all listed therapists & counselors in Saint Louis is 4.9 stars from 36 reviews per business on average.
Therapy in Saint Louis: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.
Rankings updated July 4, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Local Market Snapshot
20
Businesses listed
4.9★
Avg rating
36
Avg reviews
Jul 4, 2026
Last updated
Top Rated Therapists & Counselors
Rated 5.0 stars from 13 Google reviews, this St. Louis therapist is highly recommended.
3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USARated 5.0 stars from 6 Google reviews, reflecting exceptional client feedback in St. Louis.
2838 S Grand Blvd, St. Louis, MO 63118, USARated 4.5 stars across 31 Google reviews by local clients.
10 Euclid Ave Ste C, St. Louis, MO 63108, USATherapists & Counselors Rankings in Saint Louis, MO
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USA | 5.0★ | 13 |
| #2 | Deep Roots Counseling2838 S Grand Blvd, St. Louis, MO 63118, USA | 5.0★ | 6 |
| #3 | Thriveworks Counseling & Therapy St. Louis10 Euclid Ave Ste C, St. Louis, MO 63108, USA | 4.5★ | 31 |
| #4 | Change, Inc. St. Louis Counseling3460 Hampton Ave #204, St. Louis, MO 63139, USA | 4.3★ | 67 |
| #5 | Healing Spaces Psychological Services LLC7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA | 4.9★ | 34 |
| #6 | Ashley Blake, LCSW - Therapist in St. Louis7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA | 5.0★ | 2 |
| #7 | Greenway Therapy230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA | 4.9★ | 57 |
| #8 | Compassionate Counseling St. Louis8000 Bonhomme Ave Suite 201, Clayton, MO 63105, USA | 4.9★ | 30 |
| #9 | Wise Mind Therapy8816 W Pendleton Ave, Brentwood, MO 63144, USA | 5.0★ | 19 |
| #10 | Avenues Counseling Center409 S Florissant Rd Suite 101, Ferguson, MO 63135, USA | 5.0★ | 1 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated July 2026
All Therapists & Counselors in Saint Louis
Rated 4.3 stars from 67 Google reviews, this St. Louis therapist is well-regarded by clients.
3460 Hampton Ave #204, St. Louis, MO 63139, USA
Rated 4.9 stars from 34 Google reviews, this St. Louis therapist is highly recommended.
7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA
Rated 5.0 stars from 2 Google reviews, reflecting exceptional client satisfaction.
7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA
Rated 4.9 stars from 57 Google reviews, this St. Louis therapist is highly recommended.
230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA
Rated 4.9 stars from 30 reviews, this St. Louis therapist is highly recommended by clients.
8000 Bonhomme Ave Suite 201, Clayton, MO 63105, USA
Rated 5.0 stars from 19 reviews, this St. Louis therapist is highly recommended.
8816 W Pendleton Ave, Brentwood, MO 63144, USA
Rated 5.0 stars from a small number of Google reviews.
409 S Florissant Rd Suite 101, Ferguson, MO 63135, USA
Rated 4.8 stars from 83 reviews, this Florissant therapist is highly recommended.
3501 Dunn Rd Suite 108, Florissant, MO 63033, USA
Rated 4.5 stars from 15 reviews, this St. Louis therapist is highly recommended.
11144 Tesson Ferry Rd # 101, St. Louis, MO 63123, USA
Rated 5.0 stars from 3 glowing Google reviews in Florissant.
11650 New Halls Ferry Road, Florissant, MO 63033, USA
Rated 5.0 stars from 3 Google reviews, reflecting consistently exceptional client feedback.
11650 New Halls Ferry Road, Florissant, MO 63033, USA
Rated 5.0 stars by customers, this Florissant therapist offers exceptional care based on early feedback.
11650 New Halls Ferry Road, Florissant, MO 63033, USA
Rated 5.0 stars from 2 Google reviews, this Florissant therapist is highly praised.
New Halls Ferry Road, Florissant, MO 63033, USA
Rated 5.0 stars from two Google reviews, reflecting exceptional client satisfaction.
11753 W Florissant Ave, Florissant, MO 63033, USA
Rated 5.0 stars with 13 reviews, this St. Louis therapist is highly recommended.
439 S Kirkwood Rd Suite 208, Kirkwood, MO 63122, USA
Heard by many, rated 4.6 stars from 335 local reviews in St. Louis.
816 S Kirkwood Rd #105, St. Louis, MO 63122, USA
Rated 5.0 stars from 10 Google reviews in St. Louis.
140 Prospect Ave suite t, Kirkwood, MO 63122, USA
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Therapists & Counselors in Saint Louis, MO — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO | 84/100 | 5.0 ★ | 13 |
| 2 | Deep Roots Counseling | 72/100 | 5.0 ★ | 6 |
| 3 | Thriveworks Counseling & Therapy St. Louis | 80/100 | 4.5 ★ | 31 |
| 4 | Change, Inc. St. Louis Counseling | 81/100 | 4.3 ★ | 67 |
| 5 | Healing Spaces Psychological Services LLC | 79/100 | 4.9 ★ | 34 |
| 6 | Ashley Blake, LCSW - Therapist in St. Louis | 76/100 | 5.0 ★ | 2 |
| 7 | Greenway Therapy | 90/100 | 4.9 ★ | 57 |
| 8 | Compassionate Counseling St. Louis | 87/100 | 4.9 ★ | 30 |
| 9 | Wise Mind Therapy | 86/100 | 5.0 ★ | 19 |
| 10 | Avenues Counseling Center | 74/100 | 5.0 ★ | 1 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · July 2026
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Frequently Asked Questions — Therapists & Counselors in Saint Louis
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in Saint Louis?
Psychiatrists (MD) can prescribe medication and diagnose. PhD/PsyD Psychologists provide therapy and can do psychological testing. LCSWs (Licensed Clinical Social Workers) focus on life circumstances and behavioral patterns. LPCs (Licensed Professional Counselors) specialize in talk therapy and mental health counseling. All four can provide effective therapy — the right choice depends on your needs and whether medication may be relevant.
How do I find a therapist in Saint Louis who takes my insurance?
Call your insurance company's member services line or search their online provider directory. When you reach a therapist's office, ask specifically: "Do you accept [insurance name] for in-network benefits?" In-network therapy typically costs $20–$60 per session (copay) instead of $100–$250 out of pocket. Psychology Today's directory at psychologytoday.com lets you filter by insurance.
How much does therapy cost in Saint Louis without insurance?
Private pay rates typically run $100–$200/session for LPCs and LCSWs, and $150–$300 for psychologists. Many therapists offer sliding-scale fees based on income — it's worth asking directly. Open Path Collective (openpathcollective.org) lists therapists offering $30–$80 sessions for qualifying clients.
How long does it typically take to see results from therapy?
Research shows meaningful improvement in 8–16 sessions for most anxiety and depression cases. CBT (Cognitive Behavioral Therapy) tends to show results fastest. Complex trauma or personality-related concerns may take longer. A good therapist will set measurable goals with you in the first 1–3 sessions and reassess regularly.
How are the therapists & counselors on this page ranked?
Rankings use a transparent algorithm: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Featured Partner listings have paid for enhanced visibility but must still earn their position through real customer reviews — sponsored listings are clearly labeled.
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How Rankings Work on This Page
Every therapists & counselors on RatingsNearMe is scored transparently: star rating (35%), review volume (30%), customer sentiment (20%), profile completeness (10%), and availability (5%). Businesses labeled exclusive or premium are Featured Partners — they have paid for enhanced visibility but must still rank through real customer reviews. We cap sponsored boosts so bad businesses can never buy the top spot.
Editorial notice: Ratings are based on publicly available data from Google Business listings. Consumers should independently verify licensing, insurance, and credentials before hiring any service provider. Last updated: July 4, 2026.
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