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Therapists & Counselors Near You in Saint Louis, MO

Find therapists & counselors close to you in Saint Louis. All results are sorted by proximity and rated by real local customers.

As of May 2026, RatingsNearMe ranks 20 therapists & counselors in Saint Louis, MO by verified customer ratings and review volume. The highest-rated is Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO with a 5.0-star rating from 13 verified reviews. 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 May 17, 2026 · Scored by 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

May 17, 2026

Last updated

Top Rated Therapists & Counselors

🥇

Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO

5.0(13 reviews)

3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USA

🥈

Deep Roots Counseling

5.0(6 reviews)

2838 S Grand Blvd, St. Louis, MO 63118, USA

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Thriveworks Counseling & Therapy St. Louis

4.5(31 reviews)

10 Euclid Ave Ste C, St. Louis, MO 63108, USA

Therapists & Counselors Rankings in Saint Louis, MO

#BusinessRatingReviews
#1Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USA5.013
#2Deep Roots Counseling2838 S Grand Blvd, St. Louis, MO 63118, USA5.06
#3Thriveworks Counseling & Therapy St. Louis10 Euclid Ave Ste C, St. Louis, MO 63108, USA4.531
#4Change, Inc. St. Louis Counseling3460 Hampton Ave #204, St. Louis, MO 63139, USA4.367
#5Healing Spaces Psychological Services LLC7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA4.934
#6Ashley Blake, LCSW - Therapist in St. Louis7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA5.02
#7Greenway Therapy230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA4.957
#8Compassionate Counseling St. Louis8000 Bonhomme Ave Suite 201, Clayton, MO 63105, USA4.930
#9Wise Mind Therapy8816 W Pendleton Ave, Brentwood, MO 63144, USA5.019
#10Avenues Counseling Center409 S Florissant Rd Suite 101, Ferguson, MO 63135, USA5.01

Ranked by verified ratings & review volume · Data from Google Business listings · Updated May 2026

All Therapists & Counselors in Saint Louis

4

Change, Inc. St. Louis Counseling

4.3· 67 reviews

3460 Hampton Ave #204, St. Louis, MO 63139, USA

5

Healing Spaces Psychological Services LLC

4.9· 34 reviews

7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA

6

Ashley Blake, LCSW - Therapist in St. Louis

5.0· 2 reviews

7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA

7

Greenway Therapy

4.9· 57 reviews

230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA

8

Compassionate Counseling St. Louis

4.9· 30 reviews

8000 Bonhomme Ave Suite 201, Clayton, MO 63105, USA

9

Wise Mind Therapy

5.0· 19 reviews

8816 W Pendleton Ave, Brentwood, MO 63144, USA

10

Avenues Counseling Center

5.0· 1 reviews

409 S Florissant Rd Suite 101, Ferguson, MO 63135, USA

11

SSM Health Day Institute - Florissant Day Institute

4.8· 83 reviews

3501 Dunn Rd Suite 108, Florissant, MO 63033, USA

12

Understanding Minds Psychological Services

4.5· 15 reviews

11144 Tesson Ferry Rd # 101, St. Louis, MO 63123, USA

13

Tanya M. Coates, LPC Individual and Family Therapist

5.0· 1 reviews

11650 New Halls Ferry Road, Florissant, MO 63033, USA

14

Thialiaann Scarlett-Lloyd, LPC

5.0· 3 reviews

11650 New Halls Ferry Road, Florissant, MO 63033, USA

15

Intentional Alternatives

5.0· 3 reviews

11650 New Halls Ferry Road, Florissant, MO 63033, USA

16

Toya Carroll, MA

5.0· 2 reviews

New Halls Ferry Road, Florissant, MO 63033, USA

17

Autism and Behavioral Spectrum - ABA Therapy in Florissant

5.0· 2 reviews

11753 W Florissant Ave, Florissant, MO 63033, USA

18

Uplift and Connect Counseling

5.0· 13 reviews

439 S Kirkwood Rd Suite 208, Kirkwood, MO 63122, USA

19

LifeStance Therapists & Psychiatrists Saint Louis

4.6· 335 reviews

816 S Kirkwood Rd #105, St. Louis, MO 63122, USA

20

Elephant Rock Counseling, LLC

5.0· 10 reviews

140 Prospect Ave suite t, Kirkwood, MO 63122, USA

Data from Google Business listings
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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: May 17, 2026.

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About This Therapists & Counselors Directory — Saint Louis, MO

This page lists and ranks 20 therapists & counselors serving Saint Louis, MO as of May 2026. The average verified rating across all listings is 4.9 stars, with an average of 36 customer reviews per business. The top-ranked therapists & counselors in Saint Louis by our algorithm is Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO (5.0 stars, 13 reviews). Therapy in Saint Louis: $100–$250/session without insurance; $20–$60 copay in-network. Many offer sliding scale.

RatingsNearMe uses a transparent, data-driven ranking algorithm that weighs star rating (35%), review volume (30%), customer sentiment analysis (20%), profile completeness (10%), and availability signals (5%). Rankings are not for sale — Featured Partner businesses pay for enhanced visibility but must earn their position through real customer reviews. Data sourced from Google Business listings and updated regularly.

How to choose a therapists & counselors in Saint Louis: Look for businesses with 4.5+ stars, 50+ reviews, proper licensing and insurance, and transparent pricing. Get at least 3 quotes for any project over $500. Verify credentials with the MO licensing board before hiring.

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