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Therapists & Counselors in St. Louis, MO — Free Estimates
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As of May 2026, RatingsNearMe ranks 19 therapists & counselors in St. Louis, MO by verified customer ratings and review volume. The highest-rated is LifeStance Therapists & Psychiatrists Saint Louis with a 4.6-star rating from 335 verified reviews. Also in the top tier: Greenway Therapy and Ellie Mental Health. The average rating across all listed therapists & counselors in St. Louis is 4.9 stars from 46 reviews per business on average.
Therapy in St. 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
19
Businesses listed
4.9★
Avg rating
46
Avg reviews
May 17, 2026
Last updated
Top Rated Therapists & Counselors
LifeStance Therapists & Psychiatrists Saint Louis
816 S Kirkwood Rd #105, St. Louis, MO 63122, USA
Greenway Therapy
230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA
Ellie Mental Health
12818 Tesson Ferry Rd Suite 103, St. Louis, MO 63128, USA
Therapists & Counselors Rankings in St. Louis, MO
| # | Business | Rating | Reviews |
|---|---|---|---|
| #1 | LifeStance Therapists & Psychiatrists Saint Louis816 S Kirkwood Rd #105, St. Louis, MO 63122, USA | 4.6★ | 335 |
| #2 | Greenway Therapy230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA | 4.9★ | 57 |
| #3 | Ellie Mental Health12818 Tesson Ferry Rd Suite 103, St. Louis, MO 63128, USA | 4.9★ | 55 |
| #4 | Saint Louis Counseling5 Premier Dr Suite 200, Fenton, MO 63026, USA | 5.0★ | 5 |
| #5 | Healing Spaces Psychological Services LLC7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA | 4.9★ | 34 |
| #6 | Wise Mind Therapy8816 W Pendleton Ave, Brentwood, MO 63144, USA | 5.0★ | 19 |
| #7 | Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USA | 5.0★ | 13 |
| #8 | Compassionate Counseling St. Louis8000 Bonhomme Ave Suite 201, Clayton, MO 63105, USA | 4.9★ | 30 |
| #9 | Pearlman & Associates655 Craig Rd, Creve Coeur, MO 63141, USA | 4.7★ | 72 |
| #10 | Uplift and Connect Counseling439 S Kirkwood Rd Suite 208, Kirkwood, MO 63122, USA | 5.0★ | 13 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated May 2026
All Therapists & Counselors in St. Louis
Saint Louis Counseling
5 Premier Dr Suite 200, Fenton, MO 63026, USA
Healing Spaces Psychological Services LLC
7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA
Alternative Therapy STL | Holistic, Spiritual, & Nutrition Counseling in Saint Louis, MO
3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USA
Compassionate Counseling St. Louis
8000 Bonhomme Ave Suite 201, Clayton, MO 63105, USA
Uplift and Connect Counseling
439 S Kirkwood Rd Suite 208, Kirkwood, MO 63122, USA
Ashley Blake, LCSW - Therapist in St. Louis
7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA
West County Behavioral Health & Psychiatry
955 Executive Pkwy Dr Suite 100 & 220, Creve Coeur, MO 63141, USA
Sound Mind Therapy
662 N New Ballas Rd, Creve Coeur, MO 63141, USA
Marble Wellness
301 Sovereign Ct Suites 100 & 115, Ballwin, MO 63011, USA
Understanding Minds Psychological Services
11144 Tesson Ferry Rd # 101, St. Louis, MO 63123, USA
Elephant Rock Counseling, LLC
140 Prospect Ave suite t, Kirkwood, MO 63122, USA
Thriveworks Counseling & Therapy St. Louis
10 Euclid Ave Ste C, St. Louis, MO 63108, USA
Change, Inc. St. Louis Counseling
3460 Hampton Ave #204, St. Louis, MO 63139, USA
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Frequently Asked Questions — Therapists & Counselors in St. Louis
What is the difference between a psychologist, LPC, LCSW, and psychiatrist in St. 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 St. 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 St. 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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