Licensed · St. Louis
Licensed & Insured Therapists & Counselors in St. Louis, MO
Every therapists & counselors listed here carries proper licensing and insurance in MO. Protect yourself — always verify credentials before work begins.
As of July 2026, RatingsNearMe ranks 19 therapists & counselors in St. Louis, MO by the RNM Score — a 0–100 rating built from Google ratings, review volume, sentiment, and profile completeness. The top-ranked is LifeStance Therapists & Psychiatrists Saint Louis with a 4.6-star rating from 335 Google reviews and an RNM Score of 85/100. 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 July 4, 2026 · RNM Score = ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · Not paid placement.
Best Overall
Thriveworks Counseling & Therapy St. Louis
Thriveworks stands out due to its comprehensive range of services, high availability of appointments, and strong reputation among top-ranked providers in St. Louis.
Most Reviewed
Ellie Mental Health
A high review count indicates a large client base and widespread recognition, making it easier to gauge overall satisfaction and trust from a broad community.
When choosing a therapist in St. Louis, consider your specific needs such as specialty, insurance acceptance, and location; reading recent reviews can also help you find a provider whose style matches your preferences.
Local Market Snapshot
19
Businesses listed
4.9★
Avg rating
46
Avg reviews
Jul 4, 2026
Last updated
Top Rated Therapists & Counselors
Heard by many, rated 4.6 stars from 335 local reviews in St. Louis.
816 S Kirkwood Rd #105, St. Louis, MO 63122, USARated 4.9 stars from 57 Google reviews, this St. Louis therapist is highly recommended.
230 S Bemiston Ave Suite 920, Clayton, MO 63105, USA4.9-star rating from 55 Google reviews reflects exceptional client satisfaction in St. Louis.
12818 Tesson Ferry Rd Suite 103, St. Louis, MO 63128, USATherapists & 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 | Thriveworks Counseling & Therapy St. Louis10 Euclid Ave Ste C, St. Louis, MO 63108, USA | 4.5★ | 31 |
| #5 | Change, Inc. St. Louis Counseling3460 Hampton Ave #204, St. Louis, MO 63139, USA | 4.3★ | 67 |
| #6 | Understanding Minds Psychological Services11144 Tesson Ferry Rd # 101, St. Louis, MO 63123, USA | 4.5★ | 15 |
| #7 | Elephant Rock Counseling, LLC140 Prospect Ave suite t, Kirkwood, MO 63122, USA | 5.0★ | 10 |
| #8 | Ashley Blake, LCSW - Therapist in St. Louis7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA | 5.0★ | 2 |
| #9 | Marble Wellness301 Sovereign Ct Suites 100 & 115, Ballwin, MO 63011, USA | 5.0★ | 78 |
| #10 | Healing Spaces Psychological Services LLC7711 Bonhomme Ave Suite 720 (7th Floor, Clayton, MO 63105, USA | 4.9★ | 34 |
Ranked by verified ratings & review volume · Data from Google Business listings · Updated July 2026
All Therapists & Counselors in St. Louis
Rated 4.5 stars across 31 Google reviews by local clients.
10 Euclid Ave Ste C, St. Louis, MO 63108, USA
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 4.5 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 10 Google reviews in St. Louis.
140 Prospect Ave suite t, Kirkwood, MO 63122, USA
Rated 5.0 stars from 2 Google reviews, reflecting exceptional client satisfaction.
7750 Clayton Rd Ste. 300, St. Louis, MO 63117, USA
5.0 stars from 78 reviews, reflecting consistently exceptional client feedback.
301 Sovereign Ct Suites 100 & 115, Ballwin, MO 63011, 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 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 Google reviews, this therapist earns exceptional client trust.
662 N New Ballas Rd, Creve Coeur, MO 63141, 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
Rated 5.0 stars from 13 Google reviews, this St. Louis therapist is highly recommended.
3117 Lafayette Ave Rear Building, St. Louis, MO 63104, USA
Rated 5.0 stars from 10 Google reviews in St. Louis.
955 Executive Pkwy Dr Suite 100 & 220, Creve Coeur, MO 63141, USA
Rated 5.0 stars from 6 Google reviews, reflecting exceptional client feedback in St. Louis.
2838 S Grand Blvd, St. Louis, MO 63118, USA
Rated 5.0 stars from five Google reviews, this St. Louis therapist earns top marks.
5 Premier Dr Suite 200, Fenton, MO 63026, USA
Strong 4.7-star rating from 72 reviews in St. Louis.
655 Craig Rd, Creve Coeur, MO 63141, USA
Rated 5.0 stars from 19 reviews, this St. Louis therapist is highly recommended.
8816 W Pendleton Ave, Brentwood, MO 63144, USA
Get Free Quotes
We'll connect you with the top therapists & counselors in St. Louis, MO.
Therapists & Counselors in St. Louis, MO — Compared
| # | Business | RNM Score | Rating | Reviews |
|---|---|---|---|---|
| 1 | LifeStance Therapists & Psychiatrists Saint Louis | 85/100 | 4.6 ★ | 335 |
| 2 | Greenway Therapy | 90/100 | 4.9 ★ | 57 |
| 3 | Ellie Mental Health | 90/100 | 4.9 ★ | 55 |
| 4 | Thriveworks Counseling & Therapy St. Louis | 80/100 | 4.5 ★ | 31 |
| 5 | Change, Inc. St. Louis Counseling | 81/100 | 4.3 ★ | 67 |
| 6 | Understanding Minds Psychological Services | 68/100 | 4.5 ★ | 15 |
| 7 | Elephant Rock Counseling, LLC | 83/100 | 5.0 ★ | 10 |
| 8 | Ashley Blake, LCSW - Therapist in St. Louis | 76/100 | 5.0 ★ | 2 |
| 9 | Marble Wellness | 82/100 | 5.0 ★ | 78 |
| 10 | Healing Spaces Psychological Services LLC | 79/100 | 4.9 ★ | 34 |
Ranked by RatingsNearMe Score · ratings (35%), review volume (30%), sentiment (20%), completeness (10%), availability (5%) · July 2026
Get your business on AI — ChatGPT, Perplexity & Google AI
AI assistants increasingly recommend local therapists & counselors straight from RatingsNearMe. Claim your spot in St. Louis to get featured in AI answers, comparison tables, and “best near me” results — where customers are actually searching now.
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.
Therapists in Nearby Cities
Compare top-rated therapists in cities near you.
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.
More Home Services in St. Louis
Related Searches
More ways to find therapists & counselors in St. Louis
Therapists & Counselors in nearby cities