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Best Therapists And Counselors in Columbia, IL (2026)

218 therapists and counselors ranked by RP ScoreUpdated 0 paid placements in this rankingHow we rank →

The short answer

  1. 1

    Best overall in Columbia: Jacob Psychotherapy, RP Score 75/100; 5.0★ from 3 Google reviews.

  2. 4

    Most-reviewed: SIHF Healthcare - Cahokia Heights, 1,129 Google reviews at 4.8★, the most of 218 ranked; ranked #4.

Rankings can't be bought. Psychologists can't pay to change their rank or score. How we rank

218 Columbia therapists and counselors are ranked here by RP Score, from eight published factors. 65 open Saturdays and 41 open Sundays, based on posted hours. The median Google rating is 4.6★ across 218 rated practices.

Top 10 therapists and counselors in Columbia at a glance

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

Top 10 therapists and counselors in Columbia at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1Jacob Psychotherapy755.0★ (3)Columbia—Overall
2Agape Christian Counseling Services743.7★ (6)Columbia——
3Karen Counseling Associates, Lundy Karen S, Tullis Michelle, Witges Anna744.0★ (4)Columbia——
4SIHF Healthcare - Cahokia Heights704.8★ (1,129)East Saint Louis, 10 mi awaySat · SunMost reviews
5Illinois Recovery Center694.9★ (382)Swansea, 13 mi awaySat · Sun · Evenings—
6ArchVista Behavioral Health684.2★ (5)St. Louis, 9 mi awaySat · Sun · Evenings—
7Restoring Minds Center for Behavioral Health683.5★ (24)St. Louis, 6 mi awaySat · Sun · Evenings—
8First Step DUI Evaluation674.9★ (47)Belleville, 13 mi awaySat · Sun · Evenings—
9Congruent Psychotherapy675.0★ (9)St. Louis, 9 mi awaySat · Sun · Evenings—
10Waves of Change: Virtual Therapy for Women in Missouri665.0★ (17)St. Louis, 10 mi awaySat · Sun—

The 218 best therapists and counselors in Columbia, ranked

Ordered by RP Score, a 0–100 score from eight published factors. Paid placement never changes the order.

Ranked by the RP Score from public listing data, not by treatment outcomes; Sponsored placements are shown separately and never change rank.

  1. Ranked #1 in Columbia

    Based in Columbia

    75/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 3 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 5.0★ from 3 Google reviews
    Address
    310 Wedgewood Ct, Columbia, IL 62236
  2. Based in Swansea, 13 mi away

    69/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.9★ from 382 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 382 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    1450 Caseyville Ave, Swansea, IL 62226
  3. Based in St. Louis, 6 mi away

    68/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.5★ from 24 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 3.5★ from 24 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 9 AM–8 PM · Sun 10 AM–3 PM
    Address
    140 Cliff Cave Rd Suite 102 - Pediatric Suite 200, St. Louis, MO 63129
  4. Based in Belleville, 13 mi away

    67/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 4.9★ from 47 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 47 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    10 S Jackson St #300B, Belleville, IL 62220
  5. Based in St. Louis, 9 mi away

    67/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 9 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 9 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat 9 AM–5 PM · Sun 9 AM–8 PM
    Address
    4193 Crescent Dr Ste E, St. Louis, MO 63129
  6. Based in Belleville, 12 mi away

    65/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.7★ from 13 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.7★ from 13 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    1549 Frank Scott Pkwy W, Belleville, IL 62223
  7. Based in St. Louis, 10 mi away

    65/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.6★ from 10 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.6★ from 10 Google reviews
    Hours
    Mon–Sat 7 AM–8 PM · Sun 10 AM–5 PM
    Address
    5757 S Lindbergh Blvd Ste 200, St. Louis, MO 63123
  8. Based in St. Louis, 10 mi away

    64/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.9★ from 54 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 54 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–12 PM · Sun closed
    Address
    12818 Tesson Ferry Rd Ste 103, St. Louis, MO 63128
  9. Based in St. Louis, 10 mi away

    64/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.1★ from 16 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.1★ from 16 Google reviews
    Hours
    Mon–Fri 8:30 AM–7 PM · Sat 8:30 AM–3 PM · Sun 8:30 AM–12:30 PM
    Address
    13303 Tesson Ferry Rd Ste 50, St. Louis, MO 63128
  10. Based in St. Louis, 9 mi away

    64/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Counselor”, 3.6★ from 10 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.6★ from 10 Google reviews
    Address
    6220 S Lindbergh Blvd, St. Louis, MO 63123
  11. Based in St. Louis, 14 mi away

    63/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 87 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 5.0★ from 87 Google reviews
    Hours
    Mon–Fri 10 AM–6 PM · Sat 10 AM–3 PM · Sun 9 AM–5 PM
    Address
    8920 Manchester Rd, St. Louis, MO 63144
  12. Based in Columbia

    63/100RP Score

    Ranked #20 because of its Google rating and proximity: 4.9★ from 122 Google reviews, based in Columbia.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 122 Google reviews
    Hours
    Mon–Thu 8 AM–8 PM · Fri 8 AM–6 PM · Sat 8 AM–4 PM · Sun closed
    Address
    216 W Sand Bank Rd Ste 14, Columbia, IL 62236
  13. Based in St. Louis, 12 mi away

    63/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.9★ from 9 Google reviews.

    Based on 7 of 8 factors; recency not yet collected.

    • 4.9★ from 9 Google reviews
    Hours
    Mon–Thu 10 AM–7 PM · Fri 9 AM–7 PM · Sat 9 AM–5 PM · Sun 9 AM–7 PM
    Address
    1 Campbell Plaza Floor 1B, St. Louis, MO 63139
  14. Based in St. Louis, 10 mi away

    63/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.5★ from 8 Google reviews.

    Based on 6 of 8 factors; recency and availability not yet collected.

    • 3.5★ from 8 Google reviews
    Address
    11166 Tesson Ferry Rd, St. Louis, MO 63123

Therapists and counselors ranked #26 to #50

#1 to #25 are shown in full above. Here are #26 to #50, in RP Score order; each links to its profile. We publish the top 50 of 218 ranked therapists and counselors here; the rest are on their profiles.

therapists and counselors in Columbia, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26EMPOWERED Spaces625.0★ (11)13 mi
27Midwest Behavioral Health and Wellness625.0★ (8)13 mi
28Thriveworks Counseling & Therapy St. Louis624.6★ (50)14 mi
29St. Louis Wellness Center624.7★ (23)14 mi
30Carmel D. Brown, LCPC624.6★ (10)12 mi
31Human Support Services623.2★ (17)6 mi
32Bejeweled Counseling®️, LLC625.0★ (3)11 mi
33Greenbrook Mental Wellness Centers614.8★ (69)10 mi
34Joan M. Brackmann, MA615.0★ (3)11 mi
35Brain Recovery Centers615.0★ (10)8 mi
36Fidelity Counseling615.0★ (3)11 mi
37Maria Miller, LPC615.0★ (10)12 mi
38Love For St. Louis615.0★ (8)13 mi
39Open Arms Wellness614.0★ (30)14 mi
40Change, Inc. St. Louis Counseling614.2★ (68)12 mi
41CHADS Coalition for Mental Health614.6★ (14)9 mi
42Open Arms Wellness614.2★ (43)14 mi
43One Behavioral Missouri South County614.6★ (89)10 mi
44Ease Your Mind Counseling615.0★ (8)13 mi
45Serenity Health LLC604.3★ (453)10 mi
46Ellie Mental Health604.0★ (4)13 mi
47Tender Hearts Child Therapy Center604.0★ (4)11 mi
48St. Louis Behavioral Medicine Institute (Macklind Office)602.2★ (30)13 mi
49Ember Mental Wellness604.6★ (56)13 mi
50St Louis Empowerment Center604.6★ (33)15 mi

Also serving Columbia

20 more therapists and counselors within 15 mi that we can't rank yet: too few reviews, or a specialty we couldn't confirm. Listed A to Z.

Unranked therapists and counselors serving Columbia
BusinessGoogle ratingDistance
A Balanced Perspective Counseling PLLC5.0★ (1)In Columbia
Catherine Lenz1.0★ (2)6 mi
DARE TO HOPE COUNSELINGIn Columbia
Denise Dodson, Community Counseling Ministry LLC5.0★ (2)8 mi
Glenn R. Mcgowan, MA3.0★ (2)9 mi
Grabe Lori A4.0★ (8)In Columbia
Insightful Life Therapy Services5.0★ (2)9 mi
Jacob Psychotherapy5.0★ (1)In Columbia
Kati Michalas5.0★ (1)In Columbia
Laurie B. Watkins, LCPCIn Columbia
Lighted Pathways Counseling, LLCIn Columbia
Lori Beckwith, Ed.D., LCPC, NCC5.0★ (2)In Columbia
Lundy Karen SIn Columbia
Natani KirmachIn Columbia
New Hope Therapy LLC5.0★ (1)In Columbia
Renewing Your Mind Therapy PLLCIn Columbia
Shawn Forbes, LCPC, NCC5.0★ (1)In Columbia
Sovereignty CounselingIn Columbia
Success Motivators LLC Owner Lori Grabe LCSWIn Columbia
Total Life Wellness PLLCIn Columbia

How we ranked Columbia therapists and counselors

We scored 218 Columbia therapists and counselors on eight factors, weighted as shown. A practice is ranked when its specialty is confirmed and it has 3 or more Google reviews or a claimed profile. A practice with no Google reviews scores zero on rating, review volume and recency. Other unknown factors are left out, not counted as zero. Scores last refreshed November 9, 2026.

Paid placement never changes a rank or score. Sponsored businesses are paid, labelled, limited to 3 and shown above the ranking, outside it.

Read the full method: formula, sources and exclusions

RP Score factors and weights
FactorWeightComputed fromIn Columbia data
Reputation25%Google star rating, adjusted for how many reviews back itMeasured
Review volume5%Number of Google reviews, compared with the most-reviewed practice on the listMeasured
Recency5%Share of Google reviews from the last 12 monthsNot yet collected
Availability10%Weekly open hours, Saturday, Sunday, and round-the-clock or same-day availabilityMeasured
Specialty focus25%How clearly the practice does this specialty (its Google category and name)Measured
Proximity15%Based in the city scores highest, less the farther away it isMeasured
Claimed profile10%The practice has claimed its Ranked Psychologists profile (free or paid earn the same)Measured
Partnered5%The practice links to Ranked Psychologists from its own website with our badge, checked periodicallyMeasured

How to choose a therapist

  1. Check the license with the state or provincial board that issued it; most boards publish a free online lookup.
  2. Make sure they regularly work with clients who have your concern, and ask what approach they use and why.
  3. Check which license they hold (for example LPC, LCSW, LMFT or RP) and look it up with the board or college that issued it.
  4. Ask about fees, insurance and the cancellation policy before the first session. In the US, if you are uninsured or paying yourself, you can ask for a good faith estimate of expected charges.
  5. Check practical fit: in-person or online sessions, evening times, and how soon they have an opening.
  6. After a few sessions, ask yourself whether you feel heard. Changing to a different provider is common and fine.

Questions to ask a therapist

  • Are you accepting new clients, and how soon could I start?
  • Which license do you hold, and in which state or province?
  • How often do you work with concerns like mine?
  • Which license do you hold, and in which state or province?
  • What do you charge per session, and do you take my insurance or provide a superbill?
  • Do you offer online sessions?
  • What is your cancellation policy?
  • What do you keep confidential, and when would you have to share information?

Terms explained

PhD / PsyD
Doctoral degrees in psychology. A PhD usually has a stronger research focus, a PsyD a stronger clinical focus; both can lead to a psychologist license.
Licensed psychologist
A person licensed by a state or provincial psychology board to practice psychology. The title is protected by law.
Psychological associate
In some states and provinces, a master’s-level practitioner licensed or registered by the psychology board, often with supervision requirements.
LPC / LMHC / LCPC
US licenses for professional or mental health counselors (the name differs by state). They provide counseling and therapy.
LCSW
Licensed clinical social worker: a master’s-level social worker licensed to provide therapy.
LMFT
Licensed marriage and family therapist: licensed to treat individuals, couples and families with a focus on relationships.
RP / RCC
Registered psychotherapist (Ontario) and registered clinical counsellor (British Columbia): Canadian titles for licensed therapy providers.
PSYPACT
An interstate agreement that lets psychologists licensed in a member state provide telepsychology to clients in other member states once they hold the required authorization.
Telehealth
Sessions held by secure video or phone instead of in person. The provider generally needs to be licensed where the client is located.
CBT
Cognitive behavioral therapy: a structured talk therapy that works on the links between thoughts, feelings and behavior.
DBT
Dialectical behavior therapy: a form of CBT that teaches skills for managing intense emotions and relationships.
ERP
Exposure and response prevention: a form of CBT used for OCD.

Therapists and counselors in Columbia: frequently asked questions

Who is the best therapist in Columbia?

By RP Score, the highest-ranked therapist in Columbia, IL is Jacob Psychotherapy with an RP Score of 75/100. It has 5.0★ from 3 Google reviews. Agape Christian Counseling Services (#2) and Karen Counseling Associates, Lundy Karen S, Tullis Michelle, Witges Anna (#3) follow. We ranked 218 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in Columbia?

RankedPsychologists ranks 218 therapists and counselors serving Columbia, IL. 4 of them are based in Columbia; the rest serve it from nearby towns. Another 20 within 15 mi are listed but not ranked yet. Counts are as of November 2026.

What should I do if I need help right now?

In crisis or thinking about suicide? Call or text 988 (US and Canada), any time. In an emergency, call 911. This site cannot help in an emergency.

Which therapists and counselors in Columbia work on weekends?

65 of 218 ranked therapists and counselors post Saturday hours and 41 post Sunday hours. The highest-ranked open Saturdays are SIHF Healthcare - Cahokia Heights (#4), Illinois Recovery Center (#5) and ArchVista Behavioral Health (#6). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Columbia therapists and counselors have?

The median Google rating among 218 rated therapists and counselors in Columbia is 4.6★, with a median of 8 reviews. SIHF Healthcare - Cahokia Heights has the most, 1,129 reviews, and ranks #4. We adjust ratings for review count, so a few five-star reviews cannot top the list.

How does RankedPsychologists rank therapists and counselors?

Each therapist gets a 0–100 RP Score from eight published factors, led by reputation (25%), specialty focus (25%), proximity (15%) and availability (10%). A practice with no Google reviews scores zero on rating, review volume and recency; other factors we cannot measure are left out. Only practices with a confirmed specialty and 3 or more reviews, or a claimed profile, are ranked.

Do therapists and counselors outside Columbia count in this ranking?

Yes, if they are within 15 mi of the Columbia city center, our service radius for therapists and counselors. Each listing shows where the practice is based and how far away it is. Proximity is 15% of the RP Score, so a nearby practice gets a small edge.

Can therapists and counselors pay to rank higher on RankedPsychologists?

No. The RP Score never reads payment status, and this ranking has 0 paid placements. Up to 3 Featured practices may appear above the list, labelled Sponsored and showing their honest rank.

How are therapists and counselors in Columbia ranked?

Each practice gets an RP Score from 0 to 100 from 8 published factors, including its Google rating, how clearly it focuses on therapy and counseling and how close it is. Sponsored placements are shown separately and never change rank. The score does not measure treatment outcomes.

Is a licensed counselor the same as a psychologist?

No. Licensed professional counselors, clinical social workers, marriage and family therapists and, in Ontario, registered psychotherapists hold their own licenses and answer to their own boards or colleges. They provide talk therapy for many of the same concerns; formal psychological testing is usually done by a psychologist.

Can I see a therapist online?

Often, yes. Licensing generally follows where you are during the session, so the provider needs to be licensed or authorized there. In the US, psychologists in PSYPACT member states can offer telepsychology to clients in other member states; counselors and social workers have their own rules. In Canada, ask whether the provider is registered in your province.

What if I need help right now?

Do not wait for a consultation. Call or text 988 (US and Canada) if you are in crisis or thinking about suicide, at any time. In an emergency, call 911.

Update log for Columbia

  1. November 2026: RP Scores recalculated for 218 therapists and counselors serving Columbia.