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Best Therapists And Counselors in O'Fallon, MO (2026)

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

The short answer

  1. 1

    Best overall in O'Fallon: St. Louis Marriage Coaching, RP Score 75/100; 4.8★ from 83 Google reviews; open Saturdays until 11 PM.

  2. 35

    Most-reviewed: LifeStance Therapists & Psychiatrists Saint Peters, 469 Google reviews at 4.4★, the most of 157 ranked; ranked #35.

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

157 O'Fallon therapists and counselors are ranked here by RP Score, from eight published factors. 37 open Saturdays and 8 open Sundays, based on posted hours. The median Google rating is 4.6★ across 157 rated practices.

Top 10 therapists and counselors in O'Fallon 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 O'Fallon at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1St. Louis Marriage Coaching754.8★ (83)O'FallonSat · EveningsOverall
2OsteoStrong O'Fallon754.9★ (89)O'FallonSat · Evenings—
3Enyart Carla J745.0★ (6)O'Fallon——
4Unlimited Potential Counseling & Education Center743.8★ (16)O'Fallon——
5Good Living Counseling745.0★ (4)O'FallonSat · Evenings—
6Marble Wellness745.0★ (29)O'FallonSat · Evenings—
7Shannon Roberson, LPC743.5★ (8)O'Fallon——
8Harmony Christian Counseling, LLC734.0★ (4)O'Fallon——
9Fine Joe Casac733.4★ (8)O'Fallon——
10Ryan Espenschied, MA, MATS, LPC724.4★ (13)O'FallonSat · Evenings—

The 157 best therapists and counselors in O'Fallon, 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 O'Fallon

    #1 St. Louis Marriage Coaching

    Based in O'Fallon

    75/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.8★ from 83 Google reviews.

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

    • 4.8★ from 83 Google reviews
    Hours
    Mon–Sat 9 AM–11 PM · Sun closed
    Address
    1120 Technology Dr #112, O'Fallon, MO 63368
    View profile for St. Louis Marriage Coaching(314) 201-8368

  2. #2 OsteoStrong O'Fallon

    Based in O'Fallon

    75/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.9★ from 89 Google reviews.

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

    • 4.9★ from 89 Google reviews
    Hours
    Mon 8 AM–4:30 PM · Tue 8 AM–7 PM · Wed 8 AM–6 PM · Thu 8 AM–3 PM · Fri 8 AM–1 PM · Sat 8 AM–12 PM · Sun closed
    Address
    44 Crossroads Plaza, O'Fallon, MO 63368
    View profile for OsteoStrong O'Fallon(636) 238-8696

  3. #3 Enyart Carla J

    Based in O'Fallon

    74/100RP Score

    Ranked #3 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Address
    103 Lincoln St, O'Fallon, MO 63366
    View profile for Enyart Carla J(636) 978-6901

  6. #6 Marble Wellness

    Based in O'Fallon

    74/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 29 Google reviews.

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

    • 5.0★ from 29 Google reviews
    Hours
    Mon–Thu 9 AM–7 PM · Fri–Sat 9 AM–5 PM · Sun closed
    Address
    1061 Peruque Crossing Ct Ste A, O'Fallon, MO 63366
    View profile for Marble Wellness(636) 234-3052

  7. #7 Shannon Roberson, LPC

    Based in O'Fallon

    74/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Counselor”, 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
    801 Woodlawn Ave #28, O'Fallon, MO 63366
    View profile for Shannon Roberson, LPC(636) 294-0015

  9. #9 Fine Joe Casac

    Based in O'Fallon

    73/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.4★ from 8 Google reviews.

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

    • 3.4★ from 8 Google reviews
    Address
    9979 Winghaven Blvd #212, O'Fallon, MO 63368
    View profile for Fine Joe Casac(636) 561-8226

  10. #10 Ryan Espenschied, MA, MATS, LPC

    Based in O'Fallon

    72/100RP Score

    Ranked #10 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 13 Google reviews.

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

    • 4.4★ from 13 Google reviews
    Hours
    Mon–Tue 10 AM–9 PM · Wed–Fri 8 AM–6 PM · Sat 9 AM–3 PM · Sun closed
    Address
    1031 Peruque Crossing Ct Ste A, O'Fallon, MO 63366
    View profile for Ryan Espenschied, MA, MATS, LPC(636) 887-3655

  11. #11 Lakeside Counseling Services

    Based in O'Fallon

    72/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 6 Google reviews.

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

    • 5.0★ from 6 Google reviews
    Hours
    Mon–Thu 9 AM–7 PM · Fri 9 AM–6 PM · Sat 9 AM–2 PM · Sun closed
    Address
    1031 Peruque Crossing Ct Ste A, O'Fallon, MO 63366
    View profile for Lakeside Counseling Services(636) 887-3655

  12. #12 Family Life Counseling

    Based in O'Fallon

    71/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Family counselor”, 3.6★ from 17 Google reviews.

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

    • 3.6★ from 17 Google reviews
    Hours
    Mon–Thu 8 AM–8 PM · Fri–Sat 8 AM–5 PM · Sun closed
    Address
    6700 Keaton Corporate Pkwy #101, O'Fallon, MO 63368
    View profile for Family Life Counseling(636) 300-9333

  13. #13 Headway Wellbeing Center

    Based in Saint Peters, 2 mi away

    71/100RP Score

    Ranked #13 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.6★ from 7 Google reviews.

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

    • 3.6★ from 7 Google reviews
    Address
    8073 Mexico Rd, St Peters, MO 63376
    View profile for Headway Wellbeing Center(636) 946-6832

  14. #14 Deborah Woods, LPC, NCC

    Based in O'Fallon

    71/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.8★ from 29 Google reviews.

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

    • 4.8★ from 29 Google reviews
    Hours
    Mon–Fri 9 AM–7 PM · Sat–Sun closed
    Address
    429 W Terra Ln, O'Fallon, MO 63366
    View profile for Deborah Woods, LPC, NCC(636) 795-3155

  15. #15 The Chakra Healing Room

    Based in Wentzville, 6 mi away

    71/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 50 Google reviews.

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

    • 5.0★ from 50 Google reviews
    Address
    950 Corporate Pkwy #116, Wentzville, MO 63385
    View profile for The Chakra Healing Room

  17. #17 Nathan E. Lundin, LPC, CSAT-S

    Based in O'Fallon

    70/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.0★ from 4 Google reviews.

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

    • 4.0★ from 4 Google reviews
    Hours
    Mon 9 AM–6:30 PM · Tue 9 AM–6 PM · Wed 10 AM–8 PM · Thu 9 AM–5 PM · Fri 9 AM–4 PM · Sat 8 AM–11 AM · Sun closed
    Address
    1031-A Peruque Crossing Ct, O'Fallon, MO 63366
    View profile for Nathan E. Lundin, LPC, CSAT-S(636) 887-3655

  18. #18 Ellie Mental Health

    Based in Saint Peters, 6 mi away

    70/100RP Score

    Ranked #18 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.7★ from 27 Google reviews.

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

    • 4.7★ from 27 Google reviews
    Hours
    Mon–Sun 7 AM–9 PM
    Address
    150 St Peters Centre Blvd Ste b, St Peters, MO 63376
    View profile for Ellie Mental Health(636) 466-8497

  20. #20 Geries Shaheen MA, LPC, NCC

    Based in O'Fallon

    70/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 8 Google reviews.

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

    • 5.0★ from 8 Google reviews
    Hours
    Mon–Fri closed · Sat 10 AM–5 PM · Sun closed
    Address
    1145 Tom Ginnever Ave, O'Fallon, MO 63366
    View profile for Geries Shaheen MA, LPC, NCC(314) 254-3223

  22. #22 Marie E. Carmi, MA

    Based in Lake Saint Louis, 4 mi away

    70/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 5 Google reviews.

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

    • 5.0★ from 5 Google reviews
    Address
    1000 Lake St Louis Blvd, Lake St Louis, MO 63367
    View profile for Marie E. Carmi, MA(636) 561-5511

  23. #23 Metro NeuroHealth

    Based in O'Fallon

    70/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 5.0★ from 15 Google reviews.

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

    • 5.0★ from 15 Google reviews
    Hours
    Mon–Fri 9 AM–5:30 PM · Sat–Sun closed
    View profile for Metro NeuroHealth(314) 226-1997

  24. #24 Vista Counseling, LLC

    Based in Saint Peters, 7 mi away

    69/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.4★ from 74 Google reviews.

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

    • 4.4★ from 74 Google reviews
    Hours
    Mon–Fri 9 AM–8 PM · Sat–Sun 8 AM–8 PM
    Address
    332 Jungermann Rd Ste B, St Peters, MO 63376
    View profile for Vista Counseling, LLC(314) 608-2143

  25. #25 Generations Counseling

    Based in O'Fallon

    69/100RP Score

    Ranked #25 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.5★ from 8 Google reviews.

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

    • 4.5★ from 8 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat–Sun closed
    Address
    923A E Terra Ln, O'Fallon, MO 63366
    View profile for Generations Counseling(314) 384-6807

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 157 ranked therapists and counselors here; the rest are on their profiles.

therapists and counselors in O'Fallon, ranks 26 to 50
RankBusinessRP ScoreGoogle ratingDistance
26Inclusive Counseling685.0★ (6)3 mi
27RISE Behavioral Consulting685.0★ (9)3 mi
28Side by Side Wellness LLC684.4★ (7)In O'Fallon
29Brown William B684.4★ (7)In O'Fallon
30Willow Tree Center683.5★ (11)In O'Fallon
31Tammy Kuykendoll, LPC, MA685.0★ (5)5 mi
32Healing Hearts Counseling Center-Lisa Tackett, LPC674.9★ (77)4 mi
33Megan Chapman, MA, LPC675.0★ (4)In O'Fallon
34Christian Counseling Connection, LLC674.4★ (7)4 mi
35LifeStance Therapists & Psychiatrists Saint Peters674.4★ (469)5 mi
36Stay & Play Counseling, LLC675.0★ (5)7 mi
37My Family Counseling663.9★ (17)5 mi
38Applied Behavior Services, LLC. (North Campus)665.0★ (5)2 mi
39Lindsay Walden, MA, LPC - Sex Therapist664.7★ (3)7 mi
40Sonya Paramore, LPC, LLC665.0★ (3)1 mi
41Ellie Mental Health664.2★ (15)6 mi
42New Day Christian Counseling654.2★ (5)7 mi
43Youth In Need Emergency Shelter653.9★ (36)12 mi
44Life Balance Counseling, LLC655.0★ (3)2 mi
45Rising Phoenix Counseling & Associates LLC652.6★ (5)5 mi
46Victoria Powell643.0★ (4)4 mi
47Greenbrook Mental Wellness Centers644.9★ (8)6 mi
48Step By Step Counseling643.5★ (22)10 mi
49Compass Health Network644.2★ (29)5 mi
50Liza Kebel, Counselor634.7★ (13)5 mi

Also serving O'Fallon

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 O'Fallon
BusinessGoogle ratingDistance
Brian Masat Counseling, LLC1.0★ (1)In O'Fallon
Centers For Behavioral Health3.0★ (1)In O'Fallon
Dr. Gregory W Mattingly, MD2.9★ (30)In O'Fallon
Dr. John P. Canale, MD4.5★ (18)In O'Fallon
Dr. Scott J. Arbaugh, MD3.7★ (31)In O'Fallon
Emergent Learning Center3.5★ (2)In O'Fallon
Kevin Tennill Therapy LLC5.0★ (2)In O'Fallon
LIFT Therapy & Wellness Services; Amy Jo Hawkins, LCSW5.0★ (1)In O'Fallon
Lionheart Psychotherapy, LLC5.0★ (2)In O'Fallon
Martin G. Kennedy, PHD3.0★ (2)In O'Fallon
Mercy Clinic Child and Adolescent Psychiatry - Technology Drive4.0★ (4)In O'Fallon
Operation Zero O’Fallon5.0★ (1)In O'Fallon
Psychiatric Care and Research Center3.2★ (35)In O'Fallon
Robert Andrews Therapy, LLC5.0★ (2)In O'Fallon
Shirley J. Vandiver, MED5.0★ (1)In O'Fallon
Sierra Koester, MA, LPC5.0★ (1)In O'Fallon
Square One Counseling, LLC5.0★ (1)In O'Fallon
The Road Less Traveled Counseling Services LLC5.0★ (1)In O'Fallon
Two Bridges Counseling5.0★ (1)In O'Fallon
Yellow Daisy Counseling, LLC5.0★ (1)In O'Fallon

How we ranked O'Fallon therapists and counselors

We scored 157 O'Fallon 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 O'Fallon 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 O'Fallon: frequently asked questions

Who is the best therapist in O'Fallon?

By RP Score, the highest-ranked therapist in O'Fallon, MO is St. Louis Marriage Coaching with an RP Score of 75/100. It has 4.8★ from 83 Google reviews. It is open Saturdays until 11 PM. OsteoStrong O'Fallon (#2) and Enyart Carla J (#3) follow. We ranked 157 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in O'Fallon?

RankedPsychologists ranks 157 therapists and counselors serving O'Fallon, MO. 23 of them are based in O'Fallon; 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 O'Fallon work on weekends?

37 of 157 ranked therapists and counselors post Saturday hours and 8 post Sunday hours. The highest-ranked open Saturdays are St. Louis Marriage Coaching (#1), OsteoStrong O'Fallon (#2) and Good Living Counseling (#5). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do O'Fallon therapists and counselors have?

The median Google rating among 157 rated therapists and counselors in O'Fallon is 4.6★, with a median of 8 reviews. LifeStance Therapists & Psychiatrists Saint Peters has the most, 469 reviews, and ranks #35. 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 O'Fallon count in this ranking?

Yes, if they are within 15 mi of the O'Fallon 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 O'Fallon 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 O'Fallon

  1. November 2026: RP Scores recalculated for 157 therapists and counselors serving O'Fallon.
  2. November 2026: 1 duplicate listing merged.

More therapists and counselors and O'Fallon pages