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Best Therapists And Counselors in Saint Helens, OR (2026)

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

The short answer

  1. 1

    Best overall in Saint Helens: CREEKSIDE CENTER, RP Score 75/100; 4.2★ from 43 Google reviews.

  2. 7

    Most-reviewed: LifeStance Therapists & Psychiatrists Vancouver, 304 Google reviews at 4.8★, the most of 49 ranked; ranked #7.

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

49 Saint Helens therapists and counselors are ranked here by RP Score, from eight published factors. 7 open Saturdays and 3 open Sundays, based on posted hours. The median Google rating is 4.7★ across 49 rated practices.

Top 10 therapists and counselors in Saint Helens 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 Saint Helens at a glance
RankBusinessRP ScoreGoogle ratingBased inHoursBest for
1CREEKSIDE CENTER754.2★ (43)Saint Helens—Overall
2Pathways Residential734.2★ (5)Saint Helens——
3Counseling and Wellness674.0★ (4)Saint HelensEvenings—
4Columbia Community Mental Health: Main Office652.1★ (29)Saint Helens——
5Anchored Hope Counseling645.0★ (4)Longview, 3 mi away——
6Refresh Therapy, Inc. - Salmon Creek N. Vancouver Office614.4★ (54)Vancouver, 12 mi awaySat · Evenings—
7LifeStance Therapists & Psychiatrists Vancouver614.8★ (304)Vancouver, 13 mi away—Most reviews
8Steady State Health PLLC605.0★ (85)Vancouver, 12 mi away——
9Rainier Springs592.6★ (270)Vancouver, 13 mi awaySat · Sun · Evenings—
10Refuge Counseling & Wellness595.0★ (9)Vancouver, 12 mi awaySat · Evenings—

The 49 best therapists and counselors in Saint Helens, 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 Saint Helens

    Based in Saint Helens

    75/100RP Score

    Ranked #1 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.2★ from 43 Google reviews.

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

    • 4.2★ from 43 Google reviews
    Address
    58646 McNulty Way, St Helens, OR 97051
  2. Based in Saint Helens

    73/100RP Score

    Ranked #2 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 4.2★ from 5 Google reviews.

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

    • 4.2★ from 5 Google reviews
    Address
    185 N 4th St, St Helens, OR 97051
  3. Based in Saint Helens

    67/100RP Score

    Ranked #3 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 closed · Tue–Thu 9 AM–8:30 PM · Fri–Sun closed
    Address
    137 N 21st St, St Helens, OR 97051
  4. Based in Longview, 3 mi away

    64/100RP Score

    Ranked #5 because of specialty focus and its Google rating: listed on Google as “Counselor”, 5.0★ from 4 Google reviews.

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

    • 5.0★ from 4 Google reviews
    Hours
    Mon closed · Tue 9 AM–6 PM · Wed–Thu 9 AM–5 PM · Fri–Sun closed
  5. 61/100RP Score

    Ranked #6 because of specialty focus and its Google rating: listed on Google as “Marriage or relationship counselor”, 4.4★ from 54 Google reviews.

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

    • 4.4★ from 54 Google reviews
    Hours
    Mon–Fri 8 AM–8 PM · Sat 8 AM–4 PM · Sun closed
    Address
    13505 NE 10th Ave, Vancouver, WA 98685
  6. Based in Vancouver, 13 mi away

    61/100RP Score

    Ranked #7 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.8★ from 304 Google reviews.

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

    • 4.8★ from 304 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  7. Based in Vancouver, 12 mi away

    60/100RP Score

    Ranked #8 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 5.0★ from 85 Google reviews.

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

    • 5.0★ from 85 Google reviews
    Hours
    Mon–Fri 8 AM–6 PM · Sat–Sun closed
    Address
    1309 NE 134th St Ste B, Vancouver, WA 98685
  8. Based in Vancouver, 13 mi away

    59/100RP Score

    Ranked #9 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 2.6★ from 270 Google reviews.

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

    • 2.6★ from 270 Google reviews
    Hours
    Mon–Sun 12 AM–12 AM
    Address
    2805 NE 129th St, Vancouver, WA 98686
  9. Based in Vancouver, 12 mi away

    59/100RP Score

    Ranked #10 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 8 AM–8 PM · Sat 9 AM–5 PM · Sun closed
    Address
    13912 NE 20th Ave #204, Vancouver, WA 98686
  10. Based in Battle Ground, 14 mi away

    59/100RP Score

    Ranked #11 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 4.8★ from 41 Google reviews.

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

    • 4.8★ from 41 Google reviews
    Hours
    Mon–Fri 9 AM–6 PM · Sat 10 AM–4 PM · Sun closed
    Address
    Medical Clinic Building, 408 E Main St #101, Battle Ground, WA 98604
  11. Based in Vancouver, 12 mi away

    58/100RP Score

    Ranked #12 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.9★ from 29 Google reviews.

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

    • 4.9★ from 29 Google reviews
    Hours
    Mon–Fri 9 AM–5 PM · Sat–Sun closed
    Address
    12416 NW 36th Ave, Vancouver, WA 98685
  12. Based in Vancouver, 14 mi away

    57/100RP Score

    Ranked #14 because of specialty focus and its Google rating: listed on Google as “Mental health service”, 3.7★ from 3 Google reviews.

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

    • 3.7★ from 3 Google reviews
    Address
    9901 NE 7th Ave Ste b-223c, Vancouver, WA 98685
  13. Based in Vancouver, 13 mi away

    56/100RP Score

    Ranked #15 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.9★ from 18 Google reviews.

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

    • 4.9★ from 18 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  14. 56/100RP Score

    Ranked #16 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 3.7★ from 3 Google reviews.

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

    • 3.7★ from 3 Google reviews
    Hours
    Mon–Fri 8 AM–7 PM · Sat 9 AM–4 PM · Sun closed
    Address
    9901 NE 7th Ave Ste C-116, Vancouver, WA 98685
  15. Based in Vancouver, 13 mi away

    56/100RP Score

    Ranked #17 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.9★ from 14 Google reviews.

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

    • 4.9★ from 14 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  16. Based in Vancouver, 14 mi away

    55/100RP Score

    Ranked #19 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–Tue 8:30 AM–8:30 PM · Wed 8:30 AM–5:30 PM · Thu–Sat closed · Sun 8:30 AM–6 PM
    Address
    9901 NE 7th Ave, Vancouver, WA 98685
  17. Based in Vancouver, 13 mi away

    55/100RP Score

    Ranked #20 because of specialty focus and its Google rating: listed on Google as “Mental health clinic”, 5.0★ from 11 Google reviews.

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

    • 5.0★ from 11 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  18. Based in Vancouver, 14 mi away

    55/100RP Score

    Ranked #21 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.6★ from 20 Google reviews.

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

    • 4.6★ from 20 Google reviews
    Hours
    Mon–Thu 8 AM–6 PM · Fri 8 AM–4 PM · Sat–Sun closed
    Address
    10000 NE 7th Ave Ste 403, Vancouver, WA 98685
  19. Based in Vancouver, 13 mi away

    55/100RP Score

    Ranked #22 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.5★ from 11 Google reviews.

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

    • 4.5★ from 11 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  20. Based in Vancouver, 14 mi away

    55/100RP Score

    Ranked #23 because of specialty focus and its Google rating: listed on Google as “Counselor”, 4.5★ from 42 Google reviews.

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

    • 4.5★ from 42 Google reviews
    Hours
    Mon–Thu 9 AM–5 PM · Fri–Sun closed
    Address
    8513 NE Hazel Dell Ave Ste 202, Vancouver, WA 98665
  21. Based in Vancouver, 13 mi away

    55/100RP Score

    Ranked #24 because of specialty focus and its Google rating: listed on Google as “Psychotherapist”, 4.9★ from 7 Google reviews.

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

    • 4.9★ from 7 Google reviews
    Hours
    Mon–Tue 8:30 AM–5 PM · Wed 9 AM–5 PM · Thu–Fri 8:30 AM–5 PM · Sat–Sun closed
    Address
    2103 NE 129th St Suite 101, Vancouver, WA 98686
  22. Based in Saint Helens

    55/100RP Score

    Ranked #25 because of its Google rating and proximity: 4.9★ from 10 Google reviews, based in Saint Helens.

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

    • 4.9★ from 10 Google reviews
    Hours
    Mon–Fri 8 AM–12:30 PM · Sat–Sun closed
    Address
    2370 Gable Rd, St Helens, OR 97051

All 49 therapists and counselors

#1 to #25 are shown in full above. Here are #26 to #49, in RP Score order; each links to its profile.

therapists and counselors in Saint Helens, ranks 26 to 49
RankBusinessRP ScoreGoogle ratingDistance
26Western Psychological & Counseling Services543.5★ (13)13 mi
27Melissa Carroll, Counselor544.7★ (6)13 mi
28Bright Future Counseling LLC- Couples Counseling PNW-Vancouver, Washington545.0★ (12)14 mi
29Erin Hutchinson, Counselor545.0★ (4)13 mi
30Julia Kostin, Counselor545.0★ (4)13 mi
31Sarah Wargin, Counselor545.0★ (4)13 mi
32Justin Cox, Counselor544.5★ (4)13 mi
33Mareth Chromey, Counselor545.0★ (3)13 mi
34Mary Guild, Counselor545.0★ (3)13 mi
35Bryan Ledbury, Counselor544.3★ (3)13 mi
36Sea Mar Vancouver Behavioral Health Clinic - Salmon Creek531.8★ (8)12 mi
37The Villa Health533.4★ (14)14 mi
38TrueNorth Counseling Services535.0★ (3)14 mi
39Sublime Online535.0★ (3)12 mi
40NW Trauma Therapy, PLCC523.7★ (3)14 mi
41Heaven Sent Counseling LLC522.3★ (3)14 mi
42Behind the Mask Therapy524.2★ (5)14 mi
43Rocky Mountain Therapy P.L.L.C525.0★ (5)14 mi
44Vancouver Counseling & Wellness525.0★ (4)15 mi
45Columbia River Mental Health522.6★ (5)14 mi
46Haven Health Autism Assessments504.7★ (53)12 mi
47Columbia River Mental Health Services464.0★ (5)13 mi
48Camay Rooney, Psychiatric Nurse Practitioner415.0★ (4)13 mi
49Bradley Strong, Psychiatrist415.0★ (3)13 mi

Also serving Saint Helens

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 Saint Helens
BusinessGoogle ratingDistance
Aaron Brown, LCSWIn Saint Helens
Amani Center Family Resource Center/Columbia Health ServicesIn Saint Helens
Fortlander Karen J5.0★ (2)In Saint Helens
Hendrix Keith JIn Saint Helens
Integrated Neurofeedback, PLLC5.0★ (2)14 mi
Integrated Renewal5.0★ (2)15 mi
JAMES C THOMAS, PsyD5.0★ (2)14 mi
Jessica Piziali, Counselor5.0★ (2)13 mi
Kimberlin Santos, Counselor5.0★ (1)13 mi
Macdonald Dunbar, Counselor5.0★ (2)13 mi
Martin Laura HIn Saint Helens
Medicine Wheel Recovery Services3.4★ (37)In Saint Helens
Options Counseling and Family ServicesIn Saint Helens
Quiet Heart CounselingIn Saint Helens
Rhonda L. Elston, MA3.0★ (2)15 mi
Rooted Biblical CounselingIn Saint Helens
The Trauma Survivor Center, LLCIn Saint Helens
Thompson MargaretIn Saint Helens
Three Creeks Counseling, PLLC5.0★ (2)14 mi
Vegvari KrisIn Saint Helens

How we ranked Saint Helens therapists and counselors

We scored 49 Saint Helens 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 Saint Helens 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 Saint Helens: frequently asked questions

Who is the best therapist in Saint Helens?

By RP Score, the highest-ranked therapist in Saint Helens, OR is CREEKSIDE CENTER with an RP Score of 75/100. It has 4.2★ from 43 Google reviews. Pathways Residential (#2) and Counseling and Wellness (#3) follow. We ranked 49 therapists and counselors on eight factors, last updated November 9, 2026.

How many therapists and counselors are there in Saint Helens?

RankedPsychologists ranks 49 therapists and counselors serving Saint Helens, OR. 5 of them are based in Saint Helens; 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 Saint Helens work on weekends?

7 of 49 ranked therapists and counselors post Saturday hours and 3 post Sunday hours. The highest-ranked open Saturdays are Refresh Therapy, Inc. - Salmon Creek N. Vancouver Office (#6), Rainier Springs (#9) and Refuge Counseling & Wellness (#10). Posted hours are office hours; many practices also offer evening or online sessions by appointment.

What Google rating do Saint Helens therapists and counselors have?

The median Google rating among 49 rated therapists and counselors in Saint Helens is 4.7★, with a median of 6 reviews. LifeStance Therapists & Psychiatrists Vancouver has the most, 304 reviews, and ranks #7. 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 Saint Helens count in this ranking?

Yes, if they are within 15 mi of the Saint Helens 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 Saint Helens 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 Saint Helens

  1. November 2026: RP Scores recalculated for 49 therapists and counselors serving Saint Helens.