Quick answer: The St. Louis metro employs about 3,330 substance abuse, behavioral disorder, and mental health counselors (BLS OEWS, May 2025), and licensing is set at the state level, through your state counseling or behavioral health licensing board.
Licensing
Licensing is a state matter, not a city one. Counselors are licensed by state boards, and both the licence title and the required supervised post-graduate hours differ from state to state. The national reference points are CACREP accreditation of the graduate program and the National Counselor Examination administered by NBCC. Substance use disorder counseling is usually a separate state credential tier that can be reached earlier than full clinical licensure.
See the Missouri licensing and pay overview for the statewide picture, and confirm current requirements with your state counseling or behavioral health licensing board.
Schools Near You
Schools in our database near this area, ranked by BOC Score. The list favors schools with a related program on record, but program availability and delivery format change, so confirm directly with any school that it currently offers the program you want.
How we rank schools – graduation rate, graduate earnings, cost and retention.
Advertising plays no part.
This page lists 8 schools
within 235 miles, closest group first, then ordered by
BOC Score with the highest at the top.
8 of them carry a score.
LOCAL RANK
Location / proximity to this page
Defines the local group
Graduation rate how often students finish
30%
Median earnings, 10 years after entry whether it paid off
25%
Average net price what students actually pay after aid; lower ranks higher
20%
Retention rate how many come back for year two
15%
Fully online availability whether you can study while working
10%
Scores come from IPEDS (2024) and the U.S. Department of Education College Scorecard.
Earnings are for all graduates of a school, not one program, so treat them as a signal
about the institution rather than about this subject.
Sponsored listings are paid placements and are labelled as such; they are separate from
this ranking and never change it. Read the full methodology.
What Substance Abuse, Behavioral Disorder, and Mental Health Counselors Earn in St. Louis
Substance Abuse, Behavioral Disorder, and Mental Health Counselors in the St. Louis area earn a median $58,570 per year, below the national median of $59,350 (BLS OEWS, May 2025).
Counseling Pay in St. Louis, MO
Metric
St. Louis metro
Missouri
National
Median annual wage
$58,570
$56,910
$59,350
10th percentile
$38,580
$37,650
$38,940
25th percentile
$46,310
$44,140
$47,100
75th percentile
$74,560
$72,280
$76,530
90th percentile
$91,600
$89,400
$97,590
Employment
3,330
8,130
491,930
Location quotient
0.78
-
1.00
Source: BLS OEWS, May 2025. Metro figures cover the St. Louis, MO-IL metropolitan statistical area.
What the Numbers Say About This Market
The St. Louis median of $58,570 is below the national median of $59,350, and above the Missouri statewide median of $56,910 (BLS OEWS, May 2025).
The metro’s location quotient of 0.78 means substance abuse, behavioral disorder, and mental health counselors are less concentrated here than in the average U.S. labor market (BLS OEWS, May 2025). Higher concentration generally means more employers competing for the same people, and an easier job change later.
Counseling demand follows local treatment providers, hospital systems, schools and community health organizations.
Wage and employment figures describe the occupation as measured by the Bureau of Labor Statistics, not the graduates of any particular program, and individual outcomes may vary. Licensing rules change; confirm current requirements with the responsible state board before enrolling.
Frequently Asked Questions
How much do substance abuse, behavioral disorder, and mental health counselors make in St. Louis?
The median annual wage for substance abuse, behavioral disorder, and mental health counselors in the St. Louis, MO-IL metro area is $58,570, below the national median of $59,350 (BLS OEWS, May 2025).
How many substance abuse, behavioral disorder, and mental health counselors work in the St. Louis area?
The St. Louis, MO-IL metro area employs about 3,330 substance abuse, behavioral disorder, and mental health counselors (BLS OEWS, May 2025).
Do substance abuse, behavioral disorder, and mental health counselors in St. Louis need a license?
Licensing is handled at state level rather than by city. Counselors are licensed by state boards, and both the licence title and the required supervised post-graduate hours differ from state to state. The national reference points are CACREP accreditation of the graduate program and the National Counselor Examination administered by NBCC. Substance use disorder counseling is usually a separate state credential tier that can be reached earlier than full clinical licensure. Confirm current requirements with your state counseling or behavioral health licensing board.
Can I study counseling online from St. Louis?
The academic portion of these programs is widely available online for working adults, while labs, clinical hours or supervised field work are completed in person. Check that the program's accreditation satisfies your state counseling or behavioral health licensing board.
Is St. Louis a better market than the rest of Missouri?
The St. Louis metro median is $58,570 against a statewide median of $56,910 (BLS OEWS, May 2025). Compare that gap with the difference in living costs before treating it as a raise.
U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 - Substance Abuse, Behavioral Disorder, and Mental Health Counselors (SOC 21-1018), national, state and metropolitan estimates
U.S. Bureau of Labor Statistics, Employment Projections, 2024-34
U.S. Bureau of Labor Statistics, Occupational Outlook Handbook - education and licensing requirements
About this guide: Researched and written by the TradeCareerPath Editorial Team. Our editorial team researches and sources every trade school and career guide using federal labor and education data, including BLS OEWS and Employment Projections, DOL apprenticeship records, IPEDS, College Scorecard, and state licensing boards. We follow the editorial standards documented at /editorial-policy/.
