Substance Abuse, Behavioral Disorder, and Mental Health Counselors pay in St. Louis

In St. Louis (MO), the median pay for substance abuse, behavioral disorder, and mental health counselors is $28.16 an hour ($58,570 a year). About 3,330 people work in this job there.

$28.16Median hourly pay
$46,310–$74,560Middle half of workers, yearly
3,330People in this job in St. Louis (MO)

That is about the same as the U.S. median ($59,350). It is 3% higher than the Missouri median ($56,910).

Pay range for substance abuse, behavioral disorder, and mental health counselors in St. Louis (MO)

Earns more thanHourlyYearly
10% of workers$18.55$38,580
25% of workers$22.27$46,310
Half of workers (median)$28.16$58,570
75% of workers$35.85$74,560
90% of workers$44.04$91,600

Substance Abuse, Behavioral Disorder, and Mental Health Counselors pay in Missouri metro areas

Metro areaMedian yearly payPeople in this job
Kansas City$60,6902,470
St. Louis (this page)$58,5703,330
Columbia$57,010350
Joplin$52,800300
St. Joseph$51,070130
Cape Girardeau$48,570240
Springfield$48,120810
Jefferson City$47,480160

Missouri unemployment rate: 3.5% (August 2026), U.S. Bureau of Labor Statistics.

Education, experience and outlook for substance abuse, behavioral disorder, and mental health counselors

  • Typical education to start: Master's degree (BLS)
  • Training on the job: Internship/residency (BLS)
  • Job outlook: +18.4% over ten years, much faster than average · about 50,500 openings a year (BLS)

Related jobs in St. Louis (MO)

JobMedian yearly pay
Child, Family, and School Social Workers$51,080
Educational, Guidance, and Career Counselors and Advisors$60,160
Social and Human Service Assistants$45,430
Healthcare Social Workers$62,200

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Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 estimates. Figures are for wage and salary workers and do not include the self-employed. The median is the middle wage: half earn more, half earn less. Other job titles: O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA), used under the CC BY 4.0 license; O*NET® is a trademark of USDOL/ETA. JAI Bot has modified this information; USDOL/ETA has not approved, endorsed, or tested these modifications.