Meet Alexa!    Alexa Antinoro is a Provisional Licenced Professional Counselor and a child therapist with Step By Step Counseling and enjoys working with ages 3 through 18. She is under the supervision of Lisa Cholley.   She has past experiences working with addiction in an intensive outpatient setting, as well as children & teens struggling with depression, anxiety, and suicidal ideation in partial hospitalization and intensive outpatient setting. She also has experience working with the diagnosis of mood disorders in community-based and in-home settings. Alexa is also our office Resource coordinator! 

Alexa is a certified trauma professional and is trained in TF-CBT, TBRI, and play therapy. Alexa has also recently completed a 72 hour of evidence-based training in adoption competency.  Alexa’s therapeutic style is a mix of person-centered and cognitive behavioral therapy. She also loves using Dialectical Behavioral Therapy (DBT), to support her adolescent clients who are struggling with intense emotions. She helps clients find effective ways to understand and cope with intense emotions as well as replace maladaptive thought patterns in order to promote positive healing. 

A few areas of interest are:  

  • Depression & Anxiety 
  • Trauma
  • Self-harm
  • Suicidal ideation 
  • Foster & Adoptive children 

Groups, she enjoys running

  • High School DBT Skills group

Educational Background

Formal education

  • Bachelors of Arts in Psychology 
  • Masters of Arts in Clinical Mental Health Counseling

Certifications & Credentials

  • Certified Trauma Professional 
  • National Certified Counselor
  • Trained in TBRI
  • TAC (Training for Adoption Competency)

Fees & Payment Information 


  • Sliding scale: $60-90 depending on household income


  • Straight Medicaid for foster & adoptive teens
  • Managed Medicaid plans Healthy Blue and UHC-Community plan.  
  • Some Aetna plans


Availability and Location


  • Tuesday-Saturday for individual appointments
  • Available both telehealth and in-person


  • Saint Charles office
  • In-Home in Ballwin/Manchester area on Tuesdays 

Get to know Alexa!

Alexa has recently moved here from the east coast.  Outside of the office Alexa enjoys spending time with her extended family and her friends.


Work with Alexa!

Working with Alexa clients can expect empathy and understanding, they will know that their therapist is passionate about supporting them. Her clients report that she is very engaged both in the session and outside of the clinical time in office, the clients appreciate the dedication she has towards her client’s wellbeing.  If you are interested in working with her, please call 636-255-0002 or schedule through our online form.