Clinical Therapist Jobs in Texas
Clinical Therapist jobs in Texas are among the most active in the country, concentrated in behavioral health centers, community mental health agencies, school districts, and large integrated hospital systems, with openings at every level from practicum-eligible new graduates through licensed senior clinicians. The heaviest hiring is in Houston, Dallas, and San Antonio, where employers such as Integral Care, The Harris Center for Mental Health and IDD, and Baylor Scott & White Health maintain ongoing clinical therapist needs. Substance use treatment, trauma-informed care, and child and adolescent therapy are the specialties drawing the most consistent demand across the state. Find a role that fits below and apply directly.
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2. SLP-CF must complete all requirements for provisional licensure, if applicable to the state, and practice in accordance to state licensure requirements and professional standards for the duration of the provisional license and Clinical Fellowship. If no provisional licensure in the state, must meet the supervision requirements set forth by CMS for patients with Medicare for the duration of the Clinical Fellowship.
3. Communicates status of Clinical Fellowship and licensure to direct supervisor and Director of Rehab in a timely manner. This includes status of necessary requirements, completion of required documentation for Clinical Fellowship, and completion of licensure documentation and application as well as receipt of CCC and permanent license.
4. SLP-CF will not be eligible to provide supervision to students during the Clinical Fellowship.
5. Meets productivity standards for the rehab gym, or as directed by the Director of Rehab/Clinical Operations Area Director.
6. Attends and contributes to patient care, staffing conferences and other related meetings.
7. Makes referrals to other disciplines, agencies in order to address the comprehensive needs of the patient.
8. Consults with other members of the rehabilitation team to select the most appropriate therapeutic regimen consistent with the needs and capabilities of each patient.
9. Adapts program and/or plan of care according to the needs of the individual patient.
10. Promotes a safe environment and enforces the elimination of fire and safety hazards.
11. Orders supplies and equipment as necessary.
12. Cleans, maintains, identifies, and reports the need for repair of equipment, as necessary.
13. Puts Patient Service first, ensuring that residents and families receive the highest quality of service in a caring and compassionate atmosphere which recognizes the individual's needs and rights.
14. Screens, examines and evaluates patients, including history, systems review, and application of appropriate tests and measures, synthesis information and interprets examination findings in order to establish a diagnosis, identify impairments, determine the predicted level of improvement and the time required to achieve it, identify precautions/contraindications and design and plan of care. Develops appropriate treatment goals and methods in collaboration with the patient and caregivers, implements the speech language pathology treatment plan, and completes all related documentation and record keeping regarding these services. Services include but are not limited to application of therapeutic techniques in areas such as:
- cognitive-communication
- speech intelligibility
- oral motor skills
- swallowing disorders/dysphagia
- perceptual abilities
- orientation
- memory
- pragmatics
- psychosocial expression
- functional communication
16. Facilitates identification of hearing deficits and appropriately refers for assessment, diagnosis rehabilitation and/or personal amplification.
17. Selects appropriate activities suited to the individual's physical and mental capacity, intelligence level and interest.
18. Instructs patient in the skills and techniques required for participation in therapeutic activities, and evaluates patient progress, attitudes and behavior as related to rehabilitative potential.
19. Performs routine reexamination as needed/required to modify/progress plan of treatment.
20. Performs other related duties as required.
Qualifications:
2. The Speech Language Pathologist must be licensed, certified or credentialed, as required in the state of practice.
See All 28 Clinical Therapist Jobs in Texas
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Find Clinical Therapist JobsClinical Therapist Jobs by City in Texas
Where Texas roles are concentrated, by current openings.
Clinical Therapist Job Market in Texas
A snapshot from current Texas openings, updated as new roles post.
Who's Hiring

Top Industries Hiring
- Insurance
- Healthcare & Medical Services
What Texas Employers Look For
The qualifications that appear most often in clinical therapist jobs across Texas.
- Active Texas LPC, LCSW, or LMFT license or eligible for Texas licensure
- Master's degree in counseling, social work, psychology, or a related clinical field
- Experience delivering individual and group therapy using evidence-based modalities
- Proficiency with electronic health records and clinical documentation standards
- Ability to conduct psychosocial assessments and develop individualized treatment plans
- Strong communication skills for collaboration with multidisciplinary care teams
Clinical Therapist Jobs in Texas: Frequently Asked Questions
How do you become a clinical therapist in Texas?
Becoming a clinical therapist in Texas requires a master's degree in counseling, social work, or marriage and family therapy followed by supervised post-graduate hours and a licensing exam. The Texas State Board of Examiners of Professional Counselors oversees LPC licensure, while LCSW applicants work through the Texas State Board of Social Worker Examiners and LMFT candidates through the Texas State Board of Examiners of Marriage and Family Therapists. Each board sets its own supervised hours requirement before you can sit for the licensing exam.
Which companies hire clinical therapists in Texas?
Employers hiring clinical therapists in Texas right now include The Women's Home, Ellie Mental Health, and Safe Place Counseling, based on current listings on Migrate Mate as of August 2026. Texas's large community mental health center network and integrated health systems mean clinical therapist openings are distributed across both urban medical campuses and county-funded behavioral health agencies throughout the state.
Which Texas cities have the most clinical therapist jobs?
Houston, Austin, and Dallas consistently post the most clinical therapist openings in Texas. Houston and Dallas lead because of their dense networks of hospital systems, community mental health centers, and private group practices, while San Antonio's large military population and VA facilities drive steady demand for trauma-specialized and veterans-focused clinical roles.
Are there remote clinical therapist jobs in Texas?
Yes, and more than many clinical fields, because telehealth therapy has become widely accepted. About 57% of clinical therapist openings tied to Texas are remote or hybrid as of August 2026, reflecting how many Texas practices and health systems expanded virtual care delivery. Individual and outpatient talk therapy sessions are the most common services delivered remotely, while crisis assessment and group facilitation roles tend to remain on-site.
How can I get hired as a clinical therapist in Texas with little or no experience?
The most realistic entry path is applying for associate or intern-level clinician roles at Texas community mental health centers such as Integral Care in Austin or the Hill Country Mental Health and Developmental Disabilities Center, which regularly bring on provisionally licensed candidates accruing supervised hours. School district counselor aide positions and case manager roles at Texas Health and Human Services-contracted agencies are common lateral entry points. Holding your Texas LPC Associate or LMSW credential before applying gives you a clear advantage over candidates who have not yet begun the licensure process.
Where can I find and apply to clinical therapist jobs in Texas?
You can find and apply to clinical therapist jobs in Texas on Migrate Mate, which lists current openings tied to Texas employers. Search the listings to find roles that match your license level, specialty, and preferred location, then apply directly to the ones that fit.
See All 28 Clinical Therapist Jobs in Texas
Find roles in Texas that match your experience and apply in just a few clicks.
Find Clinical Therapist Jobs