Licensed Therapist Jobs in North Carolina
Licensed Therapist jobs in North Carolina are in strong and steady demand, concentrated across community mental health centers, hospital systems, private group practices, and K-12 school districts, with openings at every level from newly licensed associates through senior clinicians and clinical directors. The heaviest hiring is in Charlotte, Raleigh-Durham, and Greensboro, where established employers such as Atrium Health, UNC Health, and Cone Health maintain active behavioral health programs. Substance use counseling, trauma-informed care, and child and adolescent therapy are consistently the most sought-after specializations across North Carolina markets. Find a role that fits below and apply directly.
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Carolina Psychological Assessment Center (CPAC) is hiring a full-time Licensed Therapist (LCMHC, LMFT). We are a private practice in the heart of beautiful Asheville, NC in the Blue Ridge Mountains. Our practice provides comprehensive psychological assessments and counseling services for children and adults. We have an established referral base and are especially sought out for our strength-based approach and neurodiversity framework in assessments and therapy. Learn more about us at .
Essential functions:
·Provide case management and individual therapy services to a diverse client population and age range.
- Develop a specialty practice and offer therapy for specific clinical concerns or the population you hope to serve.
·Contractor position so there is freedom with your schedule and the number of clients per week. Build your own caseload in a thriving practice!
·Consult closely with referral agents, such as Psychiatrists, Psychologists, Therapists, Educators, and Primary Care Physicians.
Exciting Perks!
· We are a small practice and tight knit team. We care about each other and focus on staff well-being, autonomy, and positive workplace culture
· Beautiful furnished personal office in the heart of Asheville with exterior door to a back patio
· Competitive Salary
· Flexibility in schedule and autonomy in both specialization area and volume of clients
· Professional development assistance
· Continuing education financial support
· 401K retirement plan with company match, disability and other insurance plans through Aflac
· Free credentialing with all our insurance panels
· Established referral base
· Personalized administrative support with scheduling and billing clients
Requirements:
·Graduate or Doctoral degree in Counseling or a related field
·Valid mental health licensure in North Carolina as LCMHC, LSCW, LMFT (or willing to obtain licensure in NC)
·At least 1 year of post-graduate experience as a therapist
· A strong appreciation for a collaborative and interdisciplinary approach to mental health services
· A commitment to diversity, equity, and inclusion in both clinical care and collaboration with colleagues
·Dedication to professional growth, clinical excellence, and ethical practice
·Strong communication skills
·Basic computer skills
To apply, please send your resume to Rob Durr, Ph.D. at rob@carolinapsyc.com
Job Types: Full-time, Part-time, Contract
Pay: $83,186.64 - $100,181.76 per year
Benefits:
- Professional development assistance
Work Location: In person
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Find Licensed Therapist JobsLicensed Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Licensed Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Hand & Stone Massage and Facial Spa13

- Ivy Health10
- Prava Therapy8

- Thriveworks6

- JEM Wellness Brands6

Top Industries Hiring
- Healthcare & Medical Services
- Insurance
- Consulting & Professional Services
What North Carolina Employers Look For
The qualifications that appear most often in licensed therapist jobs across North Carolina.
- Active Licensed Clinical Social Worker, LPC, or LMFT licensure issued by North Carolina
- Master's degree in counseling, social work, marriage and family therapy, or related field
- Clinical experience providing individual, group, or family therapy in a professional setting
- Proficiency with electronic health records and clinical documentation standards
- Ability to conduct diagnostic assessments and develop individualized treatment plans
- Strong knowledge of evidence-based modalities such as CBT, DBT, or trauma-focused therapy
Licensed Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a licensed therapist in North Carolina?
Licensure in North Carolina is issued by the North Carolina Board of Licensed Clinical Mental Health Counselors for LPCs, the North Carolina Social Work Certification and Licensure Board for LCSWs, or the NC Marriage and Family Therapy Licensure Board for LMFTs, depending on your discipline. Each path requires a qualifying master's degree, a period of supervised clinical hours, and passage of a board-approved licensure exam. Associate-level licenses are available while completing supervision requirements.
Which companies hire licensed therapists in North Carolina?
Employers hiring licensed therapists in North Carolina right now include Hand & Stone Massage and Facial Spa, Ivy Health, and Prava Therapy, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems, federally qualified health centers, and community mental health organizations account for a significant share of consistent openings across the state.
Which North Carolina cities have the most licensed therapist jobs?
Raleigh, Charlotte, and Cary have the most licensed therapist openings in North Carolina. Charlotte and Raleigh-Durham lead because of their large hospital networks, dense population, and growing behavioral health infrastructure, while Greensboro's concentration of community mental health centers and regional medical centers drives consistent demand in the Piedmont Triad.
Are there remote licensed therapist jobs in North Carolina?
Yes, and more than many clinical fields, because telehealth-based therapy is a well-established delivery model that does not require in-person presence for many outpatient cases. About 40% of licensed therapist openings tied to North Carolina are remote or hybrid as of October 2026, reflecting how widely North Carolina providers have adopted teletherapy platforms. Outpatient individual and group counseling roles are the most likely to be offered remotely.
How can I get hired as a licensed therapist in North Carolina with little or no experience?
The most realistic entry path is pursuing an associate license, such as the Licensed Clinical Mental Health Counselor Associate issued by the North Carolina Board, while accumulating supervised hours under a qualified clinical supervisor. Large North Carolina health systems like UNC Health and community mental health agencies such as Monarch and Trillium Health Resources regularly hire clinicians at the associate level. Completing a graduate-level practicum in a North Carolina clinical setting and obtaining a specialty certification in a high-need area like substance use or childhood trauma strengthens candidacy significantly.
Where can I find and apply to licensed therapist jobs in North Carolina?
You can find and apply to licensed therapist jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring across the state. Find roles that fit your license type, specialization, and preferred location, then apply directly to the employer. No signup is required to search current listings.
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