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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Overview

Open roles129+
Top employerThriveworks
Top cityCharlotte, NC
Cities hiring45
Work type54% On-site
Top industryHealthcare

Showing 5 of 129+ Licensed Therapist jobs

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Licensed Mental Health Therapist
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B
Added 1d ago
Licensed Mental Health Therapist
Battle Mental Health PLLC
Rocky Mount, North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$55 - $70/hr
Hybrid

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Steadfast Health
Licensed Therapist (LCMHC, LCSW, or LMFT and LCAS) – Substance Use Disorder
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Steadfast Health
Added 1d ago
Licensed Therapist (LCMHC, LCSW, or LMFT and LCAS) – Substance Use Disorder
Steadfast Health
Raleigh, North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
11-50

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Old Vineyard Behavioral Health Services
Licensed Therapist - Inpatient Behavioral Health Hospital
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Old Vineyard Behavioral Health Services
Added 1d ago
Licensed Therapist - Inpatient Behavioral Health Hospital
Old Vineyard Behavioral Health Services
Winston-Salem, North Carolina
Customer Service
Customer Support
Hospitality & Guest Services
$66k - $82k/yr
On-Site
Master's degree in social work

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Ivy Health
Licensed Physical Therapist
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Ivy Health
Added 1d ago
Licensed Physical Therapist
Ivy Health
Apex, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$80k - $90k/yr
5,001-10,000

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Old Vineyard Behavioral Health Services
Licensed Therapist, Inpatient Adolescents
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Old Vineyard Behavioral Health Services
Added 2d ago
Licensed Therapist, Inpatient Adolescents
Old Vineyard Behavioral Health Services
Winston-Salem, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
Master's degree in social work

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See All 129+ Licensed Therapist Jobs in North Carolina

Find roles in North Carolina that match your experience and apply in just a few clicks.

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Licensed Therapist Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Charlotte
20 jobs
Raleigh
15 jobs
Cary
7 jobs
Winston-Salem
7 jobs
Cornelius
6 jobs
Greensboro
5 jobs
Chapel Hill
5 jobs
Durham
4 jobs
Monroe
3 jobs

Licensed Therapist Job Market in North Carolina

A snapshot from current North Carolina openings, updated as new roles post.

Who's Hiring

  • Thriveworks
    Thriveworks15
  • Hand & Stone Massage and Facial Spa
    Hand & Stone Massage and Facial Spa12
  • HealthPRO Heritage
    HealthPRO Heritage8
  • Ivy Rehab Network
    Ivy Rehab Network5
  • JEM Wellness Brands
    JEM Wellness Brands5

Top Industries Hiring

  • Healthcare & Medical Services
  • Sports & Recreation
  • 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 Thriveworks, Hand & Stone Massage and Facial Spa, and HealthPRO Heritage, based on current listings on Migrate Mate as of August 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?

Charlotte, Raleigh, 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 46% of licensed therapist openings tied to North Carolina are remote or hybrid as of August 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.

See All 129+ Licensed Therapist Jobs in North Carolina

Find roles in North Carolina that match your experience and apply in just a few clicks.

Find Licensed Therapist Jobs