Mental Health Counselor Jobs in North Carolina

Mental Health Counselor jobs in North Carolina are in strong demand, with openings concentrated in community mental health centers, hospital systems, and outpatient behavioral health clinics at every level from entry-level associate counselor through licensed clinical director. Charlotte, Raleigh, and Greensboro generate the heaviest volume of postings, anchored by employers like Atrium Health, WakeMed, and Cone Health. Substance use counseling, trauma-informed care, and child and adolescent behavioral health are among the most consistently sought specialties across the state. Find a role that fits below and apply directly.

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Overview

Open roles42
Top cityWinston-Salem, NC
Cities hiring23
Work type46% On-site
Top industrySocial Media
Companies hiring30

Showing 5 of 42+ Mental Health Counselor jobs

Homeside Rehab
Licensed Mental Health Counselor (LMHC / LCSW / LPC)
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Homeside Rehab
Added 1d ago
Licensed Mental Health Counselor (LMHC / LCSW / LPC)
Homeside Rehab
Greensboro, North Carolina
Customer Service
Customer Support
Hospitality & Guest Services
Master's degree in social work

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Alexander Youth Network
Mental Health Counselor (Floater) - Triad
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Alexander Youth Network
Added 6d ago
Mental Health Counselor (Floater) - Triad
Alexander Youth Network
High Point, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
Bachelor's degree in social work
201-500

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Brighter Start Health
Full Time Mental Health IOP Counselor
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Brighter Start Health
Added 1w ago
Full Time Mental Health IOP Counselor
Brighter Start Health
North Carolina
Clinical Support
Healthcare Administration
Human Resources
$50k - $60k/yr
Remote (US)
11-50

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The Calming Center of Mount Airy
Mental Health Counselor
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The Calming Center of Mount Airy
Added 1w ago
Mental Health Counselor
The Calming Center of Mount Airy
Mount Airy, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
On-Site
Master of Counseling
2-10

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Child & Family Development
Licensed Clinical Mental Health Counselor (LCMHC)
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Child & Family Development
Added 1w ago
Licensed Clinical Mental Health Counselor (LCMHC)
Child & Family Development
Charlotte, North Carolina
Healthcare Administration
Patient Services & Wellbeing
Public Health
51-200

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See All 42 Mental Health Counselor Jobs in North Carolina

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Mental Health Counselor Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Winston-Salem
6 jobs
Charlotte
5 jobs
Greensboro
5 jobs
Raleigh
2 jobs
Asheville
2 jobs
Fayetteville
2 jobs
Clyde
1 job
Shelby
1 job
Polkton
1 job

Mental Health Counselor Job Market in North Carolina

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

Who's Hiring

A
Amethyst Consulting & Treatment Solutions, PLLC6 open roles
Alexander Youth Network
Alexander Youth Network5 open roles
Catholic Charities
Catholic Charities3 open roles

Top Industries Hiring

  • Social Media
  • Technology & Software
  • Marketing & Advertising
  • Healthcare & Medical Services

What North Carolina Employers Look For

The qualifications that appear most often in mental health counselor jobs across North Carolina.

  • Active Licensed Professional Counselor (LPC) credential issued by the North Carolina Board of Licensed Clinical Mental Health Counselors
  • Master's degree in counseling, clinical mental health counseling, or a closely related field
  • Experience providing individual, group, or family therapy in a clinical or community setting
  • Familiarity with electronic health records systems such as Epic, Cerner, or similar platforms
  • Strong knowledge of evidence-based modalities including CBT, DBT, or trauma-focused approaches
  • Ability to complete clinical documentation accurately and meet regulatory compliance standards

Mental Health Counselor Jobs in North Carolina: Frequently Asked Questions

How do you become a mental health counselor in North Carolina?

To become a licensed mental health counselor in North Carolina, you must earn a master's degree in counseling or a related field, complete the supervised clinical hours required by the North Carolina Board of Licensed Clinical Mental Health Counselors, and pass the National Counselor Examination. The Board issues the Licensed Professional Counselor Associate credential while you complete post-graduate supervision, then upgrades you to full LPC status once all requirements are met.

Which companies hire mental health counselors in North Carolina?

Employers hiring mental health counselors in North Carolina right now include Amethyst Consulting & Treatment Solutions, PLLC, Alexander Youth Network, and Catholic Charities, based on current listings on Migrate Mate as of August 2026. North Carolina's large integrated health systems and its network of community mental health centers funded through the state's Medicaid-managed behavioral health program are consistently among the most active hirers.

Which North Carolina cities have the most mental health counselor jobs?

Winston-Salem, Charlotte, and Greensboro have the most mental health counselor openings in North Carolina. Charlotte and Raleigh lead because of their large hospital systems and rapidly growing populations driving outpatient behavioral health demand, while Greensboro's concentration of community mental health organizations and VA-affiliated clinics supports steady hiring even outside the major metros.

Are there remote mental health counselor jobs in North Carolina?

Yes, and more than most clinical roles. About 54% of mental health counselor openings tied to North Carolina are remote or hybrid as of August 2026, reflecting how readily the profession adapted to telehealth platforms after widespread licensing changes made synchronous video sessions reimbursable. Individual therapy, intake assessment, and care coordination roles are the most likely to be listed as fully remote.

How can I get hired as a mental health counselor in North Carolina with little or no experience?

The most realistic entry path is applying for LPC Associate positions, which are designed for candidates who hold a master's degree but are still completing their supervised hours. Large North Carolina systems like Atrium Health and WakeMed, along with county-operated community mental health centers, regularly onboard LPC Associates and pair them with supervising clinicians. Case manager and behavioral health technician roles at those same organizations are strong lateral moves that build clinical exposure while you pursue full licensure.

Where can I find and apply to mental health counselor jobs in North Carolina?

You can find and apply to mental health counselor jobs in North Carolina on Migrate Mate, which lists current openings from employers actively hiring across the state. Search the listings for roles that match your license level and specialty, then apply directly to the ones that fit.

See All 42 Mental Health Counselor Jobs in North Carolina

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

Find Mental Health Counselor Jobs