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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Licensed Mental Health Counselor (LMHC / LCSW / LPC)
Join Our Growing Behavioral Health Team at Visiting Wellness!
Visiting Wellness is seeking dedicated and compassionate Licensed Mental Health Counselors, Licensed Clinical Social Workers, and Licensed Professional Counselors (LMHC / LCSW / LPC) to provide services to patients throughout North Carolina.
About the Role
As a Teletherapy Mental Health Clinician with Visiting Wellness, you will provide evidence-based behavioral health services through secure virtual sessions.
Responsibilities include:
Conducting comprehensive mental health assessments via telehealth
Developing and implementing individualized treatment plans based on patient needs and goals
Providing individual and family therapy using evidence-based approaches such as CBT, mindfulness-based interventions, and solution-focused therapy
Monitoring patient progress and adjusting treatment plans as clinically appropriate
Collaborating with families, social workers, healthcare providers, and other members of the care team
Maintaining accurate and timely clinical documentation, including evaluations, treatment plans, and progress notes
Maintaining patient confidentiality and complying with all applicable ethical, legal, and telehealth requirements
Participating in training, supervision, and professional development as required
Qualifications
Master’s degree or higher in Mental Health Counseling, Psychology, Social Work, or a related behavioral health field from an accredited institution
Active North Carolina LMHC, LCSW, or LPC license in good standing — required
Experience providing direct therapy services preferred
Strong clinical assessment, treatment-planning, and communication skills
Ability to establish rapport and effectively engage patients through telehealth
Ability to work independently and manage a remote caseload
Minimum of 2 years of direct clinical therapy experience preferred
Reliable internet connection and appropriate private workspace for telehealth sessions
Job Details
Job Type: Full-time, Part-time, or Per Diem
Schedule: Flexible scheduling with day, evening, and weekend opportunities available
Compensation: Competitive rates based on experience and credentials
Benefits
Flexible scheduling
Ability to build a caseload that works with your availability
Supportive administrative and clinical team
Professional growth and development opportunities
Opportunity to serve patients throughout Nebraska
Strong commitment to clinician support and work-life balance
Why Join Visiting Wellness?
At Visiting Wellness, we are committed to expanding access to quality behavioral health services while supporting our clinicians with flexibility, collaboration, and ongoing resources.
If you are passionate about providing high-quality mental health services and are looking for a flexible teletherapy opportunity, we would love to hear from you.
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 JobsMental Health Counselor Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Mental Health Counselor Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring


Top Industries Hiring
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- 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.
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