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.

Find Mental Health Counselor Jobs

Overview

Open roles43
Top employerLifeStance Health
Top cityCharlotte, NC
Cities hiring29
Work type53% On-site
Top industrySocial Media

Showing 5 of 43+ Mental Health Counselor jobs

Licensed Clinical Mental Health Counselor
We won't show you this job again
New 2h ago
Licensed Clinical Mental Health Counselor
Blue Ridge Addiction Medicine
Asheville, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
On-Site

Have you applied for this role?

Licensed Clinical Mental Health Counselor / Licensed Clinical Social Worker
We won't show you this job again
Added 1d ago
Licensed Clinical Mental Health Counselor / Licensed Clinical Social Worker
Purposeful Living Counseling Services
Greensboro, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
Hybrid

Have you applied for this role?

Counselor-Mental Health and Crisis Intervention Specialist (Updated Requirements)
We won't show you this job again
Added 4d ago
Counselor-Mental Health and Crisis Intervention Specialist (Updated Requirements)
South Piedmont Community College
Polkton, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
Master's degree in social work
201-500

Have you applied for this role?

Licensed Mental Health Counselor
We won't show you this job again
Added 1w ago
Licensed Mental Health Counselor
Jodi Province Counseling Services
Wilkesboro, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$4,000 - $10k/yr
On-Site

Have you applied for this role?

Mental Health Counselor
We won't show you this job again
Added 2w ago
Mental Health Counselor
Foundations Health Solutions
High Point, North Carolina
Customer Service
Healthcare Administration
Patient Services & Wellbeing
On-Site
5,001-10,000

Have you applied for this role?

See All 43 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

Mental Health Counselor Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Charlotte
4 jobs
Raleigh
3 jobs
Winston-Salem
3 jobs
Clyde
2 jobs
Shelby
2 jobs
Asheville
2 jobs
Salisbury
2 jobs
Greensboro
2 jobs
Angier
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

LifeStance Health3 open roles
Catholic Charities3 open roles
Alexander Youth Network3 open roles

Top Industries Hiring

  • Social Media
  • Technology & Software
  • Marketing & Advertising

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 LifeStance Health, Catholic Charities, and Alexander Youth Network, based on current listings on Migrate Mate as of October 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?

Charlotte, Raleigh, and Winston-Salem 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 47% of mental health counselor openings tied to North Carolina are remote or hybrid as of October 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 43 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