Mental Health Therapist Jobs in North Carolina
Mental Health Therapist jobs in North Carolina are in strong and sustained demand, concentrated in community mental health centers, hospital systems, private group practices, and school-based programs, with openings at every level from entry-level associate therapist through licensed clinical supervisor. The largest hiring metros are Charlotte, Raleigh-Durham, and Greensboro, where employers such as Atrium Health, UNC Health, and Novant Health maintain consistent mental health service lines. The most sought-after specialties include trauma-informed care, substance use counseling, and child and adolescent therapy. 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
See All 78 Mental Health Therapist Jobs in North Carolina
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Find Mental Health Therapist JobsMental Health Therapist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Mental Health Therapist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Blue Ridge Health11

- RHA Health Services4

- Pride In North Carolina4

- Lyra Health3

- Geode Health3

Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in mental health therapist jobs across North Carolina.
- Active Licensed Clinical Social Worker or Licensed Professional Counselor credential in North Carolina
- Master's degree in counseling, social work, psychology, or a closely related field
- Experience delivering individual, group, or family therapy in a clinical setting
- Proficiency with electronic health records and clinical documentation standards
- Ability to conduct psychosocial assessments and develop individualized treatment plans
- Experience working with populations such as children, adolescents, or adults with co-occurring disorders
Mental Health Therapist Jobs in North Carolina: Frequently Asked Questions
How do you become a mental health therapist in North Carolina?
Becoming a mental health therapist in North Carolina requires earning a master's degree in counseling, social work, or a related field and then obtaining licensure through the North Carolina Board of Licensed Clinical Mental Health Counselors or the North Carolina Social Work Certification and Licensure Board, depending on your degree. Candidates typically complete supervised post-graduate hours before sitting for the required licensure exam and applying for a full clinical license.
Which companies hire mental health therapists in North Carolina?
Employers hiring mental health therapists in North Carolina right now include Blue Ridge Health, RHA Health Services, and Pride In North Carolina, based on current listings on Migrate Mate as of October 2026. Large health systems, community behavioral health agencies, and school districts across the state represent the most consistent sources of full-time openings.
Which North Carolina cities have the most mental health therapist jobs?
Wilmington, Raleigh, and Charlotte have the most mental health therapist openings in North Carolina. Charlotte and Raleigh-Durham lead because of their large hospital networks and rapidly growing populations, while Greensboro and the Triad region generate steady demand through established community mental health centers and regional medical systems serving a broad geographic area.
Are there remote mental health therapist jobs in North Carolina?
Yes, and more than many clinical roles, because telehealth therapy has become a recognized standard of care. About 60% of mental health therapist openings tied to North Carolina are remote or hybrid as of October 2026, reflecting the state's investment in expanding behavioral health access. Outpatient individual therapy sessions are the most commonly delivered in a fully remote or telehealth format.
How can I get hired as a mental health therapist in North Carolina with little or no experience?
The most realistic entry path is applying for associate or provisionally licensed positions that allow you to accumulate supervised clinical hours toward full licensure. Large North Carolina employers such as Atrium Health and UNC Health, as well as regional community mental health agencies, regularly hire associate-level therapists working under supervision. Completing a practicum or internship at a North Carolina site and obtaining your provisional LPC or LCSW credential gives candidates a clear competitive edge.
Where can I find and apply to mental health therapist jobs in North Carolina?
You can find and apply to mental health therapist jobs in North Carolina on Migrate Mate, which lists current openings across the state. Search the available roles, find the ones that fit your credentials and location, and apply directly without creating a profile or signing up.
See All 78 Mental Health Therapist Jobs in North Carolina
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