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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Overview

Open roles78
Top employerBlue Ridge Health
Top cityWilmington, NC
Cities hiring36
Work type40% On-site
Top industryHealthcare

Showing 5 of 78+ Mental Health Therapist jobs

Licensed Mental Health Therapist
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Added 2d ago
Licensed Mental Health Therapist
Roots Psychology, PLLC
Asheville, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$83k.64 - $100k.76/yr
On-Site
Doctoral degree

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Licensed Mental Health Therapist
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Added 4d ago
Licensed Mental Health Therapist
Positive Life Services
Lexington, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$35 - $40/hr
On-Site
Master's degree in social work

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Telehealth Licensed Mental Health Therapist
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Added 4d ago
Telehealth Licensed Mental Health Therapist
L & L GROUP INC
North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling

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Mental Health Therapist
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Added 5d ago
Mental Health Therapist
Blue Ridge Health
Clyde, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
501-1,000

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Licensed Mental Health Therapist (Foster Care)
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Added 5d ago
Licensed Mental Health Therapist (Foster Care)
CTSHealth
Greensboro, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$55k - $65k/yr
Master's degree

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See All 78 Mental Health Therapist Jobs in North Carolina

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Mental Health Therapist Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Wilmington
7 jobs
Raleigh
5 jobs
Charlotte
5 jobs
Greensboro
5 jobs
Durham
4 jobs
Asheville
4 jobs
Hendersonville
4 jobs
Sylva
3 jobs
Lenoir
2 jobs

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

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

Find Mental Health Therapist Jobs