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 roles65
Top employerBlue Ridge Health
Top cityCary, NC
Cities hiring31
Work type53% On-site
Top credentialMaster's degree in social work

Showing 5 of 65+ Mental Health Therapist jobs

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Licensed Mental Health Therapist
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B
Added 1d ago
Licensed Mental Health Therapist
Battle Mental Health PLLC
Rocky Mount, North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$55 - $70/hr
Hybrid

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Independently Licensed Veteran and PTSD Mental Health Therapist
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I
Added 2d ago
Independently Licensed Veteran and PTSD Mental Health Therapist
Integrative Psychotherapy of North Carolina
Wilmington, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$62k - $85k/yr
Hybrid
Master's degree in social work

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RHA Health Services
Mental Health Therapist / Behavioral Health Team Lead
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RHA Health Services
Added 5d ago
Mental Health Therapist / Behavioral Health Team Lead
RHA Health Services
New Bern, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
5,001-10,000

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Integrated Care of Greater Health
Adolescent Mental Health & Substance Use Therapist
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Integrated Care of Greater Health
Added 6d ago
Adolescent Mental Health & Substance Use Therapist
Integrated Care of Greater Health
Hickory, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
On-Site
Master's degree in social work
51-200

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Licensed Mental Health Therapist (LCMHC, -A / LCSW, -A / LMFT, -A)
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S
Added 6d ago
Licensed Mental Health Therapist (LCMHC, -A / LCSW, -A / LMFT, -A)
Simply Thrive Therapeutic Associates
Cary, North Carolina
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$40 - $120/hr
On-Site

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See All 65 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.

Cary
5 jobs
Sylva
5 jobs
Raleigh
5 jobs
Charlotte
5 jobs
Wilmington
5 jobs
Fayetteville
3 jobs
Hendersonville
3 jobs
Apex
2 jobs
Hickory
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 Health
    Blue Ridge Health13
  • R
    Royal Phoenix Life Services4
  • Ellie Mental Health
    Ellie Mental Health3
  • RHA Health Services
    RHA Health Services3
  • B
    Brinkley Brown Mental Wellness3

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, Royal Phoenix Life Services, and Ellie Mental Health, based on current listings on Migrate Mate as of August 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?

Cary, Sylva, and Raleigh 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 47% of mental health therapist openings tied to North Carolina are remote or hybrid as of August 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 65 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