Mental Health Therapist Jobs in North Dakota
Mental Health Therapist jobs in North Dakota are concentrated in Fargo, Bismarck, and Grand Forks, where outpatient clinics, community behavioral health centers, and health systems actively recruit across individual therapy, substance use counseling, and trauma-focused care. Established employers with a consistent hiring presence include Sanford Health, CHI St. Alexius Health, and Southeast Human Service Center, covering roles from entry-level clinicians to licensed independent practitioners. Demand is especially steady in rural and underserved community settings, where North Dakota's workforce shortage keeps openings open longer than in most markets. See the openings below and apply to the ones that match your experience.
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Remote Licensed Mental Health Therapist (LCSW, LPC, LMFT)—1099 Contractor | Telehealth
Join Brightside Health as a 100% remote, 1099 contractor therapist. Build a flexible, sustainable telehealth practice with steady referrals, free CEUs, malpractice coverage, and strong clinical support.
86% of our patients experience meaningful improvement within 12 weeks.
About Brightside Health
At Brightside Health, we’re redefining telehealth through evidence-based, measurement-driven behavioral health care. Our model combines proven clinical frameworks with technology and human-centered care to deliver real outcomes—and our data backs it up.
We are uniquely positioned with specialized programs including:
Suicide Prevention Program (CAMS training provided)
Teen Therapy Program
Intensive Outpatient Program (IOP) for mental health and substance use
Our therapists choose Brightside for the ability to build a flexible, sustainable private practice with strong clinical and operational support—and the freedom to do meaningful work on their own terms.
Is This Role a Fit?
This role is a great fit if you're a licensed psychotherapist who wants:
Flexibility without isolation—set your own schedule with a built-in clinical community
Clinical depth without admin overload—we handle billing, credentialing, and insurance so you don't have to
A steady caseload without the marketing—we bring the referrals to you
Meaningful, high-impact work—with outcome data to prove it
Minimum availability: 9 hours per week across at least 2 days. Many therapists start here and grow their caseload at their own pace.
About the Role
We are hiring licensed Remote Mental Health Therapists (LCSW, LMFT, LMHC, LPC, LCPC, LICSW, LISW, LIMHP, PsyD, PhD) to deliver high-quality telehealth therapy across our general mental health program. Therapists also have the opportunity to opt into specialized care tracks including Suicide Prevention, Teen Therapy, and IOP.
What You’ll Do
Deliver weekly telehealth (video-based) therapy sessions to individuals across a range of behavioral health conditions
Apply evidence-based approaches including CBT and the Unified Protocol (UP); additional modalities such as ACT, DBT, and EMDR are welcomed
Use measurement-based care to track progress via digital assessments
Collaborate with psychiatrists and fellow therapists for integrated care
Maintain documentation using our AI-enabled, HIPAA-compliant EMR
Why Join Brightside?
Proven clinical impact: 86% of patients improve within 12 weeks
True flexibility: Build your ideal private practice caseload and set your own pace—protect your work-life balance and avoid burnout while doing meaningful work
Specialized clinical opportunities: Opt into Suicide Prevention (with free CAMS training), Teen Therapy, and IOP programs
Strong clinical support: Case consult groups, clinical advisors, peer collaboration, and ongoing professional development
Tech-enabled care: AI-powered EMR, measurement-based care tools, and streamlined HIPAA-compliant workflows
Steady referrals: Consistent client demand so you can grow your practice quickly
What We Offer:
Compensation: $83-103 per 53+ minute session, depending on state and program participation
Payment protection: Get paid for no-shows and late cancellations
Free malpractice insurance coverage included
Free CEUs + CAMS suicide prevention training
100% remote, flexible 1099 contractor role
Flexible scheduling: Create your own schedule, Monday–Sunday, 7am–9pm
Dedicated operational support: Billing, credentialing, insurance, and IT handled for you
Self-paced onboarding: Primarily asynchronous—move at your own pace and typically be seeing clients within 2 to 4 weeks
AI-powered documentation tools to reduce admin burden
Health insurance guidance available through Stride Health
Qualifications:
Master’s or Doctorate in Psychology, Counseling, or Social Work
Active independent license (LCSW, LMFT, LMHC, LPC, LCPC, LICSW, LISW, PsyD, PhD)
2+ years experience delivering CBT and other evidence-based therapies to adults
Experience with telehealth or online therapy
Comfortable treating diverse populations across behavioral health conditions
Tech-comfortable and open to digital tools in care delivery
Ability to commit to a minimum of 9 hours of availability per week across at least 2 days
Experience with higher-acuity populations and/or adolescents preferred
Multi-state licensure a strong plus
Apply Today!
Shape the future of telehealth behavioral health care while building a flexible, sustainable career. Apply today and make a lasting difference with Brightside Health.
Learn more at: www.brightside.com/careers
We know that diversity fosters innovation, inclusivity, and better care. We are committed to equity and encourage candidates of all backgrounds to apply, even if your experience isn’t an exact match. Brightside is proud to be an Equal Opportunity Employer and does not discriminate based on race, color, gender, sexual orientation, gender identity, age, religion, disability, national origin, veteran status, or any other status protected by law.
#LI-Remote #Indeed-Remote
See All 10 Mental Health Therapist Jobs in North Dakota
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Find Mental Health Therapist JobsMental Health Therapist Jobs by City in North Dakota
Where North Dakota roles are concentrated, by current openings.
Mental Health Therapist Job Market in North Dakota
A snapshot from current North Dakota openings, updated as new roles post.
Who's Hiring



What North Dakota Employers Look For
The qualifications that appear most often in mental health therapist jobs across North Dakota.
- Active North Dakota Licensed Professional Counselor or Licensed Clinical Social Worker credential required
- Master's degree in counseling, social work, psychology, or a closely related clinical field
- Experience delivering individual and group therapy in outpatient or community behavioral health settings
- Proficiency with electronic health record documentation and treatment plan development
- Familiarity with evidence-based modalities such as CBT, DBT, or trauma-informed care
- Ability to work with diverse populations including rural communities and underserved clients
Mental Health Therapist Jobs in North Dakota: Frequently Asked Questions
How do you become a mental health therapist in North Dakota?
You become a mental health therapist in North Dakota by earning a master's degree in counseling, social work, or a related clinical field and then obtaining licensure through the North Dakota Board of Counselor Examiners or the North Dakota Board of Social Work Examiners, depending on your discipline. Most positions require passing the National Counselor Examination or the ASWB clinical exam. After graduation, candidates typically complete a supervised post-degree hours requirement before applying for full licensure.
Which companies hire mental health therapists in North Dakota?
Employers hiring mental health therapists in North Dakota right now include SonderMind, Lyra Health, and Brightside Health, based on current listings on Migrate Mate as of August 2026. Sanford Health and CHI St. Alexius Health are among the largest and most consistent systems hiring across both urban clinics and community-based behavioral health programs throughout the state.
Which North Dakota cities have the most mental health therapist jobs?
The cities with the most mental health therapist openings in North Dakota are Fargo, Bismarck, and Grand Forks. Fargo leads because it anchors the state's largest health system footprint and houses Sanford Health's regional behavioral health operations, while Bismarck draws consistent demand from state-run human service centers and CHI St. Alexius Health, and Grand Forks benefits from its university hospital presence and the Southeast Human Service Center.
Are there remote mental health therapist jobs in North Dakota?
Yes, and more than most clinical fields, because licensed therapists can deliver individual and group sessions entirely via telehealth without hands-on procedures. About 67% of mental health therapist openings tied to North Dakota are remote or hybrid as of August 2026, reflecting the state's strong push to extend care into rural and frontier counties where in-person providers are scarce. Telehealth-only caseloads are most common in outpatient adult therapy and substance use counseling roles.
How can I get hired as a mental health therapist in North Dakota with little or no experience?
The most realistic entry path is applying for associate counselor or unlicensed clinician roles at community behavioral health centers such as Southeast Human Service Center or Lake Region Human Service Center, which regularly hire candidates who are still accruing supervised hours toward full licensure. Case manager and psychiatric rehabilitation specialist positions at these same agencies are common lateral moves that build clinical hours. Holding a provisional license from the North Dakota Board of Counselor Examiners and completing a structured supervision agreement with a qualified supervisor significantly strengthens a new applicant's standing.
Where can I find and apply to mental health therapist jobs in North Dakota?
You can find and apply to mental health therapist jobs in North Dakota on Migrate Mate, which lists current openings from employers actively hiring across the state. Search the listings, find roles that fit your license level, specialty, and preferred location, and apply directly to the ones that match your experience.
See All 10 Mental Health Therapist Jobs in North Dakota
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