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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Salary: up to $85,000 / year
Listed: Full-time Therapist
Location: Langdon, ND onsite
Responsibilities:
- Collaborate with a small disciplinary team comprised of a psychiatric physician, RN Director, and medical office coordinator providing services to the senior population
- Use evidenced based therapeutic approaches and develop, personalize, and update treatment plans with your team
- Provide compliant documentation based on Medicare guidelines within a designated time-frame
- Our main focus is utilizing group therapy but also include:
- Individual sessions
- Family therapy (as needed)
- Assist with local community education
- Other duties as assigned
Work-Life Balance:
- Monday-Friday
- No Weekends
- No On-Call
- 7 Paid Holidays Off Per Year
- PTO accrual
Competitive Benefits:
- Practically Free Vision & Dental
- Practically Free Medical Starting As Low As $70/Month
- Matching 401k - vested on day one
- Furthering Education Assistance
Unmatched Clinical Support:
- We have online resources at your fingertips 24/7, including a group curriculum toolkit.
- We connect you with our top therapists/social workers for peer-to-peer training and support.
- Previous Senior Life Solution employees ready to train you.
About us:
Senior Life Solutions, an intensive outpatient therapy program designed to meet the unique needs of individuals, typically 65 and older, experiencing depression and/or anxiety related to life changes often associated with aging.
Requirements:- Licensure: License in Social Work or Counseling as recognized by the state; may include LISW, LCSW, LPC, LMFT, etc. – required
- Work with kindness and accountability to enhance the quality of life for our patients. required
Other
- Upon an applicant’s request, the Company will consider a reasonable accommodation.
- Successful completion of a full background check is required for employment. At times, this may include drug testing.
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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 Psychiatric Medical Care, NOCD, and Sevita, based on current listings on Migrate Mate as of November 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, Grand Forks, and Langdon. 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 100% of mental health therapist openings tied to North Dakota are remote or hybrid as of November 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
Find roles in North Dakota that match your experience and apply in just a few clicks.
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