OPT Licensed Therapist Jobs

Licensed Therapist jobs on OPT require employers to sponsor your work authorization before your OPT period ends. Most roles are in outpatient clinics, hospitals, and community mental health centers. Your state licensure status, STEM OPT eligibility, and the 90-day unemployment limit all affect your job search timeline.

See All OPT Licensed Therapist Jobs

Overview

Open Jobs182+
Top Visa TypeF-1 OPT
Work Type81% On-site
Median Salary$41K
Top LocationBoston, MA
Most JobsOptum

Showing 5 of 182+ Licensed Therapist jobs

Lifestance Health, Inc.
Outpatient Licensed Therapist LCSW LPC LMSW LMFT
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Lifestance Health, Inc.
Added 1d ago
Outpatient Licensed Therapist LCSW LPC LMSW LMFT
Lifestance Health, Inc.
Lansing, Michigan
Nursing
Allied Health
Healthcare Administration
Mental & Behavioral Health
Not listed
Hybrid
Master's

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Lifestance Health
Child and Adolescent Outpatient Licensed Therapist (LCSW, LMFT, LPC, LMSW)
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Lifestance Health
Added 5d ago
Child and Adolescent Outpatient Licensed Therapist (LCSW, LMFT, LPC, LMSW)
Lifestance Health
Kalamazoo, Michigan
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$90,000 - $114,500/yr
Hybrid
Master's

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Naphcare, Inc.
Licensed Therapist
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Naphcare, Inc.
Added 1w ago
Licensed Therapist
Naphcare, Inc.
Reno, Nevada
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$52.25/hr
On-Site
Master's
5,001-10,000

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CommonSpirit Health
Licensed Therapist
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CommonSpirit Health
Added 2w ago
Licensed Therapist
CommonSpirit Health
Woodland, California
Nursing
Allied Health
Healthcare Administration
Mental & Behavioral Health
$43/hr - $64/hr
Hybrid
2+ yrs exp.
Master's

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Optum
Licensed Therapist
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Optum
Added 3w ago
Licensed Therapist
Optum
Burlington, Massachusetts
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$69,100/yr - $103,800/yr
On-Site
2+ yrs exp.
Master's
10,000+

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Tips for Finding OPT Sponsorship in Licensed Therapist

Clarify your licensure status before applying

State licensure requirements vary. If you're still completing supervised hours toward full licensure, be upfront with employers. Many clinics hire pre-licensed therapists, but your OPT authorization must cover the supervised role you're actually performing.

Target employers familiar with work authorization

Large hospital systems, federally qualified health centers, and national behavioral health organizations are more likely to have HR teams experienced with OPT paperwork. Smaller private practices often lack the infrastructure to support work authorization requirements.

Address the 90-day unemployment limit proactively

OPT students can only accumulate 90 days of unemployment. If licensure delays push back your start date, those weeks count. Start your job search early enough to account for credentialing, background checks, and licensing board processing timelines.

Understand how STEM OPT applies to therapy roles

Most Licensed Therapist positions are not in STEM-designated fields, so the 24-month STEM OPT extension typically does not apply. Confirm your degree's CIP code with your DSO to know exactly how much authorized work time you have.

Ask about H-1B sponsorship at the offer stage

OPT is temporary. Before accepting an offer, confirm whether the employer is willing to sponsor an H-1B visa before your OPT expires. Social work and counseling roles qualify as specialty occupations, but not every employer will commit to sponsorship.

Document your supervised hours carefully during OPT

If you're accumulating supervised clinical hours toward licensure while on OPT, maintain detailed records. Your DSO may need documentation showing your work aligns with your degree program, which is required to remain in valid OPT status.

Licensed Therapist OPT: Frequently Asked Questions

Can I work as a Licensed Therapist on OPT without full state licensure?

Yes, if you're working under supervision toward licensure, your OPT can cover that role as long as it's directly related to your degree field. Your job title will typically be associate therapist, counselor intern, or similar. Confirm with your DSO that the position description aligns with your degree program before accepting the offer.

Does a Licensed Therapist role qualify for STEM OPT extension?

Most therapy and counseling degrees, including social work, clinical psychology, and marriage and family therapy, are not classified under STEM CIP codes. That means the 24-month STEM OPT extension is not available for most Licensed Therapist roles. Check your degree's CIP code with your DSO to confirm your total authorized work period.

How do I find Licensed Therapist employers who are open to OPT sponsorship?

Migrate Mate is built specifically for F-1 OPT students and filters jobs by visa sponsorship willingness, so you're not wasting applications on employers who won't work with your status. Large behavioral health networks, hospital systems, and community health centers tend to have more experience navigating work authorization than small private practices.

Does state licensure affect my OPT employment authorization?

Your OPT authorization comes from USCIS, not your state licensing board. However, you cannot legally practice therapy in most states without the appropriate license or supervised registration. If your license application is delayed, you may not be able to start work even with valid OPT, which can count against your 90-day unemployment limit.

Can a Licensed Therapist role be sponsored for an H-1B after OPT ends?

Yes. Licensed clinical social worker, licensed professional counselor, and licensed psychologist roles generally qualify as specialty occupations under H-1B criteria because they require at least a bachelor's degree in a specific field. Your employer would need to file an H-1B petition before your OPT expires. Discuss this timeline with your employer well before your OPT end date.