Therapist Jobs in North Carolina

Therapist jobs in North Carolina are in strong and consistent demand, concentrated in community mental health centers, hospital systems, outpatient behavioral health practices, and K-12 schools, with openings at every level from newly licensed clinicians to senior and supervisory roles. The heaviest hiring activity runs through Charlotte, Raleigh, and Greensboro, where large employers like Atrium Health, UNC Health, and Cone Health maintain ongoing needs. The most in-demand specialties across the state include substance use counseling, trauma-focused therapy, and child and adolescent mental health. Find a role that fits below and apply directly.

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Overview

Open roles150+
Top employerBroad River Rehab
Top cityCharlotte, NC
Cities hiring60
Work type81% On-site
Top industryHealthcare

Showing 5 of 150+ Therapist jobs

Physical Therapist, Float
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New 15h ago
Physical Therapist, Float
Atrium Health
Winston-Salem, North Carolina
Clinical Support
Healthcare Administration
Human Resources
$41 - $61/hr
BLS Certification
10,000+

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Occupational Therapist
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New 14h ago
Occupational Therapist
The Weston Group
Charlotte, North Carolina
Administrative & Office Support
Project & Program Management
Project Management
2-10

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Occupational Therapist - Acute Rehab, Pineville
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New 15h ago
Occupational Therapist - Acute Rehab, Pineville
Atrium Health
Charlotte, North Carolina
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$35.5 - $53.25/hr
BLS Certification
10,000+

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Occupational Therapist I (Per Diem)
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New 15h ago
Occupational Therapist I (Per Diem)
UNC Health
Hillsborough, North Carolina
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$35.87 - $51.57/hr
On-Site
10,000+

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Registered Respiratory Therapist I SE, Stanly
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New 15h ago
Registered Respiratory Therapist I SE, Stanly
Atrium Health
Albemarle, North Carolina
Healthcare Administration
Patient Services & Wellbeing
Physicians
$30.7 - $46.05/hr
Bachelor of Science
10,000+

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Therapist Jobs by City in North Carolina

Where North Carolina roles are concentrated, by current openings.

Raleigh
8 jobs
Chapel Hill
7 jobs
Hickory
6 jobs
Winston-Salem
6 jobs
Cary
4 jobs
Shelby
4 jobs
Concord
4 jobs
Asheville
4 jobs

Therapist Job Market in North Carolina

A snapshot from current North Carolina openings, updated as new roles post.

Who's Hiring

  • Broad River Rehab19
  • Atrium Health10
  • Advocate Aurora Health9
  • Coastal Horizons Center6
  • Novant Health4

Top Industries Hiring

  • Healthcare & Medical Services
  • Insurance

What North Carolina Employers Look For

The qualifications that appear most often in therapist jobs across North Carolina.

  • Active Licensed Professional Counselor, LCSW, or LMFT license issued by North Carolina
  • Master's degree in counseling, social work, psychology, or a related clinical field
  • Experience delivering individual and group therapy in an outpatient or community setting
  • Familiarity with evidence-based modalities such as CBT, DBT, or trauma-informed care
  • Ability to maintain accurate clinical documentation and meet state Medicaid billing standards
  • Strong communication skills and experience coordinating care with multidisciplinary teams

Therapist Jobs in North Carolina: Frequently Asked Questions

How do you become a therapist in North Carolina?

To practice as a licensed therapist in North Carolina, you must earn a master's degree in counseling, social work, or marriage and family therapy, then apply to the appropriate North Carolina board: the NC Board of Licensed Clinical Mental Health Counselors, the NC Social Work Certification and Licensure Board, or the NC Marriage and Family Therapy Licensure Board. Each board requires supervised post-graduate hours and a passing score on a national clinical exam before granting full licensure.

Which companies hire therapists in North Carolina?

Employers hiring therapists in North Carolina right now include Broad River Rehab, Atrium Health, and Advocate Aurora Health, based on current listings on Migrate Mate as of October 2026. North Carolina's large integrated health systems and its extensive network of community mental health agencies generate consistent openings across both urban centers and rural counties.

Which North Carolina cities have the most therapist jobs?

Charlotte, Raleigh, and Chapel Hill have the most therapist openings in North Carolina. Charlotte and Raleigh lead because of their large hospital systems and growing outpatient behavioral health markets, while Greensboro's concentration of community mental health centers and academic medical ties to Wake Forest and UNC keeps steady demand in the Piedmont Triad as well.

Are there remote therapist jobs in North Carolina?

Yes, and more than most clinical fields, because telehealth has become a routine delivery model for outpatient talk therapy. About 19% of therapist openings tied to North Carolina are remote or hybrid as of October 2026, reflecting how broadly practices and health systems adopted virtual sessions after statewide telehealth policy expansions. Individual, couples, and substance use counseling roles are the most likely to be fully remote.

How can I get hired as a therapist in North Carolina with little or no experience?

The most realistic entry path is applying for associate or provisionally licensed positions that pair you with a clinical supervisor while you complete your required post-graduate hours toward full licensure. Atrium Health, UNC Health, and county-operated community mental health agencies across North Carolina regularly hire associate-level clinicians in this status. Completing a practicum or internship at a North Carolina site, holding a provisional license from the relevant state board, and gaining any documented experience with high-need populations significantly strengthens early applications.

Where can I find and apply to therapist jobs in North Carolina?

You can find and apply to therapist jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings for roles that match your license level, specialty, and preferred location, then apply directly to the ones that fit.

See All 150+ Therapist Jobs in North Carolina

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

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