Therapist Jobs in North Dakota
Therapist jobs in North Dakota are concentrated in behavioral health, community mental health, and school-based services, with steady demand at every level from newly licensed clinicians to seasoned clinical supervisors. Bismarck, Fargo, and Grand Forks are the largest hiring markets, anchored by employers like Sanford Health, Essentia Health, and the North Dakota Department of Human Services. The most in-demand specialties include substance use counseling, trauma-focused therapy, and child and adolescent mental health. See the openings below and apply to the ones that match your experience.
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- Evaluating a patient’s condition and needs
- Developing treatment plans to address a patient’s needs and help them meet specific goals
- Assessing a patient’s home and/or work environment and recommending adaptations to fit the patient’s needs and improve independence
- Training patients and their caregivers to use special equipment
Starting salary at $70,000 but may be negotiated based on experience
Job Type: Full-time
Pay: From $70,000.00 per year
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Flexible schedule
- Health insurance
- Paid time off
- Retirement plan
- Vision insurance
License/Certification:
- Occupational Therapy License (Preferred)
Work Location: In person
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Find Therapist JobsTherapist Jobs by City in North Dakota
Where North Dakota roles are concentrated, by current openings.
Therapist Job Market in North Dakota
A snapshot from current North Dakota openings, updated as new roles post.
Who's Hiring
- Sanford Health28

- RehabVisions13

- CommonSpirit Health13

- Altru10

- American Traveler10

Top Industries Hiring
- Healthcare & Medical Services30
- Non-Profit & Social Services4
- Insurance2
- Consulting & Professional Services1
What North Dakota Employers Look For
The qualifications that appear most often in therapist jobs across North Dakota.
- Active North Dakota license issued by the North Dakota Board of Counselor Examiners or equivalent board
- Master's degree in counseling, social work, marriage and family therapy, or a related clinical field
- Supervised clinical hours completed in accordance with North Dakota licensure requirements
- Experience delivering evidence-based modalities such as CBT, DBT, or trauma-informed care
- Proficiency with electronic health records and clinical documentation standards
- Strong ability to conduct assessments, develop treatment plans, and coordinate care with multidisciplinary teams
Therapist Jobs in North Dakota: Frequently Asked Questions
How do you become a therapist in North Dakota?
Becoming a licensed therapist in North Dakota starts with earning a master's degree in counseling, social work, or marriage and family therapy from an accredited program. You then apply to the relevant board, either the North Dakota Board of Counselor Examiners or the North Dakota Board of Social Work Examiners, complete the required supervised hours, and pass the appropriate national licensure exam. The specific credential and hour requirements vary by license type.
Which companies hire therapists in North Dakota?
Employers hiring therapists in North Dakota right now include Sanford Health, RehabVisions, and CommonSpirit Health, based on current listings on Migrate Mate as of November 2026. North Dakota's integrated health systems and community mental health centers are among the most consistent sources of full-time therapist openings across the state.
Which North Dakota cities have the most therapist jobs?
Fargo, Grand Forks, and Bismarck have the most therapist openings in North Dakota. Fargo leads as the state's largest population center, where major health systems and community behavioral health organizations are headquartered, while Bismarck's concentration of state government agencies and Sanford Health facilities, along with Grand Forks' university-adjacent healthcare sector, sustain steady hiring in those markets.
Are there remote therapist jobs in North Dakota?
Yes, and more than many clinical fields, given the strong adoption of telehealth across North Dakota's rural communities. About 18% of therapist openings tied to North Dakota are remote or hybrid as of November 2026, reflecting the state's investment in closing mental health access gaps. Individual therapy, psychiatric evaluation support, and school-based teletherapy roles tend to offer the most remote flexibility.
How can I get hired as a therapist in North Dakota with little or no experience?
The most realistic entry path is a supervised associate or intern role at a community mental health center, where provisionally licensed clinicians accumulate the hours needed for full licensure. Sanford Health and the North Dakota Department of Human Services both hire pre-licensed therapists under clinical supervision. Candidates with a completed practicum, a provisional license from the relevant North Dakota board, and familiarity with crisis intervention or substance use populations have a clear edge over those with no documented clinical work.
Where can I find and apply to therapist jobs in North Dakota?
You can find and apply to therapist jobs in North Dakota on Migrate Mate, which lists current openings across the state. Search the listings for roles that match your license type, specialty, and preferred location, then apply directly to the ones that fit.
See All 190+ 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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