Therapist Jobs in South Dakota

Therapist jobs in South Dakota are concentrated in behavioral health, community mental health centers, and school-based services, with demand running from entry-level counselor roles through licensed clinical and supervisory positions. The largest hiring markets are Sioux Falls, Rapid City, and Aberdeen, where employers such as Avera Health, Monument Health, and the South Dakota Department of Social Services maintain consistent openings. Outpatient mental health, substance use treatment, and child and family therapy are the specialties drawing the most recruiter attention across the state. See the openings below and apply to the ones that match your experience.

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Overview

Open roles18
Top employerHiredFirst
Top citySioux Falls, SD
Cities hiring6
Work type100% Hybrid
Top industryInsurance

Showing 5 of 18+ Therapist jobs

Music Therapist Hospice
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Music Therapist Hospice
Optum
Sioux Falls, South Dakota
Allied Health
Healthcare Administration
Mental & Behavioral Health
Social Work & Counseling
$23 - $34/hr
Bachelor's degree
10,000+

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Physical Therapist - Per Diem
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Added 1d ago
Physical Therapist - Per Diem
Blue Stone Therapy
Sioux Falls, South Dakota
Healthcare Administration
Patient Services & Wellbeing
Public Health
$36 - $55/hr
Bachelor of Science
501-1,000

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Occupational Therapist - FT
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Occupational Therapist - FT
Blue Stone Therapy
Aberdeen, South Dakota
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$36 - $55/hr
Doctoral degree
501-1,000

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Occupational Therapist - FT
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Added 1d ago
Occupational Therapist - FT
Blue Stone Therapy
Sioux Falls, South Dakota
Healthcare Administration
Occupational Therapy
Patient Services & Wellbeing
$36 - $55/hr
Doctoral degree
501-1,000

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Physical Therapist Assistant (PTA)
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Added 1d ago
Physical Therapist Assistant (PTA)
HiredFirst
Mitchell, South Dakota
Healthcare Administration
Patient Services & Wellbeing
Public Health
$34 - $38/hr

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Therapist Jobs by City in South Dakota

Where South Dakota roles are concentrated, by current openings.

Sioux Falls
6 jobs
Rapid City
4 jobs
Mitchell
3 jobs
Aberdeen
2 jobs
Groton
1 job
Pierre
1 job

Therapist Job Market in South Dakota

A snapshot from current South Dakota openings, updated as new roles post.

Who's Hiring

HiredFirst7 open roles
Blue Stone Therapy3 open roles
Good Samaritan2 open roles

Top Industries Hiring

  • Insurance

What South Dakota Employers Look For

The qualifications that appear most often in therapist jobs across South Dakota.

  • Active South Dakota licensure such as LPC, LCSW, or LMFT issued by the South Dakota Board of Examiners
  • Master's degree in counseling, social work, marriage and family therapy, or related clinical field
  • Supervised clinical hours completed under a licensed supervisor per South Dakota board requirements
  • Experience with evidence-based treatment modalities such as CBT, DBT, or motivational interviewing
  • Ability to maintain accurate clinical documentation in an electronic health record system
  • Clearance through a South Dakota background check for positions serving minors or vulnerable populations

Therapist Jobs in South Dakota: Frequently Asked Questions

How do you become a therapist in South Dakota?

To become a licensed therapist in South Dakota, you must earn a master's degree in a qualifying clinical field, complete the required supervised post-graduate hours, and pass the relevant licensure exam before applying to the South Dakota Board of Examiners for Mental Health Professionals. The board oversees credentials including the Licensed Professional Counselor, Licensed Clinical Social Worker, and Licensed Marriage and Family Therapist designations, each with distinct hour and supervision requirements.

Which companies hire therapists in South Dakota?

South Dakota therapist roles are posted by HiredFirst, Blue Stone Therapy, and Good Samaritan and others right now, based on current listings on Migrate Mate as of October 2026. Large integrated health systems and community mental health organizations drive most of the consistent hiring across the state.

Which South Dakota cities have the most therapist jobs?

Sioux Falls, Rapid City, and Mitchell have the most therapist openings in South Dakota. Sioux Falls leads because of the concentration of major health systems and behavioral health organizations headquartered there, while Rapid City benefits from Monument Health's regional presence, and smaller cities like Aberdeen draw openings from rural community mental health networks serving surrounding counties.

Are there remote therapist jobs in South Dakota?

Yes, and more than many clinical fields, since telehealth has become a standard delivery model for outpatient therapy. About 100% of therapist openings tied to South Dakota are remote or hybrid as of October 2026, reflecting ongoing telehealth expansion. Individual and family therapy sessions, particularly in outpatient and private practice settings, are the roles most commonly offered via telehealth across South Dakota.

How can I get hired as a therapist in South Dakota with little or no experience?

The most realistic entry path is applying for associate or provisionally licensed positions while you accumulate supervised hours toward full licensure. Avera Health and Monument Health both hire master's-level candidates under clinical supervision, and South Dakota community mental health centers such as Volunteers of America Dakotas frequently post associate counselor roles for new graduates. Completing your supervised hours in a high-need rural or tribal setting can also accelerate hiring, as those areas face consistent shortages and are more open to candidates still working toward independent licensure.

Where can I find and apply to therapist jobs in South Dakota?

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

See All 18 Therapist Jobs in South Dakota

Find roles in South Dakota that match your experience and apply in just a few clicks.

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