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 roles12
Top employerVoyage Health
Top cityBelle Fourche, SD
Cities hiring7
Work type100% On-site
Top credentialDoctoral degree

Showing 5 of 12+ Therapist jobs

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Crisis Therapist
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Added 1d ago
Crisis Therapist
The Compass Center
Sioux Falls, South Dakota
Business Operations
Program Management
Project Management
Master's degree in social work

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Physical Therapist / Physical Therapy Assistant
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Added 2d ago
Physical Therapist / Physical Therapy Assistant
Pain & Movement Solutions
Rapid City, South Dakota
Healthcare Administration
Patient Services & Wellbeing
Physical Therapy
$76k - $110k/yr
On-Site
Master's degree

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Custer Clinic Director- Physical Therapist
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Added 2d ago
Custer Clinic Director- Physical Therapist
Pain & Movement Solutions
Custer, South Dakota
Brand Marketing
Growth Marketing
Marketing
$76k - $110k/yr
On-Site
Doctoral degree

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Physical Therapist
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P
Added 2d ago
Physical Therapist
Pain & Movement Solutions
Custer, South Dakota
Healthcare Administration
Patient Services & Wellbeing
Physical Therapy
$76k - $110k/yr
On-Site
Doctoral degree

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Physical Therapist - PRN
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Added 2d ago
Physical Therapist - PRN
True North Physical Therapy LLC
Sioux Falls, South Dakota
Healthcare Administration
Patient Services & Wellbeing
Physical Therapy
$70 - $90/hr
On-Site

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Therapist Jobs by City in South Dakota

Where South Dakota roles are concentrated, by current openings.

Belle Fourche
3 jobs
Custer
2 jobs
Rapid City
2 jobs
Sioux Falls
2 jobs
Huron
1 job
Britton
1 job
Milbank
1 job

Therapist Job Market in South Dakota

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

Who's Hiring

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Voyage Health4 open roles
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Pain & Movement Solutions3 open roles
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HiredFirst1 open role

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 Voyage Health, Pain & Movement Solutions, and HiredFirst and others right now, based on current listings on Migrate Mate as of August 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?

Belle Fourche, Custer, and Rapid City 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 0% of therapist openings tied to South Dakota are remote or hybrid as of August 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 12 Therapist Jobs in South Dakota

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