Primary Therapist Visa Sponsorship Jobs in Texas
Primary therapist jobs in Texas span behavioral health systems, addiction treatment centers, and hospital networks across Houston, Dallas, San Antonio, and Austin. Employers like UTMB Health, Texas Health Resources, and Acadia Healthcare regularly hire for these roles. International candidates pursuing visa sponsorship will find H-1B visa and green card pathways most relevant here.
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Get Access To All JobsWho We Are
At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same. As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery. Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.
Why Join Us
When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always. Here, your work matters. Your ideas matter. You matter. If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here. Come build hope. Come save lives. Come grow with us.
What You’ll Be Doing
Schedule: Monday - Friday; 9:00 AM - 5:00 PM with some flexibility needed occasionally. Therapists can expect to cover one holiday on-call shift per year.
The Primary Therapist conducts individual and group therapy (adults, children and adolescents) on topics such as mood, anxiety, stress and eating disorders; conducts family therapy and/or family education sessions; develops each patient’s individualized treatment plan; and works with interdisciplinary treatment team to implement the plan.
Essential Duties And Responsibilities
- Conducts psychotherapy including individual, group and family therapy
- For each patient on case load, completes clinical paperwork including:
- Treatment plans
- Individual and Family Therapy progress notes and group notes
- Wellness plan
- Aftercare plan
- Discharge summary
- Conducts comprehensive assessments and treatment planning for each patient on case load:
- Completes biopsychosocial, self-harm and suicide assessments
- Creates individualized treatment plan with specific and measurable goals in collaboration with treatment team members
- Creates treatment agreements, support plans or behavior plans as needed
- Attends treatment team meetings and treatment team rounds, to coordinate patient’s care with interdisciplinary team
- May provide training and guidance to less experienced teammates (Primary Therapist I and II)
Primary Therapist I Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Fully licensed with appropriate state licensing board or in an associate/intern phase of licensure or what is required by the state to practice individual therapy (required)
- Collaborative nature and strong communication within multi-disciplinary team (required)
- Experience with individual and/or family therapy (preferred)
- Ability to move from one task to the next with ease, flexibility (preferred)
Primary Therapist II Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains an independent mental health license as required by state to practice individual therapy (required)
- Has carried significant individual and/or family caseload for at least 2 years with documented success in treating patients with common diagnoses and expected comorbidities; demonstrated ability to work independently; developing specialty within line of service and broadening expertise with other populations (required)
Sr. Primary Therapist III Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains a full mental health license as required by state (required)
- At least 3 years post licensure experience working with mood, anxiety, ED and/or trauma related disorders; some experience supervising other clinicians; has carried a significant individual and/or family caseload, with success in treating more complex cases (required)
- Experience with individual and/or family therapy (required)
What We Offer
At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life. We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career. We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home. When you thrive, you can do your best work. And your best work changes lives.
Who We Are
At ERC Pathlight, we’re on a mission to change lives—and we’re looking for people who feel called to do the same. As one of the nation’s leading treatment providers for eating disorders and mood, anxiety, and trauma-related conditions, we bring innovative, evidence-based, and deeply compassionate care to patients across the country. With multiple locations nationwide and extensive virtual programming, we meet patients exactly where they are and help them move toward lasting recovery. Founded in 2008 by renowned psychiatrists and psychologists, ERC Pathlight now supports more than 6,000 patients each year. And as the need for world-class mental health care continues to rise, our commitment is stronger than ever: to expand access, elevate the standard of care, and empower every patient to rebuild their life with dignity and hope.
Why Join Us
When you join ERC Pathlight, you become part of a team that shows up every day to make a real difference. You’ll work alongside passionate clinicians, dedicated support staff, and mission-driven leaders who believe in collaboration, growth, and doing the right thing—always. Here, your work matters. Your ideas matter. You matter. If you’re energized by purpose, motivated by impact, and ready to help transform the future of mental health treatment, you belong here. Come build hope. Come save lives. Come grow with us.
What You’ll Be Doing
Schedule: Monday - Friday; 9:00 AM - 5:00 PM with some flexibility needed occasionally. Therapists can expect to cover one holiday on-call shift per year.
The Primary Therapist conducts individual and group therapy (adults, children and adolescents) on topics such as mood, anxiety, stress and eating disorders; conducts family therapy and/or family education sessions; develops each patient’s individualized treatment plan; and works with interdisciplinary treatment team to implement the plan.
Essential Duties And Responsibilities
- Conducts psychotherapy including individual, group and family therapy
- For each patient on case load, completes clinical paperwork including:
- Treatment plans
- Individual and Family Therapy progress notes and group notes
- Wellness plan
- Aftercare plan
- Discharge summary
- Conducts comprehensive assessments and treatment planning for each patient on case load:
- Completes biopsychosocial, self-harm and suicide assessments
- Creates individualized treatment plan with specific and measurable goals in collaboration with treatment team members
- Creates treatment agreements, support plans or behavior plans as needed
- Attends treatment team meetings and treatment team rounds, to coordinate patient’s care with interdisciplinary team
- May provide training and guidance to less experienced teammates (Primary Therapist I and II)
Primary Therapist I Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Fully licensed with appropriate state licensing board or in an associate/intern phase of licensure or what is required by the state to practice individual therapy (required)
- Collaborative nature and strong communication within multi-disciplinary team (required)
- Experience with individual and/or family therapy (preferred)
- Ability to move from one task to the next with ease, flexibility (preferred)
Primary Therapist II Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains an independent mental health license as required by state to practice individual therapy (required)
- Has carried significant individual and/or family caseload for at least 2 years with documented success in treating patients with common diagnoses and expected comorbidities; demonstrated ability to work independently; developing specialty within line of service and broadening expertise with other populations (required)
Sr. Primary Therapist III Must Haves
- Graduate degree in Psychology, Counseling, Social Work or related (required)
- Has obtained and maintains a full mental health license as required by state (required)
- At least 3 years post licensure experience working with mood, anxiety, ED and/or trauma related disorders; some experience supervising other clinicians; has carried a significant individual and/or family caseload, with success in treating more complex cases (required)
- Experience with individual and/or family therapy (required)
What We Offer
At ERC Pathlight, caring for people is our mission and that begins with caring for our own team. Your well-being matters, and our benefit program is designed to support every part of your life. We offer competitive compensation; comprehensive medical, dental, and vision coverage; generous Paid Time Off; Parental Leave benefits; Retirement benefits; and tuition reimbursement to help you continue growing in your career. We also recognize that mental health is part of every person’s experience. That’s why we strive to create a workplace where you feel supported, seen, and encouraged—personally, professionally, and at home. When you thrive, you can do your best work. And your best work changes lives.
Primary Therapist Job Roles in Texas
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Search Primary Therapist Jobs in TexasPrimary Therapist Jobs in Texas: Frequently Asked Questions
Which visa types realistically apply to primary therapist roles in Texas?
Primary therapists in Texas most commonly pursue H-1B sponsorship, which applies when the role requires at least a bachelor's degree in a directly related field such as counseling, social work, or psychology. EB-2 and EB-3 employment-based green cards are also practical long-term options. F-1 OPT can bridge the gap for recent graduates while employers initiate H-1B sponsorship. TN visa does not cover primary therapist roles under USMCA.
Which companies sponsor visas for primary therapists in Texas?
Texas-based healthcare systems and behavioral health operators with documented H-1B and PERM filing history include UTMB Health, Texas Health Resources, Acadia Healthcare, Baylor Scott and White Health, and Memorial Hermann. Substance use disorder facilities and inpatient psychiatric units within larger hospital networks tend to hire primary therapists at the highest volume, particularly in the Dallas-Fort Worth and Houston metro areas.
Which cities in Texas have the most primary therapist sponsorship jobs?
Houston and Dallas-Fort Worth concentrate the greatest number of primary therapist sponsorship opportunities, driven by large hospital systems and behavioral health networks in both metros. San Antonio has a strong military and VA-affiliated behavioral health presence. Austin's growth in outpatient mental health and integrated care has increased hiring activity. Smaller markets like El Paso and Lubbock have positions tied to university medical centers and regional hospital systems.
How to find primary therapist visa sponsorship jobs in Texas?
Migrate Mate lists primary therapist roles in Texas filtered to employers with verified visa sponsorship history, so you can focus on facilities that have filed for similar positions before. Search by city to compare Houston, Dallas, San Antonio, and Austin opportunities side by side. This saves significant time compared to manually screening postings that do not confirm sponsorship availability for licensed or pre-licensed therapist roles.
Are there state-specific factors that affect primary therapist sponsorship in Texas?
Texas requires licensure through the Texas State Board of Examiners of Professional Counselors or the Texas State Board of Social Worker Examiners, depending on your credential pathway. International candidates often begin work under supervised licensure while completing hour requirements, which some employers factor into their sponsorship timeline. Texas also has a significant network of FQHC and community mental health centers that actively recruit for underserved regions, sometimes with added federal loan repayment tied to service commitment.
What is the prevailing wage for sponsored primary therapist jobs in Texas?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.