Douglas-A-Thom Clinic logo
Douglas-A-Thom Clinic
Worcester, Massachusetts

Mental Health Counselor-MH/LMHC/LMFT

CounselorNo weekendsFull-Time

Listed compensation

$54k-$63k

The week · per this posting · Monday – Friday

Ask the employer about call expectations, nights and shift pattern and time off.

Posted 33m ago · Verified live

Job Description

This position offers a salary range of $53,000 to $63,000.

List non-license MH $53,500 to $56,500/yr. LMHC/LMFT 58k to 63K/yr.

Actual pay will be based on relevant skills, qualifications, and experience.

Are you looking for a rewarding opportunity working with the pediatric population (children birth to 3 years)? Are you passionate about making a difference in the lives of families? Thom Child & Family Services located in Worcester, MA is seeking a Mental Health Counselor-MH/LMHC/LMFT to join their team.

As an Early Intervention Mental Health Counselor- MH/LMHC/LMFT, you will be responsible for providing home and community based early intervention services to infants and toddlers who have or are at risk for developmental delays and their families in both their homes and community settings.

You will partner with parents/caregivers to ensure service delivery is individualized, meaningful for the family, and grounded in evidence-based practice. Through this collaborative process you ensure families’ priorities, needs, culture, and values are prioritized.

Thom Child & Family Services offers competitive salaries and a comprehensive benefit package including, but not limited to:

Compensation & Benefits

  • Salary range: $53,000–$63,000, based on relevant skills, qualifications, and experience
  • Productivity bonus opportunities
  • Mileage reimbursement
  • 403(b) retirement plan with employer match

Schedule & Paid Time Off

  • Full-Time 30–40-hour workweek
  • Monday–Friday schedule, generally between 8:30 a. m. and 4:30 p. m.
  • Up to 136 hours of vacation accrued during your first year
  • 96 hours of sick time annually
  • 12 paid holidays
  • Up to 24 hours of professional development/conference time annually

Health & Insurance Benefits

  • Medical, dental, and vision insurance
  • Fitness benefits and wellness incentive program
  • Employer-sponsored Health Reimbursement Account
  • Section 125 flexible benefits plan for medical and dependent care expenses
  • Employer-paid long-term disability insurance
  • Employer-paid life and accidental death and dismemberment insurance
  • Employee Assistance Program
  • Optional coverage is also available, including:
  • Short-term disability insurance
  • Accident insurance
  • Cancer insurance

Professional Support & Development

  • Paid professional license renewal fees
  • Clinical supervision and structured orientation
  • Ongoing mentoring and team support
  • Scholarship opportunities through the Fazzio Scholarship and Thom Academy

Tools Provided

  • Employer-issued laptop
  • Employer-issued cell phone

Position Responsibilities

  • Participate in multidisciplinary team assessments of client’s developmental status.
  • Provide direct child development services and activities developmentally appropriate for children 0-3 and their families.
  • Participate in the development of Individual Family Service Plan (IFSP) with responsibility for identifying goals, objectives, and strategies related to the child’s development.
  • Complete progress notes, reports, assessments, and correspondence as appropriate
  • Provides individual and group intervention for infants and toddlers from birth to three years old who have developmental delays or who are at risk for delays in the areas of cognitive, adaptive behavior, social-emotional, self-care, fine motor, gross motor, and communication development.
  • Assess family and child strengths/resources, concerns, and progress.
  • Act as service coordinator for the family by scheduling, developing, implementing, monitoring, and evaluating the intervention plan for each family on caseload, ensuring that appropriate procedures and timelines are followed.
  • Provides supportive professional assistance to families.
  • Facilitate parent-child interactions to encourage child's development; assist families to act as advocates for their child.

Position Requirements

1. In Mental Health: A minimum of a master’s degree from an accredited recognized educational institution in

2. counseling psychology, clinical psychology, developmental psychology, or educational psychology

1. or

2. Current licensure as a Licensed Mental Health Counselor (LMHC) or as a Licensed Marriage and Family Therapist (LMFT) by the Massachusetts Board of Allied Mental Health and Human Services Professionals

3. or

100. A minimum of a Master’s degree from an accredited recognized educational institution in Mental Health Counseling, Marriage and Family Therapy, or a Related Field

101. and “license eligible” for LMFT or LMHC with official written verification by the applicant’s accredited educational institution.

  • 1 year experience in Early Intervention or minimum 3 years' experience working with infants, toddlers and families is preferred.
  • Knowledge of family systems and early childhood development.
  • Ability to engage in meaningful, therapeutic relationships with children, parents/caregivers, and community partners.
  • Commitment to delivering individualized and culturally humble services.
  • Excellent written and verbal communication and organizational skills.
  • Abide by all confidentiality and professional boundaries standards.
  • Good computer skills as well as strong documentation skills.
  • Current driver’s license and reliable transportation.
  • Bilingual/Bicultural a plus.

No Phone Calls or Recruiters Please

Thom Child and Family Services is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, familial status, domestic violence status, or any other status protected by law.

Key Responsibilities

The counselor provides home and community-based early intervention services to infants and toddlers with developmental delays or risks. They also collaborate with multidisciplinary teams to develop and implement Individual Family Service Plans (IFSP) while supporting families.

Requirements

Candidates must hold a master's degree in a relevant psychology or counseling field and possess or be eligible for LMHC or LMFT licensure in Massachusetts. Experience working with infants, toddlers, and families is preferred.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Clinical assessmentCase managementAdvocacyCultural humilityCrisis interventionMultidisciplinary collaboration

Marriage & Family Therapy — Counselor Career Context

Of the 50 active Counselor listings this role was benchmarked against, 48% are remote, 20% have no call, 60% require no weekends.

The cost-of-living index for Massachusetts is 105.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$58k midpoint carries the purchasing power of roughly $55k in an average-cost state. 63.2% of Massachusetts clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Counselor pay on WeekdayDoc is up 2.6% vs. the prior quarter (through Sep 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Mental Health Counselor-MH/LMHC/LMFT at Douglas-A-Thom Clinic a 6.5 out of 10 for work-life balance — classified as good. This places the position in the Above average in Counseling — ranked against 13,820 active Counseling listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Counselor Jobs

41 matches · ranked by pay

Salary Distribution41 jobs · 33 employers

14
<$80k
8
$80k-95k
4
$95k-110k
10
$110k-125k
5
$125k+

Annual compensation range

Benefits & Perks36 jobs · 33 employers

401k / retirement match
89% this job
CME allowance
42%
Sign-on bonus
28%
Loan repayment
22%
PSLF eligible
6%

Share of similar jobs offering each benefit

#1

Dental Therapist

InterDent Service · Salem, Oregon

From $155k
#2

Behavioral Health Provider (ASW/LCSW or AMFT/LMFT) - Napa

OLE Health · Napa, California

$88k-$138k
#3

Psychotherapist, Behavioral Health

$94k-$132k
#4

Mental Health Therapist

$131k
+ 39 more · ranked by pay

Work-life snapshot

median 6.7this job 6.5
Better work-life than 50% of Marriage & Family Therapy (Counseling) listings

Listing-based score, 0–10, across 317 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site

Living in Worcester

Typical 3-bedroom home value
$449k≈ 8.4× annual pay
Typical market rent
$2,130/mo≈ 48% of gross pay
Residents’ average commute
24 min
State income tax
Up to 5%
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.

Douglas-A-Thom Clinic logo

About Douglas-A-Thom Clinic

Individual and Family Services
Framingham, Massachusetts
201-500 employees

Benefits & Perks

Productivity bonus opportunities
Mileage reimbursement
403(b) retirement plan with employer match
Up to 136 hours of vacation accrued during first year
96 hours of sick time annually
12 paid holidays
Up to 24 hours of professional development/conference time annually
Medical, dental, and vision insurance