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Pyramid Healthcare
Concord, North Carolina

Licensed Substance Abuse Counselor – LCAS / LCAS-A / LCMHC

LPC / LMHCIncludes callFull-Time

Listed compensation

$57k-$62k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, weekend coverage, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

Pyramid Healthcare is dedicated to offering the highest quality of care to those we serve. A focus on client-focused care establishes our family of brands as respected leaders in addiction treatment, mental health recovery and eating disorder treatment modalities.

Pyramid Healthcare offers comprehensive behavioral healthcare defined by supportive environments that offer patients the strength they need to overcome life’s challenges. We offer behavioral healthcare services – psychiatry, addiction recovery, mental disorder treatment, etc. – that allow clients at all stages of recovery or rehabilitation to reclaim health and well-being.

  • Licensed Substance Abuse Counselor – LCAS / LCAS-A / LCMHC
  • Pyramid Healthcare – Concord, NC
  • $57,000–$62,000 annually
  • Full-Time | Comprehensive Benefits Package

Grow With Us. Make a Difference in Recovery.

Pyramid Healthcare is seeking a dedicated licensed clinical professional with an LCAS, LCAS-A, or LCMHC credential to join our team in Concord, NC.

We're expanding at our current Concord location, adding more beds and growing our residential and detox treatment services! As our program continues to grow, we are building a strong clinical team to support this expansion and serve more individuals seeking treatment for substance use disorders.

This is an exciting opportunity for a licensed clinical professional to provide counseling services, collaborate with a multidisciplinary treatment team, and support individuals throughout their recovery journey.

Key Responsibilities

Evaluate clients’ behavioral, emotional, cognitive, spiritual, and social needs and collaborate with the treatment team to establish and monitor individualized treatment goals.

Facilitate individual and family counseling sessions, therapeutic groups, and communication with referral sources and outpatient providers as applicable.

Maintain accurate and timely clinical documentation in the Electronic Client Record (ECR) system in accordance with program policies.

Provide timely documentation and support for utilization review (UR) and participate in the utilization review process as required.

  • Participate in aftercare planning and outcome data collection as applicable.
  • Contribute to program-specific curriculum development, clinical literature review, and staff training.
  • Conduct Level of Care Assessments as required.
  • Participate in the on-call rotation as directed by the supervisor and in accordance with program policy.
  • Maintain client confidentiality and comply with applicable privacy requirements, company policies, and accreditation standards.
  • Complete all required company and regulatory training.
  • Perform other duties as assigned.

Required Qualifications

  • Active North Carolina LCAS, LCAS-A, or LCMHC credential required.
  • Master’s-level education and applicable licensure must meet the requirements for the candidate’s specific credential.
  • Experience in substance use disorder treatment or a related behavioral health setting is preferred.
  • Strong clinical judgment, communication, documentation, and interpersonal skills.

Ability to work collaboratively with a multidisciplinary treatment team and respond appropriately to crisis situations.

Why Join Pyramid Healthcare?

Join a growing program. Help support the expansion of our Concord location as we add beds and grow our residential and detox services.

Make a meaningful impact. Provide clinical support that helps individuals work toward lasting recovery.

Collaborate with a dedicated team. Partner with professionals committed to quality, individualized care.

Grow professionally. Contribute to clinical programming and continue developing your expertise.

Comprehensive benefits. Access benefits available to eligible full-time employees.

Ready to Make a Difference?

Join Pyramid Healthcare as we expand our Concord services and continue building a strong clinical team to support our growing residential and detox programs.

Apply today to become part of our growing team in Concord, NC!

Pyramid CORE Values

We are committed and proud to live our CORE values and use them to inspire those around us. Our employees are expected to align with these values, behaviors, and standards.

We are held accountable for upholding these CORE Values: INTEGRITY is striving to be honest, transparent, and ethical when dealing with clients, staff, and the community. DEDICATION is demonstrating an unwavering commitment to always provide exceptional care and support to those we serve is needed daily.

COLLABORATION is a steadfast, team-focused approach; working together to achieve excellence. PASSION is genuine, compelling, and relentless desire to improve lives and support Pyramid Healthcare’s mission.

Total Rewards for Full-Time Positions

  • Medical, Dental, and Vision Insurance
  • Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off
  • 401(k) with Company Match
  • Tuition Reimbursement
  • Employee Recognition Programs
  • Referral Bonus opportunities
  • And More!

Want to Know More?

To learn more about Pyramid Healthcare, and how you can achieve personal and professional growth, visit us at: bit. ly.

Pyramid Healthcare, Inc. is proud of its diverse workforce, and is an Equal Opportunity Employer.

Requirements

Candidates must hold an active North Carolina LCAS, LCAS-A, or LCMHC credential and possess a Master's-level education. Experience in substance use disorder treatment or a related behavioral health setting is preferred.

Qualifications

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

Key Skills

Substance Abuse CounselingTreatment PlanningCrisis InterventionIndividual CounselingGroup TherapyLevel of Care Assessment

Addiction Medicine — Counselor Career Context

Of the 50 active Substance Use / Addiction Counselor listings this role was benchmarked against, 32% are remote, 44% have no call, 60% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$60k midpoint carries the purchasing power of roughly $63k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Substance Use / Addiction Counselor jobs are remote?
MeasureThis jobMarket
Listed pay$57k–$62kSubstance Use / Addiction Counselor median $60k (middle half $59k–$71k)11 comparable listings, Nov 2026
Cost-of-living adjusted pay~$63k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Addiction Medicine listings in North Carolina55 active—live on WeekdayDoc, Nov 2026
All substance use / addiction counselor listings in North Carolina473 active12,814 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 32% remote · 44% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 16% offer loan repayment473 active listings, Nov 2026
New Addiction Medicine listings427 in the last 30 days212 the 30 days before (+101%)U.S., first seen on WeekdayDoc, Nov 2026
Pyramid Healthcare#5 of 10 for payTop Employers work-life index
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page. North Carolina figures use all substance use / addiction counselors: too few North Carolina Addiction Medicine postings state pay.

Top Counselor Jobs

24 matches · ranked by pay

Salary Distribution

24 jobs · 18 employers
9
<$70k
6
$70k-85k
4
$85k-100k
1
$100k
4
$115k+

Annual compensation range

Benefits & Perks

20 jobs · 18 employers
401k / retirement match
90% this job
Loan repayment
20%
Sign-on bonus
15%
CME allowance
15%
PSLF eligible
15%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Counselor (LMFT, LMHC, LCSW)

Gotham Enterprises · Cartersburg, Indiana

$115k-$120k
#2

Licensed Clinical Mental Health Counselor (LCMHC)

Gotham Enterprises · Pinehurst, North Carolina

$115k-$120k
#3

Licensed Clinical Mental Health Counselor Supervisor (LCMHC, LCSW, LMFT)

$80k-$115k
#4

Licensed Clinical Mental Health Counselor (LCMHC, LCSW, LMFT)

$80k-$115k
+ 22 more · ranked by pay

Work-life snapshot

median 6.1this job 3.0
Better work-life than 30% of Substance Use / Addiction Counselor listings

Listing-based score, 0–10, across 1,008 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
Pyramid Healthcare logo

About Pyramid Healthcare

Hospitals and Health Care
Duncansville, Pennsylvania
1,001-5,000 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement
Employee Recognition Programs
Referral Bonus opportunities

Living in Concord

Typical 3-bedroom home value
$335k≈ 5.9× annual pay
Typical market rent
$1,784/mo≈ 38% of gross pay
Residents’ average commute
27 min
Metro price indexU.S. average = 100
97.3
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Charlotte-Concord-Gastonia, NC-SC metro prices. Housing figures are city-level.

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