Co-Occurring Disorders Therapist

Counselor / TherapistFull-Time

Listed compensation

$78k-$109k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

We're looking for a Central Oregon therapist experienced in substance use and co-occurring disorders who believes recovery is possible. You'll help clients and families work through addiction with compassion and evidence-based care, supported by a team that values this work. Our intake team will match you with clients seeking addiction-informed therapy.

Summary

Live the Bend and Central Oregon life. You set your own goal and your hours, with a minimum of 18 sessions a week, so powder mornings, midday rides, and dog walks still fit around your caseload.

Pay: See below.

The Boost Program: your first three months of pay guaranteed at your caseload goal, worth up to $19,600–24,300 with a master's degree ($24,800–27,300 for psychologists).

Locally owned since 2002. W2 employment, owners who live in Bend, and no private equity, hospital, or insurance company ownership.

  • Compensation (full-time, 24 clients a week)
  • Associate / pre-licensed (master's): $62.80 per session, about $78,374 a year
  • Licensed (master's): $70.00–78.00 per session, about $87,360–97,344 a year
  • Psychologist: $79.50–87.50 per session, about $99,216–109,200 a year

Annual pay is calculated over 52 weeks and includes paid sick leave/PTO. Pay is per session and scales with the goal you set (18–30 sessions a week).

Our Commitment

Vista Counseling is committed to addressing implicit bias and racism and to supporting communities of color and people from diverse backgrounds. We approach this work with humility, take responsibility for our own lifelong learning, stay open to feedback when we make mistakes, and back these commitments with meaningful action.

Vista is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

  • Master's or doctoral degree in counseling, social work, marriage and family therapy, or psychology
  • Oregon licensure (LPC, LCSW, LMFT, or licensed psychologist)
  • Clinical experience preferred; associates working toward licensure are welcome
  • Able to work a minimum of 18 client sessions a week

Health insurance: Vista pays $900/month toward your premium for full-time therapists (24+ sessions a week) and, $550/month for part-time therapists (18–23)

Paid time off: up to 80 hours a year for full-time therapists, 40 hours a year for part-time therapists; unused hours carry over. If you work 24 sessions a week, this comes to 3.3 weeks of paid time off a year.

  • 401(k): 3% vested employer match
  • Liability insurance covered by Vista

Free In-house CEs Through Our NBCC-approved Program

  • Supervision and consultation: free weekly supervision for associates, plus weekly group and individual consultation opportunities for all therapists
  • Paid for every session, whether or not insurance has paid us yet
  • Full business support: credentialing, billing, and intake scheduling
  • A connected team: year-round social events and monthly catered lunches

Key Responsibilities

Provide evidence-based therapy to clients and families dealing with addiction and co-occurring disorders. Manage a caseload of at least 18 sessions per week while collaborating with an intake team and clinical staff.

Requirements

Requires a master's or doctoral degree in counseling, social work, marriage and family therapy, or psychology. Must hold or be eligible for Oregon licensure (LPC, LCSW, LMFT, or licensed psychologist).

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Key Skills

Substance use counselingCo-occurring disorders treatmentClinical assessmentCrisis interventionTreatment planningDocumentationCase management

Counselor Career Context

Vista Counseling & Wellness Center ranks #11 of 29 employers hiring Counselor on WeekdayDoc by average advertised pay, and holds silver-tier status on the Top Employers work-life index, composite score 77/100, 4 active listings.

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 64% are remote, 18% have no call, 68% require no weekends.

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$78k–$109kMental Health Therapy median $106k (middle half $85k–$132k)10 comparable listings, Nov 2026
Cost-of-living adjusted pay~$91k in purchasing powerOregon index 103.4 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Oregon128 active7,934 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 64% remote · 18% no call · 68% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedOregon Counselor listings: 21% state a sign-on bonus (median $6k) · 35% offer loan repayment220 active listings, Nov 2026
New Mental Health Therapy listings2,562 in the last 30 days1,536 the 30 days before (+67%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−2.9% vs prior quarter—through Oct 2026
Vista Counseling & Wellness Centersilver tier, 77/100 · #11 of 29 for payTop Employers work-life index4 active listings
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.

Top Counselor Jobs

43 matches · ranked by pay

Salary Distribution

43 jobs · 33 employers
17
<$85k
9
$85k-100k
10
$100k-115k
4
$115k-130k
3
$130k+

Annual compensation range

Benefits & Perks

31 jobs
401k / retirement match
87% this job
CME allowance
39%
Sign-on bonus
32%
Loan repayment
10%
PSLF eligible
10%

Share of similar jobs offering each benefit

#1

Licensed Mental Health Therapist

LifeStance Health · Lake Oswego, Oregon

$123k-$141k
#2

Licensed Marriage and Family Therapist (LMFT)

LifeStance Health · West Linn, Oregon

$123k-$141k
#3

Telehealth Mental Health Therapist

from $82,368
#4

Behavioral Health Specialist Requires LCSW LPC or LMFT

$61k-$130k
+ 41 more · ranked by pay

Work-life snapshot

median 6.0this job 5.7
Better work-life than 50% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,891 comparable listings. Shaded area = the share scoring below this one.

Vista Counseling & Wellness Center logo

About Vista Counseling & Wellness Center

Wellness and Fitness Services
Eugene, OR
11-50 employees

Benefits & Perks

Health Insurance ($900/month employer contribution)
Paid Time Off (up to 80 hours/year)
401(k) with 3% match
Liability Insurance Covered
Free In-House CEs (NBCC-approved)
Free Weekly Supervision
Paid for Every Session
Full Business Support (credentialing, billing, scheduling)

Living in Bend

Typical 3-bedroom home value
$692k≈ 8.8× annual pay
Typical market rent
$2,284/mo≈ 35% of gross pay
Residents’ average commute
16 min
Metro price indexU.S. average = 100
103.6
State income tax
Up to 9.9%
Sources & methodology

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

BEA 2024 · Bend, OR metro prices. Housing figures are city-level.

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