Licensed Primary Therapist
Compensation
Pay not listed
The week · per this posting · weekdays assumed
Ask the employer about the pay range, the work setting, call expectations and time off.
Job Description
About the Role
Milestone Treatment Center is seeking a compassionate and skilled Licensed Primary Therapist to provide clinical care to individuals receiving treatment for substance use and mental health conditions.
The Primary Therapist plays a central role in each client's treatment, providing individual and group therapy, developing individualized treatment plans, responding to clinical needs and crises, and collaborating with the treatment team to support lasting recovery.
At Milestone, we believe every individual deserves to be treated with respect, dignity, and compassion. Our team is committed to providing evidence-based, ethical care that gives clients the support and tools they need to make meaningful and lasting changes in their lives.
Key Responsibilities
- Provide individual therapy to assigned clients.
- Facilitate group therapy within the treatment program.
- Complete comprehensive clinical assessments and develop individualized treatment plans.
- Regularly evaluate client progress and update treatment plans based on clinical needs.
- Provide crisis intervention, risk assessment, and clinical support when needed.
- Maintain timely, accurate, and thorough clinical documentation.
- Coordinate care and communicate effectively with members of the multidisciplinary treatment team.
- Establish strong therapeutic relationships while maintaining appropriate professional and clinical boundaries.
- Support clients with co-occurring substance use and mental health conditions.
- Follow all applicable HIPAA, confidentiality, ethical, state, federal, and organizational requirements.
- Participate in clinical meetings, case consultations, and other treatment-related activities.
- Complete additional clinical responsibilities as assigned by program leadership.
Qualifications
Master's degree in Counseling, Social Work, Psychology, or a related behavioral health field from an accredited institution.
- Active or pending LPC, LCSW, LSW, or LCADC licensure preferred.
- Experience providing clinical services within behavioral health, substance use disorder, mental health, PHP, IOP, or outpatient treatment is strongly preferred.
- Strong knowledge of individual counseling, group facilitation, treatment planning, and crisis intervention.
- Ability to manage a clinical caseload while maintaining timely and accurate documentation.
- Strong interpersonal, written, and verbal communication skills.
- Ability to work effectively within a fast-paced, multidisciplinary treatment environment.
- Strong organizational skills and the ability to prioritize competing clinical responsibilities.
- Familiarity with Google Workspace and electronic clinical documentation systems is a plus.
- EMDR and/or TF-CBT certification is a plus.
What We're Looking For
We're looking for a therapist who combines strong clinical judgment with genuine compassion for individuals in recovery. The right person can build meaningful therapeutic relationships while maintaining accountability, professional boundaries, and high standards of clinical care.
You should be comfortable working with complex clients, collaborating closely with other treatment professionals, and adapting your approach based on each client's individual needs and stage of recovery.
Benefits
- Competitive salary based on experience and licensure
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- Professional development and training opportunities
- Opportunities for advancement and career development
Join Milestone
At Milestone Treatment Center, you'll have the opportunity to do meaningful clinical work while being part of a growing behavioral health organization. We value clinicians who care deeply about their clients, take pride in their work, and want to continue developing professionally.
If you're passionate about helping individuals overcome substance use and mental health challenges and build healthier lives, we'd like to hear from you.
Qualifications
- Education
- Master's degree (postgraduate degree)
- Experience
- 2+ years of experience
Key Skills
Addiction Medicine — Counselor Career Context
Of the 50 active Addiction Medicine listings this role was benchmarked against, 56% are remote, 16% have no call, 62% require no weekends.
The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).
| Measure | This job | Market |
|---|---|---|
| Listed pay | not listed | Addiction Medicine median $70k (middle half $63k–$76k)10 comparable listings, Oct 2026 |
| Cost of living | Texas index 97.1 | US average = 100BEA Regional Price Parities (2024) |
| Addiction Medicine listings in Texas | 51 active | 1,243 nationallylive on WeekdayDoc, Oct 2026 |
| Work setting | on-site | peers: 56% remote · 16% no call · 62% no weekends50 benchmarked listings |
| Sign-on & loan repayment | not stated | Texas Counselor listings: 7% state a sign-on bonus · 21% offer loan repayment722 active listings, Oct 2026 |
| Addiction Medicine pay trend | +2.5% vs prior quarter | —through Sep 2026 |
Location & Logistics
Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.
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