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ncg CARE
Smithfield, North Carolina

Outpatient Therapist

Counselor / TherapistNo callFull-Time

Listed compensation

$54k-$73k

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

  • Job Location: Smithfield NC - Smithfield, NC
  • Position Type: Full Time
  • Education Level: Master's Degree
  • Salary Range: $54373.00 - $73494.00
  • Travel Percentage: None,

About Us

Since 2003, we've been assisting children, families and adults across North Carolina with their behavioral health needs. Carolina Outreach is a group of highly trained behavioral health professionals dedicated to promoting the emotional and physical well-being of our community in a safe and respectful environment.

We provide a comprehensive and integrative array of behavioral health services and supports for people of all ages with varying levels of need utilizing an equitable and inclusive approach.

We focus on helping our clients tap into and develop their inherent strengths with the goal of supporting the highest quality of life possible for all we serve.

About the Role We are actively seeking a compassionate and skilled Licensed Therapist to join our team full-time or part-time. This role is essential to our mission, providing therapy, crisis support, and service coordination for mental health clients in a variety of settings.

As a Licensed Therapist with Carolina Outreach, you will lead assessments, design therapeutic interventions, and collaborate closely with a team to deliver responsive, person-centered care that empowers clients to achieve their mental health and independent living goals.

We are seeking a Full-time Licensed Outpatient Therapist to provide individual and family therapy to clients aged three years and older. In this role, you will collaborate with clients and their families or natural supports to assess strengths and needs, develop treatment plans, and deliver tailored therapy services.

If you are a licensed mental health professional with a passion for evidence-based practices and client-centered care, we encourage you to apply. Clinical Assessments: Conduct initial Comprehensive Clinical Assessments to determine diagnoses and treatment needs.

Recommend appropriate treatment modalities and evidence-based practices. Therapeutic Interventions: Provide individual and family therapy services directly, or facilitate referrals as necessary. Collaborate with clients and their families to assess strengths, identify needs, and set treatment goals.

Assist families with planning, developing, and implementing treatment and ancillary services. Documentation and Review: Maintain accurate and timely records, including service notes, treatment plans, and assessment tools. Regularly review and assess treatment progress to ensure goals are being met.

This description outlines the general scope and level of work for this role. It is not intended to include every duty or responsibility that may be required of employees in this position.

Compensation This role is compensated on a variable rate model, designed to reward productivity while providing consistent earning opportunity through established referral volume

  • Compensation: $54,373 - $73,494

Placement within the range is based on licensure level, education, and experience. This is a variable rate non-exempt position with unlimited earning potential. Your effort drives your earnings, no limits.

What You Can Expect Consistent referral volume and established patient base Administrative and scheduling support Flexible scheduling options Supportive clinical and operational leadership Opportunities to build your preferred clinical focus areas Streamlined onboarding and credentialing support

Responsibilities

Provide individual, family, and/or group therapy sessions Maintain accurate and timely clinical documentation Collaborate with care teams as needed Maintain compliance with all clinical and regulatory standards Participate in supervision (if applicable based on licensure level) Qualifications: Qualifications Education: Master’s Degree in Counseling, Social Work, Psychology, or a related field.

Licensure: Must hold a current mental health license in North Carolina (e. g., LCSW/A, LCMHC/A). Preferred Skills: Fluency in Spanish is preferred but not required.

Why Join Us We are focused on creating a model where clinicians are supported, not overloaded. You’ll have the flexibility to shape your schedule, the support to maintain a steady caseload, and the opportunity to grow within a stable, mission-driven organization.

Beyond the engaging work, you'll also benefit from our competitive benefits package to support you and your loved ones, provide work/life balance, and invest in your future. The list below is for informational purposes only.

Consumer-driven health plan coverage provided by Anthem Wellness: When you enroll in a medical plan, you get complete care support on your time through Sydney app (Anthem), with exclusive access to 24/7 access to licensed doctors, therapists, and psychiatrists.

Health Savings Account (HSA) or Flex Spending Account (FSA) Two dental plan options available through Delta Dental, so you can choose the level of coverage that fits your needs and budget. Affordable vision plan available through EyeMed to keep your eyes healthy and your vision sharp.

An optional Dependent Care Flexible Spending Account to reimburse yourself on a pre-tax basis for childcare.

Generous paid time off 401k or Roth IRA Retirement Programs administered by Empower Financial planning and education services at no cost to you Voluntary supplemental benefits (Accident, Critical Illness, Short-Term Disability) Educational Assistance (your position, date of hire and years of service determine your eligibility) Licensure Residency Program for Full-time Clinical Staff Advancement and Career Development Opportunities Legal Notice: We are an equal opportunity employer.

Employment is at-will and contingent upon successful completion of background checks and credential verification. We participate in E-Verify to confirm employment eligibility in the United States. Reasonable accommodations are available upon request in accordance with the Americans with Disabilities Act (ADA). Must be authorized to work in the United States.

Key Responsibilities

The therapist will conduct comprehensive clinical assessments and develop personalized treatment plans for clients aged three and older. They are responsible for delivering individual and family therapy while maintaining accurate clinical documentation and collaborating with care teams.

Requirements

Candidates must hold a Master's degree in Counseling, Social Work, Psychology, or a related field. A current mental health license in North Carolina, such as an LCSW/A or LCMHC/A, is required.

Qualifications

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

Key Skills

Treatment PlanningIndividual TherapyMental Health DiagnosisCase Management

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Outpatient Therapist at ncg CARE a 6.9 out of 10 for work-life balance — classified as good. This places the position in the Above average in Mental Health Therapy (Counseling) — ranked against 7,558 active Mental Health Therapy (Counseling) listings on WeekdayDoc. Contributing factors include no on-call duties.

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 34% are remote, 34% have no call, 64% 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 ~$64k midpoint carries the purchasing power of roughly $68k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Work-life score6.9 / 10 · above average in mental health therapy (counseling)ranked against 7,558 Mental Health Therapy (Counseling) listingslisting-based score, 0–10
Cost-of-living adjusted pay~$68k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in North Carolina268 active7,467 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 34% remote · 34% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina counselor listings (all specialties): 14% state a sign-on bonus (median $5k) · 15% offer loan repayment469 active listings, Nov 2026
New Mental Health Therapy listings2,512 in the last 30 days1,354 the 30 days before (+86%)U.S., first seen on WeekdayDoc, Nov 2026
Sources: WeekdayDoc live listing index (7,558 Mental Health Therapy (Counseling) listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

30 matches · ranked by pay

Salary Distribution

30 jobs · 25 employers
13
<$75k
5
$75k-90k
8
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0
$105k-120k
4
$120k+

Annual compensation range

Benefits & Perks

24 jobs
401k / retirement match
88% this job
CME allowance
33%
Sign-on bonus
29%
PSLF eligible
13%
Loan repayment
8%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.0this job 6.9
Better work-life than 70% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,558 comparable listings. Shaded area = the share scoring below this one.

  • No call
ncg CARE logo

About ncg CARE

Hospitals and Health Care
Richmond, VA
51-200 employees

Benefits & Perks

Health Insurance
Dental
Vision
HSA/FSA
401k
Generous PTO
Licensure Residency Program
Educational Assistance

Living in Smithfield

Typical 3-bedroom home value
$282k≈ 5.2× annual pay
Typical market rent
$1,640/mo≈ 36% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
98.2
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 · Raleigh-Cary, NC metro prices. Housing figures are city-level.

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