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Pyramid Healthcare
Asheville, North Carolina

Substance Abuse Counselor (CADC-I, CADC, LCAS-A, LCAS)

Counselor 8.0 Work-LifeNo nightsFull-Time

Listed compensation

$52K - $58K

The week · per this posting · weekdays assumed

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

Posted 5mo ago

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.

Substance Abuse Counselor Asheville, NC $52,000 – $58,000/year (based on licensure & experience) Full-Time | Day Shift | Full

Benefits

Make an Impact in Recovery—Every Day. Pyramid Healthcare in Asheville is hiring a Substance Abuse Counselor to support individuals navigating substance use and co-occurring disorders. Join a mission-driven, team-based environment where your work directly changes lives.

What You’ll Do Provide individual, group, and family counseling Complete assessments & individualized treatment planning Document services in EHR (timely & compliant) Support aftercare planning & care coordination Assist with crisis intervention & LOC assessments Collaborate with a multidisciplinary clinical team What You Need Licensure (Required): CADC-I, CADC, LCAS-A, or LCAS Education: Preferred: Master’s in Counseling, Social Work, Psychology, or related Accepted: Bachelor’s/Associate’s/HS Diploma with CADC or CADC-I Plus: Experience with SUD, mental health, or trauma-informed care Strong communication & teamwork skills Why Pyramid Healthcare?

Competitive salary + growth potential Full benefits (Medical, Dental, Vision, 401k) Generous PTO + paid holidays Ongoing training & career advancement Supportive, people-first culture Ready to help people reclaim their lives? Apply today and be part of a team that’s redefining recovery care.

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.

Key Responsibilities

Provide individual, group, and family counseling while completing assessments and individualized treatment plans. Collaborate with a multidisciplinary team to support aftercare planning and crisis intervention for clients with substance use and co-occurring disorders.

Requirements

Requires licensure as a CADC-I, CADC, LCAS-A, or LCAS. A Master's degree in Counseling, Social Work, or Psychology is preferred, though a Bachelor's, Associate's, or High School diploma is accepted with the required licensure.

Qualifications

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

Key Skills

Individual CounselingGroup CounselingEHR Documentation

Addiction Medicine — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$55k midpoint carries the purchasing power of roughly $58k in an average-cost state. 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Substance Abuse Counselor (CADC-I, CADC, LCAS-A, LCAS) at Pyramid Healthcare a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Substance Use / Addiction Counselor — ranked against 1,008 active Substance Use / Addiction Counselor listings on WeekdayDoc. Contributing factors include no night shifts.

Top Substance Use / Addiction Counselor Jobs

8 matches · ranked by pay

Salary Distribution8 jobs · 7 employers

3
<$55k
2
$55k-70k
1
$71k
2
$85k-100k

Annual compensation range

Work-Life Balance Distribution8 jobs · 7 employers

0
1-2
0
3-4
2
5-6
6
7-8
0
9-10

Higher = better work-life balance

#1

Substance Use Counselor

St. Anthony Foundation · San Francisco, California

$60k-$90k
#2

SUD Counselor - COAT

DESC · Seattle, Washington

$39.08-$43.15/hr
#3

Certified Addictions Counselor (CADC / LCAS) – Camp Lejeune, NC

$70k-$71k
#4

Substance Use Counselor

$29-$32.5/hr
+ 6 more · ranked by pay

Work-life snapshot

median 6.1this job 8.0
Among the best 10% of Substance Use / Addiction Counselor listings for work-life

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

  • No nights
  • On-site

Living in Asheville

Typical 3-bedroom home value
$455k≈ 8.7× annual pay
Typical market rent
$1,704/mo≈ 39% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Asheville, NC metro prices. Housing figures are city-level.

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

Pyramid Healthcare logo

About Pyramid Healthcare

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

Benefits & Perks

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