Milestone Treatment logo
Milestone Treatment
Virginia Beach, Virginia

Licensed Primary Therapist

Counselor / TherapistFull-Time

Listed compensation

$55k-$80k

The week · per this posting · weekdays assumed

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

Posted 41m ago · Verified live

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

Clinical assessmentMultidisciplinary collaborationSubstance use disorder treatmentMental health supportCase managementTherapeutic relationship buildingHIPAA complianceEvidence-based practice

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 38% are remote, 36% have no call, 64% require no weekends.

Mental Health Therapy pay on WeekdayDoc is down 1.8% vs. the prior quarter (through Oct 2026).

Mental Health Therapy by the numbers
MeasureThis jobMarket
Listed pay$55k–$80kMental Health Therapy median $72k (middle half $59k–$79k)21 comparable listings, Nov 2026
Cost-of-living adjusted pay~$67k in purchasing powerVirginia index 101.1 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in Virginia271 active7,884 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 38% remote · 36% no call · 64% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedVirginia Counselor listings: 16% state a sign-on bonus (median $2k) · 12% offer loan repayment435 active listings, Nov 2026
New Mental Health Therapy listings2,473 in the last 30 days1,673 the 30 days before (+48%)U.S., first seen on WeekdayDoc, Nov 2026
Mental Health Therapy pay trend−1.8% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing 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

47 matches · ranked by pay

Salary Distribution

47 jobs · 36 employers
11
<$75k
16
$75k-90k
9
$90k-105k
9
$105k-120k
2
$120k

Annual compensation range

Benefits & Perks

41 jobs · 36 employers
401k / retirement match
93%
CME allowance
24%
Sign-on bonus
20%
Loan repayment
12%
PSLF eligible
7%

Share of similar jobs offering each benefit

#1

Licensed Clinical Professional Counselor (LCPC)

Gotham Enterprises · Boulder City, Nevada

$115k-$120k
#2

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Davie, Florida

$115k-$120k
#3

Licensed Clinical Therapist (LSCSW, LCPC, LCMFT) Sign-on Bonus $5,000

$81k-$117k
#4

Child and Adolescent Therapist - LCSW, LPC, LMFT

$55k-$115k
+ 45 more · ranked by pay

Work-life snapshot

median 6.0this job 1.5
Below most Mental Health Therapy (Counseling) listings for work-life

Listing-based score, 0–10, across 7,878 comparable listings. Shaded area = the share scoring below this one.

Milestone Treatment logo

About Milestone Treatment

Mental Health Care
Merchantville, New Jersey
11-50 employees

Benefits & Perks

Health insurance
Dental insurance
Vision insurance
Paid time off
Professional development and training opportunities
Opportunities for advancement and career development

Living in Virginia Beach

Typical 3-bedroom home value
$378k≈ 6.9× annual pay
Typical market rent
$2,098/mo≈ 46% of gross pay
Residents’ average commute
23 min
State income tax
Up to 5.8%
Sources & methodology

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

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