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Pyramid Healthcare
Williamston, North Carolina

ACTT Substance Abuse Counselor (LCAS/CADC) – Community-Based Role | Full-Time

CounselorIncludes callFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about the pay range, weekend coverage, nights and shift pattern and time off.

Posted 5mo ago · Verified live

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.

ACTT Substance Abuse Counselor (LCAS/CADC) – Community-Based Role | Full-Time | Williamston, NC Williamston, NC | Pyramid Healthcare Full-Time Make an Impact Where It Matters Most Join Pyramid Healthcare’s Assertive Community Treatment Team (ACTT) and provide life-changing support to individuals with serious mental illness and co-occurring substance use disorders —all within the community.

This is not a desk job—you’ll meet clients where they are and help drive real recovery outcomes.

What You’ll Do Deliver community-based SUD treatment in homes and local settings Facilitate individual, group, and family therapy Complete LOCAs, pre-authorizations, and clinical documentation Develop treatment plans, NCTOPPs, and discharge/aftercare plans Collaborate with families, referral sources, and ACTT team members Provide crisis support and participate in on-call rotation Attend team meetings and ongoing trainings What You Need LCAS(A) or CADC (Required) Must meet Qualified Professional (QP) status per NC regulations Valid North Carolina driver’s license + ability to travel locally Ability to obtain additional licensure within 90 days (if applicable) Why This Role Stands Out Community-based work – make a real difference beyond the office Team-based ACTT model – strong collaboration and support Purpose-driven role – work with a high-need, high-impact population Career growth within a leading behavioral health organization 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

Deliver community-based substance use disorder treatment through individual, group, and family therapy in local settings. Manage clinical documentation, develop treatment plans, and provide crisis support as part of an Assertive Community Treatment Team.

Requirements

Requires LCAS(A) or CADC certification and must meet Qualified Professional (QP) status per North Carolina regulations. A valid North Carolina driver's license and the ability to travel locally are mandatory.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Substance Abuse CounselingIndividual TherapyGroup TherapyTreatment PlanningCase ManagementLOCA CompletionNCTOPP Development

Addiction Medicine — Counselor Career Context

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

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 3.9
Better work-life than 30% of Substance Use / Addiction Counselor listings

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

  • On-site
  • Includes call

Living in Williamston

Typical 3-bedroom home value
$143k
Median resident rent
$684/mo
Residents’ average commute
20 min
State income tax
Up to 4.8%
Sources & methodology

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

City-level figures. 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, and Vision Insurance
Flexible Spending Accounts
Life Insurance
Paid Time Off
401(k) with Company Match
Tuition Reimbursement
Employee Recognition Programs
Referral Bonus opportunities