Therapy Smarts logo
Therapy Smarts
Durham, North Carolina

Licensed Mental Health Therapist

Counselor / TherapistFull-Time

Listed compensation

$65k-$80k

The week · per this posting · weekdays assumed

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

Posted 1mo ago · Verified live

Job Description

We are looking for a Licensed Mental Health Therapist to provide mental health counseling to children and to the parents of children who are receiving services from Therapy Smarts Inc.

Requirements

  • Qualities that fit this opportunity
  • Experience: Psychotherapy: 3 years (Preferred)
  • License/Certification: License to practice in North Carolina (no supervision) (Required)
  • A Master's degree in Counseling, Psychology, Social Work, or a related field.

Licensure or certification as required by state regulations (e. g., Licensed Professional Counselor, Licensed Marriage and Family Therapist).

  • Strong communication and active listening skills.
  • Empathy and the ability to build a therapeutic rapport with clients.
  • Cultural competence and sensitivity to diverse populations.
  • Knowledge of various therapeutic approaches and evidence-based interventions.
  • Ethical conduct and a commitment to maintaining client confidentiality.
  • Ability to work both independently and as part of a multidisciplinary team.
  • Excellent time management and organizational skills.
  • Being bilingual in English and Spanish is a plus!

Essential Job Functions

  • Timely completion of effective clinical documentation.
  • Ensures initial client intakes are conducted fully and in a timely manner.
  • Conduct assessments.
  • Partner with Patient Services & Scheduling departments to promote care management for the individuals served, ensuring they have access to many beneficial services in our continuum.
  • Represents the company professionally and ethically to internal and external stakeholders.
  • Manages and directly oversees a caseload of clients.
  • Conduct initial assessments, reassessments, and write progress reports.

Develop & monitor individualized treatment plans and behavior support plans, behavior management protocols, and behavior intervention plans for children.

Provide support, instruction, and feedback to families and caregivers with regard to managing challenging behaviors and teaching replacement behaviors through the principles of Mental Health Counseling.

Conduct Functional Assessments and Functional Analysis of all problem behaviors when needed and clinically warranted.

If Licensed to Provide Clinical Supervision

Supervises and mentors the Mental Health team, including establishing performance expectations, developing supervision plans, creating and conducting performance evaluations, monitoring program progress, and productivity.

  • Complete documentation of Hours completed in pursuit of Full licensure
  • Follow North Carolina Board rules and regulations for Clinical Supervision
  • Engage in weekly supervision and staffing of cases for Associate Licensed Clinician.
  • Supervise and train mental health counselors to full licensure.
  • Manage/organize ongoing scheduling of clinically appropriate caseload.
  • Participate in Trimester Reviews for their Team Members.
  • Settings
  • Clinics
  • Schools
  • Daycares

Headstarts

Benefits that set us apart - Exceptional earnings potential! One of the best you will find.

  • Competitive compensation with monthly incentive bonuses
  • PTO (Paid Time Off)
  • Paid federal holidays
  • Up to 5 days off during the end-of-year shutdown
  • Continuing education reimbursement
  • License Dues Reimbursement
  • Health, Vision, and dental insurance for full-time employees
  • Health Savings Account and Flexible Spending Account
  • Voluntary Life Insurance, Long Term Disability, and Short Term Disability
  • 401K to full-time employees
  • Mileage reimbursement
  • Yearly performance BONUS
  • Referral BONUS
  • Electronic subscription to the Latest Therapy Material Resources
  • Fun, multi-disciplinary setting with supervision and mentorship programs
  • Opportunity for growth within the company - Leadership and management opportunities open to all

Additional Benefits

  • Office staff for intake, billing, and support, meaning you only have to treat and complete your documentation!
  • Report templates for easy report writing
  • Web-based, electronic documentation system

Take the next steps to a new opportunity and a new career. Let Therapy Smarts inspire you to work hard, succeed, and create miracles for our clients, together.

  • Working as a therapist for Therapy Smarts is not another job; it is a meaningful career!
  • Interested candidates should email Luis at hr.coordinator@therapysmarts.net or apply online.

Key Responsibilities

The therapist will manage a caseload of clients, conducting assessments and developing individualized treatment plans to address behavioral and mental health needs. They will also provide support to families and caregivers while maintaining accurate clinical documentation and representing the company professionally.

Qualifications

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

Key Skills

Case managementTreatment planningCommunication skills

Counselor Career Context

Of the 50 active Mental Health Therapy listings this role was benchmarked against, 50% are remote, 40% have no call, 66% 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 ~$73k midpoint carries the purchasing power of roughly $77k 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
Cost-of-living adjusted pay~$77k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Mental Health Therapy listings in North Carolina280 active7,921 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 50% remote · 40% no call · 66% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Counselor Jobs

26 matches · ranked by pay

Salary Distribution

26 jobs · 19 employers
14
<$80k
4
$80k-95k
3
$95k-110k
5
$110k-125k

Annual compensation range

Benefits & Perks

19 jobs
401k / retirement match
100% this job
Sign-on bonus
32% this job
Loan repayment
21%
CME allowance
21% this job
PSLF eligible
16%

Share of similar jobs offering each benefit

#1

Licensed Clinical Mental Health Counselor (LCMHC)

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$115k-$120k
#2

Licensed Mental Health Therapist (LMFT, LMHC, LCSW)

Gotham Enterprises · Davie, Florida

$115k-$120k
#3

Licensed Clinical Mental Health Therapist - LICSW/LPCC/LMFT

$74k-$117k
#4

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

$81k-$117k
+ 24 more · ranked by pay

Work-life snapshot

median 6.0this job 3.0
Better work-life than 20% of Mental Health Therapy (Counseling) listings

Listing-based score, 0–10, across 7,891 comparable listings. Shaded area = the share scoring below this one.

Therapy Smarts logo

About Therapy Smarts

Physical, Occupational and Speech Therapists
Durham, North Carolina
11-50 employees

Benefits & Perks

Competitive compensation with monthly incentive bonuses
PTO (Paid Time Off)
Paid federal holidays
Up to 5 days off during end-of-year shutdown
Continuing education reimbursement
License Dues Reimbursement
Health, Vision, and dental insurance for full-time employees
Health Savings Account and Flexible Spending Account

Living in Durham

Typical 3-bedroom home value
$358k≈ 5.5× annual pay
Typical market rent
$1,626/mo≈ 30% of gross pay
Residents’ average commute
22 min
Metro price indexU.S. average = 100
97.6
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 · Durham-Chapel Hill, NC metro prices. Housing figures are city-level.

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