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Mental health

Mental health therapist salary in North Carolina

Open mental health therapist jobs in North Carolina post a median of $39.75 an hour, the middle half $34.50–$55 (about $82,700 a year full time), $5.25 above the national posted median. From 21 jobs at 10 employers that state their pay.

$39.75
Median posted /hr
$35–$55
Middle half /hr
$82,700
A year, full time
estimate, 2,080 hours
$26.68
BLS median in NC
May 2025

The jobs themselves: Mental health therapist jobs in North Carolina · Mental health therapist pay nationwide

What mental health therapists are paid in North Carolina

Each bar counts the open jobs posting an hourly rate in its step of pay (a range at its midpoint).

Posted hourly rates of 21 open jobs in North Carolina. Lowest posted $26.01, highest $94.

Posted on open jobs in North Carolina

$34.50–$55/hr

Middle half of 14 employer rates (each employer's advertised range once), median $39.75. 14% of the 148 open mental health therapist jobs in North Carolina state an hourly rate.

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Mental health therapist pay by town in North Carolina

Towns where at least three open jobs state an hourly rate, the towns with the most such jobs first.

TownMedian postedPosted rangeJobs (employers)
Charlotte$44.50$30.70–$704 (2)
Winston-Salem$38.50$28.55–$49.603 (1)

Median of employers' rates in the town, the lowest and highest rate posted, and the jobs and employers behind them. A town opens its own job page.

Mental health therapist pay by employer in North Carolina

What each employer posts for mental health therapists here, the employers with the most jobs stating pay first.

EmployerMedian postedPosted rangeJobs stating pay
Advocate Health$39.75$28.55–$57.308
BetterHelp$56.50$43–$704
RHA Health Services$28$282
ARC Health Partners$74.50$55–$941
Health Care Alliance NA$60$55–$651
Miracle House$60$50–$701
CVS Health$50.50$26.01–$74.781
Ocracoke Health Center$34$32–$361
Appalachian Regional Healthcare System$28.75$28.671
Monarch$26.50$26.451

Median of each employer's jobs in North Carolina (a range at its midpoint), and its lowest and highest rate here. An employer's name opens its pay for mental health therapists nationwide when it has such a page.

Jobs that state a yearly salary

Measured on their own, never converted to hourly.

26 open jobs in North Carolina state a yearly salary: a median of $61,000, the middle half $58,300 to $73,300.

Best-paid open mental health therapist jobs in North Carolina

The open jobs posting the highest hourly rates tonight, at most two from one employer.

What BLS measures in North Carolina

What people employed in the occupation earned in the state, at every level of experience, from the BLS survey. A posting advertises what a new hire is offered.

Hourly wages, BLS Occupational Employment and Wage Statistics, May 2025, North Carolina. Each figure opens its BLS page.
BLS occupation10th pct25th pctMedian75th pct90th pctEmployed
Substance Abuse, Behavioral Disorder, and Mental Health Counselors (21-1018)$18.00 (source: BLS OEWS, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, opens in a new tab)$21.68 (source: BLS OEWS, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, opens in a new tab)$26.68 (source: BLS OEWS, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, opens in a new tab)$32.98 (source: BLS OEWS, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, opens in a new tab)$41.35 (source: BLS OEWS, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, opens in a new tab)10,300 (source: BLS OEWS, Substance Abuse, Behavioral Disorder, and Mental Health Counselors, opens in a new tab)

BLS median by metro area

Mental health therapist salary in North Carolina: common questions

How much does a mental health therapist make in North Carolina?

Open mental health therapist jobs in North Carolina that state an hourly rate post a median of $39.75, the middle half $34.50–$55 (21 jobs from 10 employers). Full time that is about $82,700 a year. BLS measured a median of $26.68/hr ($55,490 a year) for people employed in the occupation in North Carolina (May 2025).

Where in North Carolina do mental health therapists earn the most?

By the median rate open jobs post, in the towns with the most jobs stating pay: Charlotte ($44.50) and Winston-Salem ($38.50). The town table lists 2.

Which employers in North Carolina pay mental health therapists the most?

Among employers stating a rate on at least three open jobs here: BetterHelp ($56.50) and Advocate Health ($39.75).

How does North Carolina compare with the rest of the country?

The posted median in North Carolina ($39.75) is $5.25 above the national posted median of $34.50. In the BLS survey North Carolina ranks 39 of 52 by median wage.

Where do these figures come from?

From the pay open jobs state, read every night from each employer's own job board: 21 of 148 open mental health therapist jobs in North Carolina (14%) state an hourly rate. No pay is estimated for a job that states none; "up to" ceilings and weekly travel rates are left out.

Mental health therapist pay in other states

Mental health therapist salary nationwide →Every healthcare salary →

Sources and method

Only pay a job states is used, a range at its midpoint. In the state's median and middle half each employer's advertised range counts once, so an employer posting one range in many towns does not set the figure; a town's median follows the same rule. "Up to" ceilings, weekly travel rates and rates far from the occupation's median are left out. A state has a page while at least 8 jobs from 3 employers state a rate there. The yearly estimate is the hourly rate times 2,080 hours. BLS figures are as published.
  1. CareJobs.Now job board: the pay open jobs state, read nightly from each employer's own careers site, published October 24, 2026
  2. BLS OEWS May 2025: Substance Abuse, Behavioral Disorder, and Mental Health Counselors (SOC 21-1018), every state, published May 15, 2026
  3. BLS OEWS May 2025: Marriage and Family Therapists (SOC 21-1013), every state, published May 15, 2026
  4. BLS OEWS May 2025: Mental Health and Substance Abuse Social Workers (SOC 21-1023), every state, published May 15, 2026
  5. BLS OEWS May 2025: Substance Abuse, Behavioral Disorder, and Mental Health Counselors, national, published May 15, 2026
  6. BLS OEWS May 2025: Substance Abuse, Behavioral Disorder, and Mental Health Counselors by metropolitan area, published May 15, 2026

Cite this page

CareJobs.Now. (2026). Mental health therapist salary in North Carolina. Data as of October 24, 2026. https://carejobs.now/salaries/mental-health-therapist/north-carolina

How the board counts