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Best states for a mental health therapist

Quoted expert
Ali Cunningham Abbott Ph.D.
  • Rank 1 - 10
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It seems like mental health therapists are becoming more and more common across America. But working conditions and demand for mental health therapists aren't the same everywhere in the U.S. In order to help you decide which state is the best for mental health therapists, we ranked all 50 states and the District of Columbia from best to worst for mental health therapist jobs.
To that end, we dove into our dataset of job and salary numbers to figure out which states have the best opportunities for mental health therapists. California is the best state for mental health therapists, where the median salary is $69,994.We found that the South is best for mental health therapists, and the West is the worst. San Francisco, CA is the best city in the country for mental health therapist jobs, where as California is the best state in the country.

10 best states for mental health therapists in 2025

  1. California #1 best state for mental health therapists

    1. California

    Total mental health therapist jobs:8,932
    Average annual salary:$69,994
    Lowest 10 percent earn:$47,000
    Highest 10 percent earn:$102,000
    Location Quotient:
    1.29
  2. Washington #2 best state for mental health therapists

    2. Washington

    Total mental health therapist jobs:2,376
    Average annual salary:$63,894
    Lowest 10 percent earn:$46,000
    Highest 10 percent earn:$87,000
    Location Quotient:
    1.37
  3. North Dakota #3 best state for mental health therapists

    3. North Dakota

    Total mental health therapist jobs:266
    Average annual salary:$60,195
    Lowest 10 percent earn:$43,000
    Highest 10 percent earn:$83,000
    Location Quotient:
    1.2
  4. Minnesota #4 best state for mental health therapists

    4. Minnesota

    Total mental health therapist jobs:1,544
    Average annual salary:$60,566
    Lowest 10 percent earn:$42,000
    Highest 10 percent earn:$86,000
    Location Quotient:
    0.98
  5. Nevada #5 best state for mental health therapists

    5. Nevada

    Total mental health therapist jobs:437
    Average annual salary:$62,739
    Lowest 10 percent earn:$43,000
    Highest 10 percent earn:$90,000
    Location Quotient:
    0.88
  6. Connecticut #6 best state for mental health therapists

    6. Connecticut

    Total mental health therapist jobs:404
    Average annual salary:$70,469
    Lowest 10 percent earn:$46,000
    Highest 10 percent earn:$107,000
    Location Quotient:
    0.51
  7. Delaware #7 best state for mental health therapists

    7. Delaware

    Total mental health therapist jobs:314
    Average annual salary:$58,121
    Lowest 10 percent earn:$37,000
    Highest 10 percent earn:$88,000
    Location Quotient:
    1.05
  8. Maine #8 best state for mental health therapists

    8. Maine

    Total mental health therapist jobs:470
    Average annual salary:$52,592
    Lowest 10 percent earn:$35,000
    Highest 10 percent earn:$78,000
    Location Quotient:
    1.49
  9. Idaho #9 best state for mental health therapists

    9. Idaho

    Total mental health therapist jobs:491
    Average annual salary:$52,455
    Lowest 10 percent earn:$37,000
    Highest 10 percent earn:$73,000
    Location Quotient:
    1.26
  10. New Jersey #10 best state for mental health therapists

    10. New Jersey

    Total mental health therapist jobs:1,632
    Average annual salary:$62,417
    Lowest 10 percent earn:$40,000
    Highest 10 percent earn:$95,000
    Location Quotient:
    0.87

Mental health therapist jobsNear Columbus, OH

How Zippia determines the best states to be a mental health therapist

You can read about how the best state rankings are calculated here.

Detailed list of the best states for a mental health therapist

RankStateAverage salaryLowest 10% earnPopulationJob count
1California$69,994$47,00039,536,6538,932
2Washington$63,894$46,0007,405,7432,376
3North Dakota$60,195$43,000755,393266
4Minnesota$60,566$42,0005,576,6061,544
5Nevada$62,739$43,0002,998,039437
6Connecticut$70,469$46,0003,588,184404
7Delaware$58,121$37,000961,939314
8Maine$52,592$35,0001,335,907470
9Idaho$52,455$37,0001,716,943491
10New Jersey$62,417$40,0009,005,6441,632
11North Carolina$55,482$37,00010,273,4192,281
12Alaska$62,862$53,000739,795168
13New York$62,399$40,00019,849,3992,360
14New Hampshire$61,674$41,0001,342,795232
15Illinois$54,081$37,00012,802,0232,571
16Michigan$49,395$33,0009,962,3112,291
17Virginia$55,919$36,0008,470,0202,190
18District of Columbia$62,230$40,000693,972294
19South Dakota$53,456$37,000869,666161
20Hawaii$51,051$38,0001,427,538286
21Iowa$47,514$33,0003,145,7111,075
22Colorado$50,482$35,0005,607,1541,687
23Utah$51,382$36,0003,101,833604
24Vermont$54,304$36,000623,657100
25Wisconsin$48,622$33,0005,795,4831,453
26Massachusetts$52,414$34,0006,859,8192,122
27Oregon$51,742$37,0004,142,776781
28Indiana$44,586$30,0006,666,8182,345
29Montana$49,559$36,0001,050,493249
30Ohio$46,878$31,00011,658,6092,534
31Rhode Island$50,819$33,0001,059,639207
32Maryland$47,885$31,0006,052,1771,693
33Arizona$48,412$33,0007,016,2701,244
34New Mexico$50,222$35,0002,088,070222
35Texas$46,135$31,00028,304,5964,970
36Kansas$44,012$30,0002,913,123795
37Wyoming$47,562$34,000579,315108
38Missouri$43,870$30,0006,113,5321,584
39Kentucky$40,099$27,0004,454,189999
40Alabama$41,202$28,0004,874,7471,111
41South Carolina$37,806$25,0005,024,3691,372
42Oklahoma$38,649$26,0003,930,864838
43Pennsylvania$38,768$25,00012,805,5372,439
44Arkansas$30,834$21,0003,004,279781
45Nebraska$36,505$25,0001,920,076585
46West Virginia$40,169$26,0001,815,857127
47Tennessee$38,893$26,0006,715,984991
48Georgia$36,526$24,00010,429,3792,300
49Louisiana$37,719$25,0004,684,333630
50Florida$39,907$26,00020,984,4001,862
51Mississippi$37,360$25,0002,984,100318

Highest paying states for mental health therapists

RankStateAvg. Mental Health Therapist Salary
1California$69,994
2Washington$63,894
3North Dakota$60,195
4Minnesota$60,566
5Nevada$62,739
6Connecticut$70,469
7Delaware$58,121
8Maine$52,592
9Idaho$52,455
10New Jersey$62,417
11North Carolina$55,482
12Alaska$62,862
13New York$62,399
14New Hampshire$61,674
15Illinois$54,081
16Michigan$49,395
17Virginia$55,919
18District of Columbia$62,230
19South Dakota$53,456
20Hawaii$51,051
21Iowa$47,514
22Colorado$50,482
23Utah$51,382
24Vermont$54,304
25Wisconsin$48,622
26Massachusetts$52,414
27Oregon$51,742
28Indiana$44,586
29Montana$49,559
30Ohio$46,878
31Rhode Island$50,819
32Maryland$47,885
33Arizona$48,412
34New Mexico$50,222
35Texas$46,135
36Kansas$44,012
37Wyoming$47,562
38Missouri$43,870
39Kentucky$40,099
40Alabama$41,202
41South Carolina$37,806
42Oklahoma$38,649
43Pennsylvania$38,768
44Arkansas$30,834
45Nebraska$36,505
46West Virginia$40,169
47Tennessee$38,893
48Georgia$36,526
49Louisiana$37,719
50Florida$39,907
51Mississippi$37,360

Expert opinions on the best states for mental health therapists

  • Are there any particularly good places in the United States for mental health therapists to find work opportunities?

    Ali Cunningham Abbott Ph.D.Ali Cunningham Abbott Ph.D. LinkedIn profile

    Associate Professor, Lynn University

    The expected growth for mental health professionals (of all kinds) is promising in the United States. As national certifications and licensing rules continue to expand, with more legislative support and movement, one of the hopes of this profession is that counseling will no longer be location bound. Therefore, no matter where you are in the country, there will likely be good work opportunities upon graduation. Historically, of course, those living in more metropolitan or urban areas have more opportunities for employment in this field.

    But many people who choose or must work in rural areas can be offered positions that sometimes involve stipends or higher salaries to help recruit and retain people in areas where counseling resources are less available. Another consideration, outside of population density, for future counselors to consider, is which state(s) they plan to seek licensure in. Some states have stronger licensing laws that make them better to practice in over others, including legislation that protects professional rights and client access to services.

    Our program encourages counselors to do in-depth research on the places they intend to seek licensure to ensure a smooth transition to prosperous work opportunities in the field.

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