How Much Do Mental Health and Substance Abuse Counselors Make? 2025 Pay by Percentile, State, City and Industry
- The median annual wage for mental health and substance abuse counselors was $59,350 in May 2025 ($28.53 an hour), compared with $50,980 for all U.S. occupations.
- The lowest-paid 10% earned less than $38,940; the top 10% earned more than $97,590.
- BLS projects employment to change by 18.4% from 2025 to 2035, with about 50.5 thousand openings a year.
About 491,930 people worked as substance abuse, behavioral disorder, and mental health counselors in the United States in May 2025, according to the federal government’s BLS OEWS national data, May 2025. Here is what they earn, from entry level to the top of the field, and where the pay is highest. Projections and training requirements come from the BLS Occupational Outlook Handbook: Substance Abuse, Behavioral Disorder, and Mental Health Counselors and BLS Employment Projections, 2025–35.
The full pay range
| Percentile | Hourly | Annual |
|---|---|---|
| 10th (entry level / lowest paid) | $18.72 | $38,940 |
| 25th | $22.65 | $47,100 |
| 50th (median) | $28.53 | $59,350 |
| 75th | $36.80 | $76,530 |
| 90th (most experienced / best paid) | $46.92 | $97,590 |
| Mean (average) | $30.98 | $64,440 |
A percentile wage means that share of workers earn less. For example, 25% of mental health and substance abuse counselors earned less than $47,100. BLS wage estimates do not include overtime, tips or most bonuses.
States where mental health and substance abuse counselors earn the most
Highest state medians in the May 2025 survey (state data):
| State | Median annual wage | Employment |
|---|---|---|
| Alaska | $80,770 | 1,290 |
| Oregon | $74,590 | 8,160 |
| New Mexico | $74,100 | 2,420 |
| Washington | $68,910 | 14,250 |
| North Dakota | $68,630 | 1,290 |
At the other end, the lowest state medians were in Louisiana ($37,910), Mississippi ($46,990), Alabama ($47,310). Lower-paying states often have lower living costs, so compare offers with local prices in mind.
Top-paying metro areas
Metro areas with at least 300 jobs in this occupation, ranked by median wage (metro data):
| Metro area | Median annual wage | Employment |
|---|---|---|
| Anchorage, AK | $81,120 | 810 |
| San Luis Obispo-Paso Robles, CA | $80,770 | 350 |
| Salem, OR | $78,870 | 560 |
| Bellingham, WA | $77,620 | 440 |
| Lincoln, NE | $76,480 | 560 |
Which industries pay mental health and substance abuse counselors the most
Median wage by industry sector, for sectors with at least 1,000 jobs in the occupation (industry data):
| Industry sector | Median annual wage | Employment |
|---|---|---|
| Finance and Insurance | $80,880 | 1,470 |
| Government (federal, state and local; excludes public schools, public hospitals and the Postal Service) | $66,530 | 35,310 |
| Educational Services | $62,070 | 35,260 |
| Administrative and Support and Waste Management and Remediation Services | $60,480 | 4,600 |
| Management of Companies and Enterprises | $60,460 | 2,850 |
| Health Care and Social Assistance | $58,580 | 404,810 |
How to get into the field
- Typical entry education: Master's degree.
- Work experience in a related occupation: none.
- Typical on-the-job training: Internship/residency.
These are the typical requirements BLS assigns to the occupation in its BLS Employment Projections, 2025–35 tables; employers and state licensing boards may require more. The BLS Occupational Outlook Handbook: Substance Abuse, Behavioral Disorder, and Mental Health Counselors explains licensing and certification in detail.
Using these numbers to ask for a raise
- Find your band. If you earn less than $47,100, you are in the bottom quarter nationally. If you have several years of experience, that is a fact worth raising in a pay review.
- Use local data, not national. State and metro medians above can be far from the national $59,350. Quote the figure for your area.
- Compare industries. If another sector pays your occupation more, that is useful leverage, or a sign it may be worth moving.
- Count the whole package. These figures exclude overtime and benefits, so compare total compensation when weighing an offer.
Published October 29, 2026. Sources are linked in the text.
Header image: original chart by JobPayRaise.com using BLS OEWS May 2025 data.
Comments (1)
One more data point: the metro area where mental health and substance abuse counselors are most concentrated is Bloomington, IN, with a location quotient of 4.13 and 960 jobs at a median of $52,710. A location quotient above 1 means the job is a bigger share of local employment than it is nationally, which usually means more employers competing for experienced workers. Source: BLS OEWS metropolitan-area data, May 2025.
— JobPayRaise Data Desk