Substance Abuse, Behavioral Disorder, and Mental Health Counselor Salary in North Carolina
Median annual pay in North Carolina
$55,490
$26.68/hour
BLS OEWS, May 2025
Adjusted for cost of living in North Carolina
$58,828
Regional Price Parity: 94.326 (U.S. = 100)
Wages: BLS OEWS, May 2025. Cost of living: BEA Regional Price Parities, 2024.
Difference from the U.S. median ($59,350): −$3,860 (−6.5%)
North Carolina ranks 39th of 51 states by median pay, and 32nd of 51 after adjusting for cost of living.
Pay
| Annual | Hourly | |
|---|---|---|
| 10th percentile | $37,440 | $18.00 |
| 25th percentile | $45,100 | $21.68 |
| Median | $55,490 | $26.68 |
| 75th percentile | $68,610 | $32.98 |
| 90th percentile | $86,010 | $41.35 |
Employment
- Employment in North Carolina
- 10,300
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Comparison
Compared with the U.S.
- Median annual pay in North Carolina
- $55,490
- Median annual pay in the U.S.
- $59,350
- Difference
- −$3,860 (−6.5%)
Cost of living
$55,490 ÷ 94.326 × 100 = $58,828
Wages: BLS OEWS, May 2025. Cost of living: BEA Regional Price Parities, 2024.
Ranking
| Rank | Median annual pay | Adjusted for cost of living (annual) |
|---|---|---|
| Florida | ||
| 37th | $56,790 | $54,915 43rd |
| Delaware | ||
| 38th | $56,020 | $56,128 38th |
| North Carolina This page | ||
| 39th | $55,490 | $58,828 32nd |
| New Hampshire | ||
| 40th | $54,840 | $52,647 50th |
| Kentucky | ||
| 41st | $54,190 | $60,105 28th |
Similar occupations
Related occupations from O*NET, in O*NET's order, with their BLS median pay. Each figure shows the place it is for.
- Healthcare Social Worker salary in the U.S.
$67,880/year U.S.
- Rehabilitation Counselor salary in the U.S.
$46,850/year U.S.
- Recreational Therapist salary in the U.S.
$61,960/year U.S.
- Registered Nurse salary in North Carolina
$84,350/year North Carolina
- Psychiatrist salary in North Carolina
$168,880/year North Carolina
- Psychiatric Technician salary in the U.S.
$45,130/year U.S.
Outlook
- Projected employment change, 2025–35 (U.S.)
- +18.4%
- Typical education needed for entry (U.S.)
- Master's degree
BLS publishes employment projections only for the U.S. as a whole. BLS Employment Projections, 2025–35
Specialties included in this occupation
- Substance Abuse and Behavioral Disorder Counselors
- Mental Health Counselors
BLS publishes one wage figure for all Substance Abuse, Behavioral Disorder, and Mental Health Counselors; it does not publish separate data for these specialties.
O*NET 31.0
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Substance Abuse, Behavioral Disorder, and Mental Health Counselor salary in nearby places
- Substance Abuse, Behavioral Disorder, and Mental Health Counselor salary in Georgia
$58,960/year Georgia
- Substance Abuse, Behavioral Disorder, and Mental Health Counselor salary in South Carolina
$52,370/year South Carolina
- Substance Abuse, Behavioral Disorder, and Mental Health Counselor salary in Tennessee
$49,580/year Tennessee
- Substance Abuse, Behavioral Disorder, and Mental Health Counselor salary in Virginia
$59,880/year Virginia
- Substance Abuse, Behavioral Disorder, and Mental Health Counselor salary in the U.S.
$59,350/year U.S.
Sources and update
- Wages and employment: BLS Occupational Employment and Wage Statistics (OEWS), May 2025.
- Cost of living: BEA Regional Price Parities, 2024.
- Related occupations and specialties: O*NET® 31.0 Database, CC BY 4.0. Attributions
- Employment projections and typical education: BLS Employment Projections, 2025–35.
- Neighboring states: U.S. Census Bureau, County Adjacency File, 2024.
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