Substance Abuse, Behavioral Disorder, and Mental Health Counselors pay in North Carolina

$59,160avg. a year
$28.44 an hour · 10,300 employed

Substance Abuse, Behavioral Disorder, and Mental Health Counselors in North Carolina earn an average of $59,160 a year. That is $5,280 (8%) less than the U.S. average of $64,440. The best-paying metro area is Durham-Chapel Hill, NC at $65,900.

$55,490Median pay
$28.44Average hourly
+19%Avg. pay since 2020
#38Of 50 states + D.C.

Top-paying North Carolina metro areas

Average pay for substance abuse, behavioral disorder, and mental health counselors by metro area. Swipe to see all 16.

1680 jobs
Durham-Chapel Hill, NC
$65,900
$31.68 an hour
21,400 jobs
Raleigh-Cary, NC
$65,090
$31.29 an hour
33,760 jobs
Virginia Beach-Chesapeake-Norfolk, VA-NC
$62,920
$30.25 an hour
4170 jobs
Greenville, NC
$60,170
$28.93 an hour
53,380 jobs
Charlotte-Concord-Gastonia, NC-SC
$59,000
$28.36 an hour
6120 jobs
Rocky Mount, NC
$57,620
$27.70 an hour
7480 jobs
Wilmington, NC
$57,280
$27.54 an hour
8480 jobs
Greensboro-High Point, NC
$56,880
$27.35 an hour
9310 jobs
Hickory-Lenoir-Morganton, NC
$56,480
$27.16 an hour
1080 jobs
Jacksonville, NC
$56,350
$27.09 an hour
11110 jobs
Goldsboro, NC
$55,710
$26.78 an hour
12680 jobs
Asheville, NC
$55,430
$26.65 an hour
13380 jobs
Winston-Salem, NC
$55,000
$26.44 an hour
14150 jobs
Pinehurst-Southern Pines, NC
$53,160
$25.56 an hour
15320 jobs
Fayetteville, NC
$52,380
$25.18 an hour
1690 jobs
Burlington, NC
$52,320
$25.15 an hour

Why people trust JobPayFacts

Official government dataEvery number comes from the U.S. Bureau of Labor Statistics wage survey of employers, not self-reported salaries.
Every state and city830 jobs across all 50 states, D.C. and 199 large metro areas.
Updated every yearNew figures each spring when BLS releases them. This site uses May 2025 data.
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Substance Abuse, Behavioral Disorder, and Mental Health Counselors pay in North Carolina, charted

Pay over time

North Carolina, annual wage, May of each year
AverageMedian

Where North Carolina substance abuse, behavioral disorder, and mental health counselors work

Employment by metro area, May 2025

Average pay by state

May 2025 · North Carolina highlighted · tap a state
Under $59k$59k–$64k$64k–$69k$69k+North Carolina

North Carolina vs. neighbors

Average pay, May 2025
AreaAvg. payHourly
United States$64,440$30.98
North Carolina$59,160$28.44
Virginia$65,430$31.46
Georgia$61,310$29.48
South Carolina$55,880$26.86
Tennessee$53,720$25.83

Questions and answers

How much do substance abuse, behavioral disorder, and mental health counselors make in North Carolina?

The average is $59,160 a year, and the median is $55,490. That is $5,280 (8%) less than the U.S. average of $64,440.

What is the hourly wage in North Carolina?

$28.44 an hour on average; the median is $26.68.

Where in North Carolina do they earn the most?

Durham-Chapel Hill, NC ($65,900), followed by Raleigh-Cary, NC ($65,090). The lowest average among 16 metro areas with data is Burlington, NC ($52,320).

How does North Carolina rank?

North Carolina ranks #38 of 51 states (including D.C.) with published data for this job, by average pay.

Sources and notes. U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 (trend: May 2020–May 2025), occupation code 21-1018. State rank compares average pay across states with published data. Metro figures cover metropolitan statistical areas; a metro area can cross state lines. See also the national substance abuse, behavioral disorder, and mental health counselors page. Wages are gross pay before taxes and don't include overtime premiums, tips, bonuses or benefits; self-employed workers aren't included. Year-to-year changes can partly reflect survey method changes, so treat the trend as a guide. How we use the data. JobPayFacts isn't affiliated with BLS.