Healthcare · State Rankings

Best US States for Therapist (Counselor)s

All 50 states + DC ranked by Therapist (Counselor) salary. State tax structure noted for take-home math.

Top 10 states by salary
#StateEstimated salaryCost mult.State tax
1California$61,1001.18×~5% effective
2Hawaii$60,1001.15×~5% effective
3Massachusetts$59,2001.12×~5% effective
4Maryland$57,9001.08×~5% effective
5New York$57,3001.15×~5% effective
6Alaska$56,8001.13×No state tax
7New Jersey$56,8001.13×~5% effective
8Nevada$56,2001.02×No state tax
9Washington$56,0001.10×No state tax
10District of Columbia$55,5001.20×~5% effective
All 51 states + DC, ranked
#StateSalaryAfter state tax (rough)
1California$61,100$44,817
2Hawaii$60,100$44,083
3Massachusetts$59,200$43,423
4Maryland$57,900$42,470
5New York$57,300$42,030
6Alaska$56,800$44,503
7New Jersey$56,800$41,663
8Nevada$56,200$44,033
9Washington$56,000$43,876
10District of Columbia$55,500$40,709
11Pennsylvania$54,600$40,049
12Colorado$54,500$39,976
13Oregon$54,500$39,976
14Arizona$53,000$38,876
15Delaware$53,000$38,876
16Florida$53,000$41,526
17Minnesota$53,000$38,876
18Connecticut$52,800$38,729
19Louisiana$52,500$38,509
20Texas$52,200$40,899
21Utah$52,200$38,289
22Alabama$51,800$37,995
23New Hampshire$51,400$40,272
24North Carolina$51,300$37,629
25Idaho$51,000$37,409
26Michigan$51,000$37,409
27Wisconsin$51,000$37,409
28Rhode Island$50,800$37,262
29Virginia$50,800$37,262
30New Mexico$50,700$37,188
31Tennessee$50,700$39,723
32Indiana$50,400$36,968
33Kansas$50,400$36,968
34Ohio$50,400$36,968
35Illinois$50,000$36,675
36Vermont$49,700$36,455
37Kentucky$49,500$36,308
38Maine$49,200$36,088
39Georgia$48,400$35,501
40Montana$48,100$35,281
41Wyoming$48,100$37,686
42North Dakota$47,800$35,061
43South Carolina$47,800$35,061
44Nebraska$47,500$34,841
45South Dakota$47,500$37,216
46Iowa$47,300$34,695
47Missouri$47,300$34,695
48Oklahoma$46,700$34,254
49Arkansas$46,200$33,888
50West Virginia$46,200$33,888
51Mississippi$45,600$33,448
After-state-tax estimate uses federal ~14% + FICA 7.65% + state ~5% (or 0% in no-tax states).

What moves with you and what does not

Because Therapist (Counselor) is a licensed occupation (State license (LMFT) required; needs supervised postdegree clinical hours plus exam), the pay differences between states persist in a way they would not otherwise. Workers cannot freely move to the highest-paying state, so the gap does not close. That is worth knowing both as a barrier and, once you hold the license, as protection.

Tax and what the numbers are worth

Income tax reshuffles this ranking. Alaska, Nevada, Washington appear in the top ten and levy no state income tax, so the gross figures understate take-home there by roughly 3–6% relative to a taxing state at the same salary. Against a high-tax state, that is worth several thousand dollars a year at this occupation's median of $50,000.

The offset is usually property tax. States without an income tax recover the revenue elsewhere, so the advantage is largest for renters and narrows considerably for homeowners. Run both if you plan to buy.

The spread from Mississippi ($45,600) to California ($61,100) is 34%. Cost of living explains most of it — a state paying 25% above the national median for this role usually costs proportionally more to live in, which is why cost-adjusted rankings look different from nominal ones.

Where the field is heading

Nationally, Therapist (Counselor) employment is projected to grow strongly — 13% through 2034, with roughly 7,700 openings a year counting replacements. Growth is rarely evenly distributed: states with the industry concentration driving that growth will feel it first, and the ranking above is a reasonable proxy for where.

Salaries are modelled from BLS national medians adjusted for local price level at a wage elasticity below 1 — pay rises with local costs but not proportionally. See our methodology.

Frequently Asked Questions

Which state pays the most for Therapist (Counselor)s?
Based on cost-of-living-adjusted estimates, California pays the most with an estimated median of $61,100/year for Therapist (Counselor)s. High-cost states (CA, NY, MA, HI) tend to top the list because employers compensate for local cost of living.
Do no-state-tax states pay better effective?
Often yes after taxes. Alaska, Nevada, Washington, Florida, Texas have no state income tax. A 5% state tax savings on $100K = $5,000 more take-home. But verify cost of living too — Texas pays well and has no tax, but Houston/Austin housing has risen dramatically.
Why do some states pay so much more?
Three factors: (1) cost of living — coastal states cost 15-25% more, employers adjust pay; (2) employer concentration — CA dominates tech, NY finance, MA biotech; (3) regulatory environment — some states have higher unionization or licensing requirements that increase wages.
Are these salaries net or gross?
Gross — before federal income tax (~14% effective at this income), FICA (7.65%), state income tax (varies), and local taxes if applicable. Use our state-specific Paycheck Calculator for exact take-home in any state.
How does experience affect these numbers?
These are medians — entry-level often runs 25-35% below median, senior roles 40-60%+ above. A senior Therapist (Counselor) in California can easily exceed $91,650, while an entry-level role in a low-cost state might be $31,920.