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How much do behavioral health counselor ii jobs pay per year?

As of May 28, 2026, the average yearly pay for behavioral health counselor ii in the United States is $57,425.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $66,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Behavioral Health Counselor II, and why are they important?

To thrive as a Behavioral Health Counselor II, you need a master’s degree in counseling, psychology, or a related field, along with state licensure and experience in clinical mental health settings. Familiarity with electronic health record (EHR) systems, evidence-based therapeutic modalities, and crisis intervention tools is typically expected. Strong interpersonal skills, cultural competence, and the ability to build trust and rapport with diverse clients distinguish top performers in this role. These skills and qualifications are crucial for delivering effective, ethical care and supporting positive client outcomes in complex mental health environments.

What are some common challenges Behavioral Health Counselor II professionals face when working with diverse client populations?

Behavioral Health Counselor II professionals often work with clients from a wide range of backgrounds, which can present challenges such as navigating cultural differences, addressing language barriers, and adapting therapeutic approaches to meet unique needs. Counselors must be sensitive to varying beliefs about mental health and build trust with clients who may be hesitant to seek help. Ongoing training in cultural competency and strong communication skills are essential for effectively supporting all clients and ensuring positive treatment outcomes.

What does a Behavioral Health Counselor II do?

A Behavioral Health Counselor II provides therapeutic support and counseling to individuals dealing with mental health, emotional, or behavioral issues. They conduct assessments, develop treatment plans, and facilitate individual or group therapy sessions. Typically, they work in settings such as hospitals, clinics, or community organizations, often collaborating with other healthcare professionals. The 'II' designation usually indicates an intermediate or experienced level, requiring additional experience or credentials compared to entry-level counselors.

What field of counseling makes the most money?

In counseling, clinical psychologists and psychiatrists tend to earn the highest salaries, often due to advanced degrees and licensing requirements. Behavioral Health Counselors II typically earn less than these roles, but salaries can vary based on experience, location, and specialization. Advanced certifications and working in private practice or specialized settings can also impact earning potential.

What is the difference between Behavioral Health Counselor Ii vs Mental Health Therapist?

AspectBehavioral Health Counselor IiMental Health Therapist
CredentialsRequires a master's degree in counseling, psychology, or related field; licensure often requiredTypically requires a master's degree and state licensure or certification
Work EnvironmentClinics, hospitals, community health centers, outpatient settingsPrivate practices, clinics, hospitals, community agencies
Employer & IndustryHealthcare providers, mental health agencies, outpatient facilitiesSimilar settings, often overlapping in healthcare and mental health services
Common Search & ComparisonYesYes

Both Behavioral Health Counselor Ii and Mental Health Therapist roles require similar educational backgrounds and licensure. They often work in comparable settings such as clinics and hospitals, providing mental health services. The main difference lies in job titles used by employers, but their responsibilities and qualifications are closely aligned.

More about Behavioral Health Counselor Ii jobs
What cities are hiring for Behavioral Health Counselor Ii jobs? Cities with the most Behavioral Health Counselor Ii job openings:
What job categories do people searching Behavioral Health Counselor Ii jobs look for? The top searched job categories for Behavioral Health Counselor Ii jobs are:
Behavioral Health Counselor Ii jobs near you
Infographic showing various Behavioral Health Counselor Ii job openings in the United States as of May 2026, with employment types broken down into 78% Full Time, 19% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $57,425 per year, or $27.6 per hour.
Behavioral Health Counselor

Behavioral Health Counselor

Sanford Health

Dickinson, ND • On-site

Full-time

Posted 6 days ago

Sanford Health rating

6.8

Company rating: 6.8 out of 10

Based on 521 frontline employees who took The Breakroom Quiz

489th of 864 rated healthcare providers

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America's heartland.
Work Shift:
8 Hours - Day Shifts (United States of America)
Scheduled Weekly Hours:
36
Compensation:
Salary Range: $26.00 - $41.50
Union Position:
No
Department Details
Summary
The Behavioral Health Counselor requires a broad, yet solid, understanding of human behavior and theories of counseling. May work with a wide range of patient populations and presenting issues, requiring a foundation in a variety of treatment modalities. This role is a team-based role where responsibility for patient well-being is diffused among the treatment team and the overall responsibility lies with a clinical supervisor or admitting provider.
Job Description
The Behavioral Health Counselor assesses patient needs, may diagnose disorders, develops treatment plans, and implements treatment interventions specific to patient needs. Continually assesses patient's progress and revises treatment plans and interventions accordingly. Documents treatment sessions. Provides patient progress updates to interdisciplinary team, as needed. May educate patient support members about patient issues and interventions. May refer for additional clinical services or to specialists, as needed. Must stay current on emerging issues in the profession.
In a clinic setting (other than primary care), the Behavioral Health Counselor conducts scheduled face-to-face counseling sessions designed to assess and improve patient's emotional, mental, and behavioral health.
Qualifications
Master's degree in Counseling, Social Work, Psychology, or related Behavioral Health Sciences required; graduation from an accredited school preferred.
License must be in good standing in state(s) of practice.
In North Dakota, must have one of the following:
Licensed Associate Professional Counselor (LAPC)
Licensed Professional Counselor (LPC)
Licensed Professional Clinical Counselor (LPCC)
Licensed Master Social Worker (LMSW)
Licensed Clinical Social Worker (LCSW)
Licensed Marriage and Family Therapist (LMFT)
Sanford is an EEO/AA Employer M/F/Disability/Vet.
If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to talent@sanfordhealth.org.

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About Sanford Health

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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

Industry

Health care and social assistance and hospitals

Company size

10,000+ Employees

Headquarters location

Sioux Falls, SD, US

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