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Fee For Service Therapist Jobs (NOW HIRING)

ICL

Fee-For-Service Therapist-645407FS

Brooklyn, NY · On-site

$55.60/hr

About the Role ICL is seeking compassionate and culturally competent Licensed Fee-For-Service Therapists to provide clinical interventions to children and adults in a hybrid setting-both in-person at ...

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Fee For Service Therapist information

What is a fee for service therapist?

A Fee For Service Therapist is a mental health professional who provides therapy sessions to clients and is paid based on the number of sessions or services they deliver, rather than receiving a fixed salary. These therapists typically work as independent contractors or part of a group practice, and their income depends on the volume of clients they see. This arrangement offers flexibility in scheduling but may not guarantee a consistent income. Fee For Service Therapists often manage their own billing and may work with insurance companies or accept private pay clients.

What are the key skills and qualifications needed to thrive as a fee for service therapist, and why are they important?

To thrive as a Fee For Service Therapist, you need a master's degree in counseling, social work, or a related field, along with state licensure (such as LCSW, LMFT, or LPC). Familiarity with electronic health record (EHR) systems, telehealth platforms, and evidence-based therapeutic modalities is typically required. Strong interpersonal skills, time management, and the ability to build rapport with diverse clients are crucial soft skills. These competencies ensure effective client care, compliance with regulatory standards, and the ability to manage a flexible, client-driven caseload.

What are some common challenges faced by fee for service therapists when managing their caseloads?

Fee For Service Therapists often face challenges related to fluctuating client schedules and income variability, as their earnings depend on the number of sessions they conduct. Maintaining a consistent caseload can require proactive outreach, flexibility, and effective time management, especially when clients cancel or reschedule appointments. Additionally, therapists must balance administrative tasks, such as documentation and billing, with client care, all while adhering to agency or practice guidelines. Building strong relationships within the team can also help in sharing referrals and support when workloads shift.

What is the difference between Fee For Service Therapist vs Licensed Professional Counselor?

AspectFee For Service TherapistLicensed Professional Counselor
CredentialsVaries; often includes state licensure or certificationRequires state licensure (LPC or equivalent)
Work EnvironmentPrivate practice, outpatient clinics, telehealthPrivate practice, clinics, hospitals
UsageCommonly used for billing and service deliveryLegal credential for practice and licensing

Fee For Service Therapists and Licensed Professional Counselors often share similar credentials and work environments. The main difference is that 'Fee For Service Therapist' describes the billing model, while 'Licensed Professional Counselor' refers to the official credential required to practice legally. Many therapists operate under both roles, providing services on a fee-for-service basis while holding LPC licensure.

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What states have the most Fee For Service Therapist jobs?

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What job categories do people searching Fee For Service Therapist jobs look for?

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Fee For Service Therapist jobs near you
Infographic showing various Fee For Service Therapist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, and 3% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Fee-For-Service Therapist-645407FS

Brooklyn, NY • On-site

Institute for Comm Living
See more jobs at Institute for Comm Livingexternal

$55.60/hr

Full-time

Re-posted 29 days ago

Job description

About the Role

ICL is seeking compassionate and culturally competent Licensed Fee-For-Service Therapists to provide clinical interventions to children and adults in a hybrid setting—both in-person at our clinics and virtually. As part of a collaborative therapeutic team, you’ll work closely with medical, psychiatric, and clinical staff to deliver high-quality care tailored to each client’s needs.

What We Offer

  • Flexible work schedules to support work-life balance
  • Hybrid work environment (in-person and virtual sessions)
  • Clinical supervision provided for licensure hours
  • Ongoing training and professional development
  • Bilingual Spanish & Russian differential: $3/hour per session - additional 

Clinician Rate Schedule:

$45.00 per hour for Limited permit MSW, MHC, MFT, CAT

$50.00 per hour for LMSW, LMHC, LMFT, LCAT

$55.60 per hour LCSW 

Qualifications:

  • Must hold one of the following New York State licenses: LMSW, LCSW, LMHC, LMFT, or LCAT
  • Completion of clinical internship(s) during master’s program
  • Strong written and verbal communication skills
  • Demonstrated cultural competency and sensitivity
  • Fluency in Spanish or Russian is a plus

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