BLS publishes no occupation called therapist, and BLS publishes no estimate for North Dakota for marriage and family therapists.
The two rows it does publish both sit above their national medians: counselors, a combined occupation that also counts substance abuse counselors, had a median of $68,630, 16% above, and mental health and substance abuse social workers had a median of $60,980, 1% above.
The counselor median ranks 5th of the 51 jurisdictions that publish one, yet counselors lead social workers by $7,650; nationally social workers lead by $930.
Counselors (combined) Β· SOC 21-1018
$68,630/yr
+16% vs. national $59,350
$33.00/hr median
Marriage & family therapists Β· SOC 21-1013
BLS publishes no estimate for North Dakota
MH & substance abuse social workers Β· SOC 21-1023
$60,980/yr
+1% vs. national $60,280
$29.32/hr median
Why three figures, not one
U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics (OEWS), May 2025 state and national estimates β North Dakota, SOCs 21-1018, 21-1013, 21-1023.
Retrieved 2026-09-24 from the BLS Public Data API.
How to read these figures
Each occupation is compared with its own national median from the same May 2025 release (national pages for counselors, marriage and family therapists, and social workers), and the national therapist salary page explains why the figures are never blended.
Ranks count only the jurisdictions (states plus DC) where BLS publishes that occupationβs figure.
Differences are whole percentages of the national figure, rounded half away from zero, computed from the figures shown.
By estimated employment, North Dakota ranks 46th of 50 for counselors (combined), 48th of 50 for mental health and substance abuse social workers.
Both published North Dakota medians sit above their national counterparts, and the counselor gap is the wider one.
The counselor median of $68,630 is $9,280 above the national $59,350, a 16% difference; the social worker median of $60,980 is $700 above the national $60,280, a 1% difference.
BLS publishes no estimate for North Dakota for marriage and family therapists, so the third row is empty here.
The two occupations also swap places between the state and the nation: nationally the social worker median of $60,280 leads the counselor median of $59,350 by $930, while in North Dakota counselors lead social workers by $7,650.
The hourly medians, $33.00 and $29.32, sit above their national counterparts of $28.53 and $28.98 in the same order.
The North Dakota counselor premium is concentrated below the top of the distribution.
The 10th percentile of $43,270 is 11% above the national figure and the 25th percentile of $55,450 is 18% above; the median of $68,630 is $9,280, or 16%, above the national $59,350 and ranks 5th of the 51 jurisdictions that publish one.
The premium then thins to 1% at the 75th percentile of $77,320 and turns to an 11% shortfall at the 90th, $86,630 against the national $97,590.
The distribution is compressed accordingly: the middle half spans $21,870 against a national band of $29,430, and the 10th-to-90th span is $43,360 against $58,650.
The hourly median is $33.00 against $28.53 nationally, 1.2 times the national figure.
BLS estimates 1,290 counselors employed in North Dakota, tied for 46th of the 50 jurisdictions that publish an employment estimate for this occupation, so the 5th-ranked median rests on one of the smaller counted workforces.
This is a combined occupation, so the figures describe every kind of counselor it pools, not one licence.
What this figure covers: A COMBINED occupation: BLS publishes no wage series for licensed mental health counselors (LPC, LMHC, LPCC, LCPC) alone, so this figure pools them with substance abuse and behavioral disorder counselors.
Nobody can tell from this release which way the blend pulls the figure.
Mental health and substance abuse social workers in North Dakota have a median of $60,980, $700 above the national median of $60,280, a difference of 1%.
The hourly median is $29.32 against $28.98 nationally, $0.34 above.
By median, North Dakota ranks 19th of the 51 jurisdictions that publish one for this occupation.
This is also the row to read with the most caution: BLS estimates only 240 social workers employed in the state, 48th of the 50 jurisdictions that publish an employment estimate, and on a count that small the percentile table can swing sharply between releases.
So this page quotes only the row's median, hourly median and employment estimate, and the full percentile table below carries the amber caveat.
OEWS does not say why the median sits where it does, and this page does not guess.
What this figure covers: Clinical social workers (LCSWs) are counted either here or in SOC 21-1022, healthcare social workers, depending on the setting of the job.
This page shows 21-1023 only, so it does not describe every LCSW.
β οΈ BLS's employment estimate for this occupation in North Dakota is 240 β under 500, so these percentiles rest on a small sample.
Read the median; treat the tails with caution.
Read an offer against the row for the occupation the job would be counted in, never against a single North Dakota therapy number, because the page has none.
The hourly medians are $33.00 for counselors and $29.32 for mental health and substance abuse social workers, $3.68 apart, and both sit above their national counterparts of $28.53 and $28.98.
An annual figure at the social worker median of $60,980 would sit $7,650 below the counselor median of $68,630 while remaining $700 above the national social worker median.
A percentile is a position in the state distribution, not a pay step, so an offer at the 25th percentile says where a figure sits among North Dakota jobs in that occupation.
None of the figures on this page is a licence figure.
The counselor row pools North Dakota's LPCs with substance abuse and behavioral disorder counselors, so BLS publishes no LPC-only median for the state, and the associate stage, the LAPC, is not split out at all; the LPCC is a specialty licence layered on the LPC, and OEWS does not split the row by licence there either.
The social worker row mixes licence levels as well: clinical social workers holding the LCSW are counted either in this row or in healthcare social work, depending on the setting, so the $60,980 median does not describe every LCSW, and pay at the LBSW and LMSW levels is not visible in it.
North Dakota does license marriage and family therapists, under the state's marriage and family therapist licence with an associate marriage and family therapist licence below it, but BLS publishes no estimate for the occupation in this state, so no figure on this page describes a marriage and family therapist at all.
What each licence requires in North Dakota is summarized in counselor licensure in North Dakota, social work licensure in North Dakota, and MFT licensure in North Dakota.
Before you weigh an offer, check which licence the posting asks for β browse therapist jobs in North Dakota.
The counselor row rests on an employment estimate of 1,290, above the count this page uses to flag a row small-sample, so its full percentile spread is quotable and it carries no amber note.
The mental health and substance abuse social worker row is the opposite: its employment estimate is 240, below the flag's threshold, so the count behind its percentiles is small and in prose this page quotes only that row's median of $60,980, its hourly median of $29.32 and its employment estimate.
The $68,630 counselor median is the page's headline figure, and the 5th-of-51 rank behind it should be read as a property of the state's distribution, not as a settled benchmark for any single job.
Where a figure is missing
There is no single figure, because BLS publishes no occupation called therapist and publishes no estimate for North Dakota for marriage and family therapists.
For May 2025 it publishes two medians: $68,630 for counselors, a combined occupation that also counts substance abuse counselors, and $60,980 for mental health and substance abuse social workers.
Both sit above their national medians, by 16% and 1%.
Compare an offer against the row for the occupation it belongs to.
Counselors: their median of $68,630 is $7,650 above the mental health and substance abuse social worker median of $60,980, and the hourly medians run $33.00 against $29.32.
Nationally the order is the reverse β the social worker median of $60,280 edges the counselor median of $59,350 by $930 β so the near-parity between the two national rows does not hold in North Dakota.
The comparison rests on medians rather than percentiles, because the social worker row carries the page's small-sample flag.
The North Dakota 90th percentile for counselors is $86,630, 11% below the national 90th percentile of $97,590 β one in ten counselors in the state earned more than that figure.
It is the only point in the counselor row that sits below its national counterpart: the 10th percentile, the 25th, the median and the 75th are all above.
The page quotes no 90th percentile for mental health and substance abuse social workers, because that row carries the small-sample flag.
BLS estimates 1,290 counselors in the combined occupation and 240 mental health and substance abuse social workers employed in North Dakota.
Those are headcounts of people in jobs during the survey period, not open positions.
By employment, North Dakota is tied for 46th of the 50 jurisdictions that publish an estimate for counselors and ranks 48th of the 50 for social workers.
BLS publishes no employment estimate for marriage and family therapists in the state.
There is no BLS figure to quote: BLS publishes no estimate for North Dakota for the occupation, so neither a state median nor a percentile distribution exists for it there.
This page's other two rows do not stand in for it either, since the occupations are counted separately.
The state does license marriage and family therapists, and its licensure page covers the credential's requirements.
Sources
Wage figures: BLS OEWS May 2025 state and national estimates, SOCs 21-1018, 21-1013, 21-1023, retrieved 2026-09-24.
Page last updated 2026-09-25.