BLS publishes no occupation called therapist, so Tennessee gets three figures, and in May 2025 all three sat below their national medians.
Counselors — a combined occupation that also counts substance abuse counselors — had a median of $49,580, 16% below the national figure.
Marriage and family therapists had a median of $46,700, 30% below theirs, and mental health and substance abuse social workers $46,500, 23% below.
The three medians sit within $3,080 of one another, and the national order flips: family therapists top the national list, counselors the Tennessee one.
Counselors (combined) · SOC 21-1018
$49,580/yr
−16% vs. national $59,350
$23.84/hr median
Marriage & family therapists · SOC 21-1013
$46,700/yr
−30% vs. national $66,940
$22.45/hr median
MH & substance abuse social workers · SOC 21-1023
$46,500/yr
−23% vs. national $60,280
$22.36/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 — Tennessee, 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 occupation’s figure.
Differences are whole percentages of the national figure, rounded half away from zero, computed from the figures shown.
By estimated employment, Tennessee ranks 19th of 50 for counselors (combined), 6th of 40 for marriage and family therapists, 19th of 50 for mental health and substance abuse social workers.
All three Tennessee medians point the same way: down against their national figures.
The counselor median of $49,580 is $9,770 below the national $59,350, the family therapist median of $46,700 is $20,240 below the national $66,940, and the social worker median of $46,500 is $13,780 below the national $60,280.
The gaps between the occupations narrow too.
Nationally, family therapists lead counselors by $7,590 at the median and social workers by $6,660; in Tennessee, counselors lead family therapists by $2,880 and social workers by $3,080, leaving family therapists just $200 ahead of social workers.
So the national order, with family therapists on top, does not hold: Tennessee's counselor median is the highest of the three, and no occupation's median clears $50,000.
The counselor shortfall is narrowest at the floor of the distribution and widest at the ceiling.
The 10th percentile of $34,950 is 10% below the national figure, the 25th percentile of $39,160 is 17% below, the median of $49,580 is 16% below, the 75th percentile of $61,160 is 20% below, and the 90th percentile of $76,620 is 21% below the national $97,590.
Tennessee's compression sits in the middle and top of the range: the middle half of the distribution spans $22,000, against a national band of $29,430, and the 10th-to-90th span is $41,670 against $58,650.
BLS estimates 9,040 counselors employed in Tennessee, ranking 19th of the 50 jurisdictions that publish an employment estimate for the occupation, with a median that ranks 47th of 51.
For someone weighing a counselor offer, the reading is that the state's median figure sits $9,770 under the national one, and the shortfall is widest toward the ceiling.
This is a combined occupation: the figures pool every kind of counselor the title covers, so they describe no single 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.
Tennessee marriage and family therapists sit below the national distribution at every published point, and the gap explodes toward the ceiling.
The 10th percentile of $34,690 is 22% below the national figure and the 25th percentile of $40,350 is 19% below; the median of $46,700 is 30% below, the 75th percentile of $52,120 is 44% below, and the 90th percentile of $63,540 is 49% below the national $123,730.
The shape is the flattest of the three: from the median to the 75th percentile the distribution adds only $5,420, where the national spread over the same percentiles is $26,900.
The hourly median is $22.45 against $32.18 nationally.
BLS estimates 1,440 family therapists employed in Tennessee, 6th of the 40 jurisdictions that publish an employment estimate, with a median ranking 42nd of 45.
OEWS does not say why the ceiling sits so low, and this page does not guess.
What this figure covers: An occupation of its own for marriage and family therapists — the only one of the three that is not a blend or a split.
Mental health and substance abuse social workers start close to their national figure at the bottom and fall behind as the distribution rises.
The 10th percentile of $38,320 is 4% below the national figure — the smallest gap of any figure on this page — but the 25th percentile of $42,780 is 9% below, the median of $46,500 is 23% below, the 75th percentile of $55,310 is 31% below, and the 90th percentile of $68,430 is 34% below the national $104,170.
The middle half of the Tennessee distribution spans $12,530 against the national band of $32,660, and the 10th-to-90th span is $30,110 against $64,430, so the compression matches the pattern in the other two rows.
The hourly median is $22.36.
BLS estimates 2,220 social workers employed in Tennessee, 19th of the 50 jurisdictions with an employment estimate, and the median ranks 43rd of 51.
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.
Read an offer against the row for the occupation the job would be counted in.
At the hour: the Tennessee hourly medians are $23.84 for counselors, $22.45 for family therapists and $22.36 for social workers — all three within $1.48 of one another, while the national hourly medians run from $32.18 down to $28.53.
An annual offer at $49,580 sits at the Tennessee counselor median; the same figure weighed against the family therapist row is $2,880 above the state median of $46,700.
A percentile is a position in the state's distribution, not a pay step or a judgement about the person hired, so an offer at the 25th percentile says where the number sits among Tennessee jobs in that occupation.
None of the three rows is a licence figure.
The counselor row pools LPCs, including holders of the LPC-MHSP designation, with substance abuse and behavioral disorder counselors, and BLS publishes no counselor-licence-only median for Tennessee.
The family therapist row is the closest to a single licence — marriage and family therapists are an occupation of their own, licensed as the LMFT with an AMFT associate licence beneath it — but OEWS does not split it by licence stage, so it cannot say what an AMFT holder earns.
Clinical social workers holding the LCSW are counted either in this social worker row or in healthcare social work, depending on the setting of the job, so the $46,500 median does not describe every LCSW.
The licensure pages linked under this section carry the rules behind the titles.
What each licence requires in Tennessee is summarized in counselor licensure in Tennessee, social work licensure in Tennessee, and MFT licensure in Tennessee.
Before you weigh an offer, check which licence the posting asks for — browse therapist jobs in Tennessee.
From the 52 active therapist listings on BehavioralHires as of October 29, 2026.
Source: active therapist listings on BehavioralHires, updated daily. Pay figures use only listings that state pay (midpoint of each posted range). Benefits count listings that name the benefit; a listing that doesn’t mention one may still offer it.
Browse 52 jobs →There is no single figure, because BLS publishes no occupation called therapist.
For May 2025 it publishes three Tennessee medians: $49,580 for counselors (a combined occupation that also counts substance abuse counselors), $46,700 for marriage and family therapists and $46,500 for mental health and substance abuse social workers.
All three sit below their national medians, by 16%, 30% and 23% respectively.
Use the row for the occupation the job would be counted in.
At the median, counselors: $49,580 against $46,700, a gap of $2,880.
That reverses the national picture, where the family therapist median of $66,940 is $7,590 above the counselor median of $59,350.
The reversal holds across the top half of the distributions: at the 75th percentile counselors are at $61,160 against $52,120, and at the 90th $76,620 against $63,540.
Only at the 25th percentile do family therapists edge ahead, $40,350 against $39,160.
The Tennessee 90th percentile is $76,620 for counselors, $63,540 for marriage and family therapists and $68,430 for mental health and substance abuse social workers — 21%, 49% and 34% below the national 90th percentiles respectively.
One in ten workers in each occupation earned more than those figures.
The counselor ceiling comes closest to its national counterpart; the family therapist ceiling is the furthest away, a $60,190 gap at the 90th percentile.
BLS estimates 9,040 counselors in the combined occupation, 1,440 marriage and family therapists and 2,220 mental health and substance abuse social workers employed in Tennessee.
Those are headcounts of people in jobs during the survey period, not open positions.
By employment, Tennessee ranks 19th of 50 jurisdictions for counselors, 6th of 40 for family therapists and 19th of 50 for social workers, counting only those where BLS publishes an employment estimate.
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.