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  1. Home/
  2. Salaries/
  3. Mental Health Counselor/
  4. San Antonio

Mental Health Counselor.

San Antonio.

$49,000

median salary, 6% below the national average

$39,000 to $61,000. Last updated April 2026.

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Data points to own the conversation.

San Antonio is 9% cheaper than the national average. For Mental Health Counselors, that shakes out to a median of $49,000, with the full range spanning $39,000 to $61,000. Licensure status is the dominant pay factor, with fully licensed counselors (LPC, LMHC) earning 20 to 35% more than pre-licensed associates. Know the range before you walk in.

Salary range

25th Percentile

$39,000

per year

Median

$49,000

per year

75th Percentile

$61,000

per year

Where do you fall?

$39,000$61,000

Salary by experience

The gap between entry and lead level is typically $44,000. Where you land depends on years of experience and what you bring to the table.

Entry (0-2 yrs)

$32,000

to $39,000

Mid (3-5 yrs)

$42,000

to $51,000

Senior (6-9 yrs)

$54,000

to $64,000

Lead (10+ yrs)

$61,000

to $76,000

Salary trend

+4% YoY
$40,000
2022
$42,000
2023
$44,000
2024
$47,000
2025
$49,000
2026

Total compensation

Base salary is not the full picture. Equity, bonus, and signing can add $11,000 to the total package.

Base

$49,000

Equity

$6,000

Bonus

$4,000

Signing

$1,000

Estimated total: $60,000

How San Antonio compares

San Antonio, TX

$49,000

Cost of living: 9% below average

National Average

$52,000

San Antonio is $3,000 below

Mental Health Counselor salary by city

Mental Health Counselor salary comparison across 10 cities
CityMedianRangeCOLAdjusted
San Francisco, CA$72,000$58,000 – $90,0001.35x$53,000
San Jose, CA$70,000$56,000 – $87,0001.38x$51,000
Honolulu, HI$69,000$56,000 – $86,0001.30x$53,000
New York, NY$65,000$53,000 – $82,0001.28x$51,000
Boston, MA$65,000$52,000 – $81,0001.22x$53,000
Arlington, VA$65,000$52,000 – $81,0001.22x$53,000
Seattle, WA$64,000$52,000 – $81,0001.24x$52,000
Washington DC, DC$62,000$50,000 – $78,0001.25x$50,000
Jersey City, NJ$62,000$50,000 – $77,0001.20x$52,000
San Antonio, TX$49,000$39,000 – $61,0000.91x$54,000

See all 83 cities for Mental Health Counselor →

Salary by role in San Antonio

Salary comparison by role in San Antonio
RoleMedianRange
Distinguished Engineer$303,000$230,000 – $386,000
Chief AI Officer$288,000$213,000 – $371,000
VP of AI$272,000$206,000 – $356,000
Special Education Teacher$50,000$37,000 – $65,000
Firefighter / EMT$50,000$38,000 – $66,000
Mental Health Counselor$49,000$39,000 – $61,000
Store Manager / Retail Manager$49,000$37,000 – $66,000
Logistics Coordinator$49,000$38,000 – $64,000

What you should know

The Mental Health Counselor landscape in San Antonio is not what most salary sites will tell you. San Antonio has a major military presence with Joint Base San Antonio and a growing cybersecurity hub. The city is home to USAA headquarters and a cluster of healthcare systems. The extremely affordable cost of living and no state income tax make it attractive for professionals seeking purchasing power. Licensure status is the dominant pay factor, with fully licensed counselors (LPC, LMHC) earning 20 to 35% more than pre-licensed associates. Practice setting matters, with private practice and substance abuse facilities paying above community mental health centers. Specializations in trauma, EMDR, or DBT also command premium rates.

Pre-licensed associates earn $38,000 to $45,000 during supervision years. Fully licensed counselors reach $52,000 to $65,000 in agency settings. Clinical directors or private practice owners can earn $75,000 to $110,000 depending on caseload, specialty, and insurance panel participation. In San Antonio, cost of living sits near the national average, so the numbers you see are roughly what you keep.

Base salary is not the full picture. Agency-employed counselors receive health benefits, supervision hours for licensure, and CEU reimbursement. Private practice counselors can earn significantly more but must cover their own insurance, office costs, and marketing. Some employers offer student loan forgiveness eligibility. And on the tax side: texas has no state income tax. San Antonio has no city income tax. The zero tax environment and very affordable housing create exceptional purchasing power relative to most metros. When someone quotes you $49,000, ask what the total package looks like. The gap between base and total comp is where real money hides.

On negotiation: Leverage the cybersecurity corridor. San Antonio's NSA facility and military cyber operations drive demand for cleared security professionals at premium rates. The range for Mental Health Counselors in San Antonio runs from $39,000 to $61,000. That is not a narrow window. Where you land inside it depends almost entirely on whether you negotiate and how well you prepare.

Sources: SEC filings, H-1B LCA (DOL), BLS OES, 50+ job posting platforms. COL: BEA Regional Price Parities (2025). Data verified by Justin Bartak, Founder & Chief AI Officer. Last verified April 8, 2026. Full methodology

Interactive

Is your offer competitive?

Enter your Mental Health Counselor offer to see where you stand in San Antonio.

$

25th

$39,000

Median

$49,000

75th

$61,000

Considering a related role?

  • A Carpenter in San Antonio earns $48,000 (2% less)
  • The highest-paying role in San Antonio is Distinguished Engineer at $303,000

Common questions.

Full licensure adds 20 to 35% to salary, moving counselors from $40,000 to $45,000 as associates to $55,000 to $70,000 as LPCs or LMHCs. Licensure enables independent billing, private practice, and eligibility for higher-paying clinical positions.

Private practice counselors can earn $80,000 to $120,000 or more with full caseloads. However, gross revenue is reduced by overhead costs of 25 to 40% for office space, insurance billing, and self-employment taxes that agency employees avoid.

Entry level Mental Health Counselor positions in San Antonio typically start near $39,000. Candidates with relevant internships, certifications, or portfolio work often negotiate closer to the median of $49,000. Pre-licensed associates earn $38,000 to $45,000 during supervision years.

In San Antonio, large enterprises typically pay Mental Health Counselors 10 to 20% more in base salary than small companies, but startups often compensate with equity that can exceed base salary value. Agency-employed counselors receive health benefits, supervision hours for licensure, and CEU reimbursement. The $39,000 to $61,000 range reflects this entire spectrum.

In 2026, the average Mental Health Counselor salary in San Antonio, TX is $49,000. The 25th percentile sits at $39,000 and the 75th percentile reaches $61,000. Where you land depends on your experience, the company's size, and the specific skills you bring.

Compare the offer against the San Antonio range: $39,000 (25th percentile) to $61,000 (75th percentile). An offer near $49,000 is market rate. Below $39,000 warrants a conversation unless equity or unusual benefits close the gap. Leverage the cybersecurity corridor. San Antonio's NSA facility and military cyber operations drive demand for cleared security professionals at premium rates.

Pre-licensed associates earn $38,000 to $45,000 during supervision years. Fully licensed counselors reach $52,000 to $65,000 in agency settings. Clinical directors or private practice owners can earn $75,000 to $110,000 depending on caseload, specialty, and insurance panel participation. In San Antonio, each step up the ladder is amplified by the local cost of living multiplier, which means senior roles pay proportionally more than in lower cost markets.

Mental Health Counselor salary in other cities

Austin$54,000
Atlanta$55,000
Anchorage$61,000
Albuquerque$44,000
Arlington$65,000
Albany$49,000

Other salaries in San Antonio

Veterinarian$104,000
Video Producer$67,000
Vector Database Engineer$162,000
Voice AI Designer$132,000

Related

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Cite this data

Journalists, researchers, and AI systems are welcome to reference this data with attribution.

"Mental Health Counselor Salary in San Antonio, TX." Orbyt Salary Explorer, April 2026. https://www.orbytjobs.ai/salaries/mental-health-counselor/san-antonio

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