Massachusetts, New Hampshire and Pennsylvania have the highest rates of substance abuse, behavioral disorder, and mental health counselors per overall employment, according to data from the Bureau of Labor Statistics.
The BLS published updated occupation-specific data in 2024 on April 2.
In May 2024, there were 440,380 mental health counselors earning a median annual wage of $65,100.
Texas, Nevada, the District of Columbia and Alabama had the lowest rates of mental health counselors as a share of overall employment.
Here’s how states stack up on substance use, behavioral disorder and mental health counselors:
California
Employment: 63,110
Employment per 1,000 jobs: 3.495
Pennsylvania
Employment: 26,510
Employment per 1,000 jobs: 4.407
Florida
Employment: 24,680
Employment per 1,000 jobs: 2.514
New York
Employment: 22,450
Employment per 1,000 jobs: 2.353
Texas
Employment: 19,520
Employment per 1,000 jobs: 1.410
Illinois
Employment: 18,170
Employment per 1,000 jobs: 2.996
Massachusetts
Employment: 17,950
Employment per 1,000 jobs: 4.928
Virginia
Employment: 16,860
Employment per 1,000 jobs: 4.148
Ohio
Employment: 16,690
Employment per 1,000 jobs: 3.020
New Jersey
Employment: 14,640
Employment per 1,000 jobs: 3.444
Washington
Employment: 13,150
Employment per 1,000 jobs: 3.716
Michigan
Employment: 11,090
Employment per 1,000 jobs: 2.526
Indiana
Employment: 10,400
Employment per 1,000 jobs: 3.265
Wisconsin
Employment: 9,450
Employment per 1,000 jobs: 3.231
Arizona
Employment: 8,970
Employment per 1,000 jobs: 2.806
North Carolina
Employment: 8,930
Employment per 1,000 jobs: 1.823
Georgia
Employment: 8,680
Employment per 1,000 jobs: 1.788
Maryland
Employment: 8,180
Employment per 1,000 jobs: 2.980
Kentucky
Employment: 8,030
Employment per 1,000 jobs: 4.026
Minnesota
Employment: 7,910
Employment per 1,000 jobs: 2.707
Missouri
Employment: 7,500
Employment per 1,000 jobs: 2.572
Tennessee
Employment: 7,310
Employment per 1,000 jobs: 2.233
Connecticut
Employment: 6,470
Employment per 1,000 jobs: 3.847
Oregon
Employment: 6,410
Employment per 1,000 jobs: 3.262
Louisiana
Employment: 6,600
Employment per 1,000 jobs: 3.453
Arkansas
Employment: 2,860
Employment per 1,000 jobs: 2.218
Alabama
Employment: 3,340
Employment per 1,000 jobs: 1.599
Iowa
Employment: 3,030
Employment per 1,000 jobs: 1.940
New Hampshire
Employment: 3,100
Employment per 1,000 jobs: 4.533
Kansas
Employment: 2,410
Employment per 1,000 jobs: 1.687
Nevada
Employment: 2,240
Employment per 1,000 jobs: 1.465
Mississippi
Employment: 2,220
Employment per 1,000 jobs: 1.911
Idaho
Employment: 2,130
Employment per 1,000 jobs: 2.520
New Mexico
Employment: 2,070
Employment per 1,000 jobs: 2.402
Nebraska
Employment: 1,980
Employment per 1,000 jobs: 1.948
West Virginia
Employment: 1,970
Employment per 1,000 jobs: 2.805
Montana
Employment: 1,900
Employment per 1,000 jobs: 3.733
Oklahoma
Employment: 4,460
Employment per 1,000 jobs: 2.637
South Carolina
Employment: 4,680
Employment per 1,000 jobs: 2.062
Utah
Employment: 4,720
Employment per 1,000 jobs: 2.761
Delaware
Employment: 1,240
Employment per 1,000 jobs: 2.602
Alaska
Employment: 1,060
Employment per 1,000 jobs: 3.305
North Dakota
Employment: 1,180
Employment per 1,000 jobs: 2.772
Rhode Island
Employment: 1,560
Employment per 1,000 jobs: 3.153
South Dakota
Employment: 1,510
Employment per 1,000 jobs: 3.332
Hawaii
Employment: 1,580
Employment per 1,000 jobs: 2.542
Maine
Employment: 1,610
Employment per 1,000 jobs: 2.533
Vermont
Employment: 1,150
Employment per 1,000 jobs: 3.785
District of Columbia
Employment: 980
Employment per 1,000 jobs: 1.383
Wyoming
Employment: 840
Employment per 1,000 jobs: 3.011