Explore the best online counseling jobs for therapists. Compare teletherapy platforms, private practices, and insurance-based options while learning the skills needed to build a successful remote therapy career.
The COVID-19 pandemic ushered in a world of remote counseling. And it isn’t going away. Clients love the convenience and flexibility that virtual therapy provides. While some counselors maintain an in-person practice, almost all clinicians conduct at least some of their therapy sessions online. Which begs the question: How do therapists find an online counseling job?
While all online counseling jobs involve performing psychotherapy, the format, pay, and responsibilities can vary significantly depending on the type:
Self-contained platforms are probably the most popular online format. Examples are BetterHelp and Talkspace. Therapists are expected to perform virtual video and voice therapy, as well as live chat and text with clients.
It is not a traditional therapy model, and counselors must be flexible in their availability for clients who may want a quick chat or text. These types of platforms hire counselors as independent contractors, and therapists should expect significantly less pay for their work. The biggest advantage of these types of platforms is built-in referrals and work flexibility.
Insurance-based platforms, such as Headway and Rula, do not employ or contract counselors. Instead, they handle insurance credentialing and billing on behalf of therapists who maintain their own private practices.
They contract their rates directly with insurance providers, and counselors will earn more money per client than they do on a self-contained platform, but less than in an independent private practice. Counselors should not expect many referrals from these platforms, aside from those obtained through insurance panels. This is a more traditional therapy model with the platform essentially handling the insurance and billing.
This is the most established format for online (and in-person) counseling. Each practice operates independently and has its own rules that therapists have to follow. In most group practices, the therapist acts as an independent contractor and may or may not accept insurance.
As a result, a therapist in private practice will likely make the most money. They will adhere to a conventional therapy schedule of virtual and in-person therapy sessions. Although some group practices may help with billing and credentialing, the disadvantage of a group private practice is that the counselor may have to manage their own insurance, billing, and referrals.
Job type | Best for | Pros | Potential drawbacks |
|---|---|---|---|
Self-contained teletherapy platforms | Therapists seeking flexibility and built-in referrals | Flexible schedule, steady client flow, minimal marketing | Lower pay, contractor status, frequent messaging outside sessions |
Insurance-based platforms | Private practice therapists who want insurance support | Credentialing and billing assistance, higher reimbursement than marketplace platforms | Fewer referrals, lower reimbursement than fully independent practice |
Group private practices | Therapists who prefer a traditional practice model | Highest earning potential, established team environment, structured scheduling | May require managing referrals, credentialing, or billing, depending on the practice |
Counselors may train for years to perform therapy, but teletherapy requires an additional set of skills.
Online counseling requires knowledge of much more than basic video conferencing. Therapists need to exhibit competency in the many tools they will use as part of their remote practice. For example, if you use an electronic health record (EHR), such as Theraplatform, do you know how to help clients navigate it and troubleshoot issues that may arise?
Do you have an understanding of how you implement the Health Insurance Portability and Accountability Act (HIPAA) standards in a virtual world? Teletherapy also requires the use of interactive digital tools (e.g., screen sharing and digital whiteboards) to transmit information and engage with your client.
Counselors must exhibit proficiency in these technologies, or their effectiveness will surely suffer.
Manage more in less time in your practice with TheraPlatform
Empathy can be difficult to display in person. Now, imagine you have to do it through a screen. Transmitting empathy is an important component of the therapeutic relationship. Counselors must make special efforts to exhibit empathy to their clients. These include more facial expression, reflective listening, and verbal encouragement (e.g., “I hear you”).
An online counseling practice can get complicated fast. Imagine having to navigate an EHR, check insurance coverage, write progress notes and treatment plans, correct technological snafus, and actually conduct therapy at the same time.
It is a lot, even for those with superior executive functioning skills. Counselors must make the time and effort to organize so they do not feel overwhelmed. It is highly recommended that therapists invest in a HIPAA-compliant practice management platform, which makes it easier to perform all their necessary tasks.
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All online platforms require therapists to be licensed to practice therapy. Licenses are obtained through the state boards for the licensing agency of your profession (e.g., licensed professional counselors, clinical social workers, psychologists, etc.).
Online job boards, such as those offered by Indeed, Ziprecruiter, and LinkedIn, list numerous online counseling jobs daily. Clinicians can sign up with keywords like "remote therapy” and “teletherapy” to get notified when these types of jobs become available.
If you know which therapy platform you want to work for, you can apply directly on their website. Direct application to sites like BetterHelp, Talkspace, and CounselingNow will yield quick replies.
Therapists can apply directly to these platforms (e.g., Alma, Headway) to connect themselves to insurance companies that will provide them with referrals.
While not a job board, therapist directories such as Psychology Today and Therapy Den are used by millions of people in the United States to find therapists. By publicizing your expertise as a remote practitioner, clients are more likely to find you for online counseling.
There are several advantages and disadvantages that remote therapy poses for therapists:
There are certain steps therapists can take so that they are ready for online work:
Remote counseling can be drastically different depending on the type. Therapists need to educate themselves about the different options and then see what works best for them. For example, some platforms may offer seemingly unlimited referrals but at a reduced pay rate.
A group practice may provide a more traditional therapy format, whereas a self-contained counseling platform will require you to do a lot of texting and live chatting. Ultimately, you have to decide what you want (and what you don’t want) and choose accordingly.
It can be difficult to get accurate information about different remote job platforms. A lot of the information on the internet is provided by the platforms themselves. However, social media offers unfiltered views of different online job options. A particularly good source for honest reviews is the Reddit forum for therapists.
Telehealth use has skyrocketed since the pandemic, with teletherapy emerging as a trusted, convenient, and secure alternative to in-person care for both children and adults. Therapists and clients report high satisfaction, and teletherapy now accounts for 13–17% of U.S. healthcare visits.
To protect privacy, providers must use HIPAA-compliant video platforms. The top platforms not only secure sessions with encryption but also support scheduling, billing, documentation, and client portals to streamline practice management.
The best teletherapy platforms go beyond video conferencing. By combining compliance, reliability, stable video, resources, games and practice management tools, they help therapists deliver care that’s safe, effective, and adaptable to modern client needs.
Marketing is also another aspect of owning a practice that can be conducted through a secure HIPAA-compliant platform as you can communicate with existing clients via chat, email and more.
Whether for solo practice or larger clinics, therapists choose TheraPlatform for its blend of usability, flexibility, and robust telehealth tools.
Therapists praise TheraPlatform for its ease of use, seamless scheduling, and built-in billing tools like superbills. They value the platform’s features including intuitive charting, customizable notes, and interactive telehealth tools as well as the responsive support team, which listens to feedback and implements updates.
Many highlight that the platform offers the best of all worlds, combining excellent video conferencing with resource sharing and an engaging, client-centered teletherapy experience.
"There's seriously no better platform out there! Easy to use … syncs to your personal schedule, provides superbills …"- Coastlinespeechtherapy (Source)
“It is not just the platform, it is the team behind TheraPlatform, always willing to help and receptive to feedback to bring updates requests to live,” Orly, Smarty Therapy PC (Source)
"The video conferencing is excellent and the ability to share resources and the interactive screen make Telehealth a rich experience."- Kathy J. (Source)
"TheraPlatform has been the best of all worlds! … intuitive charting, in-system billing, customizable notes …"-Kendrah B. (Source)
Theraplatform is an all-in-one EHR, practice management and teletherapy solution with AI-powered notes and Wiley Treatment Planners that allow you to focus more on patient care. With a 30-day free trial, you have the opportunity to experience Theraplatform for yourself with no credit card required. Cancel anytime. They also support different industries including mental and behavioral health therapists in group practices and solo practices.
Greenup, E. P., & Best, D. (2025). Systematic review and meta-analysis of no show or non-attendance rates among telehealth and in-person models of care. BMC health services research, 25(1), 663. https://doi.org/10.1186/s12913-025-12826-2
Niezink, L. & Train, K. (2022, February 1). Psychology Today. Building empathy online:
How to build rapport and ensure mutual understanding in online meetings. https://www.psychologytoday.com/us/blog/empathic-intervision/202202/building-empathy-online
Page, C., Stamm, K., & Assefa, M. (2024, September 1). Datapoint: Telehealth and hybrid practice are here to stay. Monitor on Psychology, 55(6). https://www.apa.org/monitor/2024/09/telehealth-hybrid-practice
Theraplatform. Teletherapy technology. https://www.theraplatform.com/blog/332/teletherapy-technology
Most employers require an active professional license, telehealth competency, a HIPAA-compliant workspace, and liability insurance that covers telehealth services.
Therapists can search job boards, apply directly to teletherapy or insurance platforms, join group private practices, and create profiles on therapist directories like Psychology Today or TherapyDen.
Common challenges include managing technology issues, handling crises remotely, maintaining client engagement, and working with fewer nonverbal communication cues.