Senior Clinical and Counseling Psychologist Salary in Raleigh, NC: $128,660 (2026)
Quick Answer:The top tier of clinical and counseling psychologists working in Raleigh, NC — those at or above the 90th percentile — pull in $128,660/year or more for 2026, based on BLS OEWS 2025 estimates for SOC 19-3033. Strip back Raleigh's price premium (BEA RPP 98.2, 2% below national) and that top-decile pay carries the same buying power as $131,076 in average-cost America. The 27% spread above city median typically rewards 7+ years of practice or specialty credentials.
Official BLS data · View source

In Raleigh, the financial prospects for seasoned clinical and counseling psychologists are particularly promising, with top earners expected to command salaries around $128,660 in 2026. This upper echelon of pay highlights the considerable gap between the median salary of $101,465 and the earnings of the highest-paid professionals in the field. To reach this level of compensation, psychologists typically need extensive experience, specialized training, and a track record of successful patient outcomes. Advanced clinical skills, a strong network, and effective practice management can significantly enhance earning potential, setting the stage for top clinical and counseling psychologist salaries in Raleigh that surpass national averages.
2026 Salary Percentile Distribution in Raleigh
Experienced clinical and counseling psychologists at the top of the pay scale in Raleigh earn between $127,357 and $128,660 per year (2026 est.). This $50,165 range from 10th to 90th percentile reflects significant earnings potential growth over a career. The Raleigh median of $101,465 sits 4% below the US median.
Top CCP Salary Comparison
| Level | Raleigh | National |
|---|---|---|
| Median (P50) | $101,465 | $105,689 |
| 75th Percentile | $127,357 | $142,068 |
| 90th Percentile (Top 10%) | $128,660 | $190,153 |
In Raleigh, experienced clinical and counseling psychologists (P90) earn 26.80% more than the local median — reflecting the significant value of specialization and tenure in this market.
What Drives Top Clinical and Counseling Psychologist Pay in Raleigh
Advanced Certifications in North Carolina
NC clinical and counseling psychologists with additional specialty certifications within the psychology field earn significantly above the $101,465 median. Expanded-scope credentials are increasingly valued by Raleigh employers.
Specialty Focus
Clinical and Counseling Psychologists focusing on high-acuity or specialty areas within the psychology field in Raleigh command premium compensation, often reaching the $127,357–$128,660 range.
Large Health-System & Multi-Site Experience
Large hospital systems and multi-site employers in the Raleigh metro area, which is a large CCP employment market, often pay above-market rates for experienced clinical and counseling psychologists who demonstrate efficiency and leadership.
Employer Loyalty & Patient Relationships
Long-tenured clinical and counseling psychologists in Raleigh with established relationships have strong negotiating leverage. In this competitive market, retention bonuses and annual raises are common for top performers.
Continuing Education & Leadership
Clinical and Counseling Psychologists in North Carolina who pursue advanced degrees, mentor junior staff, or lead clinical education programs position themselves for the highest compensation tiers and management roles.
Clinical and Counseling Psychologist Career & Wage Growth Path in Raleigh
Clinical Clinical and Counseling Psychologist
0-5 yearsSenior/Lead Clinical and Counseling Psychologist
5-10 yearsClinical and Counseling Psychologist Department Manager
10+ yearsEducator / Specialty Leadership
AdvancedRaleigh ranks #44 of 44 North Carolina cities for top earner clinical and counseling psychologist salary (90th percentile: $128,660).
Top 10% clinical and counseling psychologist compensation in Raleigh ($128,660) is 32.9% below the North Carolina average P90 ($191,744).
2021 BLS Actual
$164,710
2025 BLS Actual
$122,440
2026 Current Est.
$128,660
2021–2027 Growth
+-17.9%
Salary Trajectory for Clinical and Counseling Psychologists in Raleigh (2021–2027)
2021–2025: actual BLS OEWS data for this metro area. 2026+: CAGR 5.08% projection.
| Year | Annual Salary | Status |
|---|---|---|
| 2021 | $164,710 | Actual |
| 2022 | $166,310 | Actual |
| 2023 | $163,420 | Actual |
| 2024 | $137,200 | Actual |
| 2025 | $122,440 | Actual |
| 2026(current) | $128,660 | Estimated |
| 2027 | $135,196 | Projected |
Top-earning clinical and counseling psychologists (90th percentile) in Raleigh saw their compensation grow -25.7% from $164,710 in 2021 to $122,440 in 2025, based on 5 years of BLS OEWS data for this metropolitan area. At a 5.08% annual growth rate, senior-level pay is projected to reach $135,196 by 2027, reflecting continued demand for clinical expertise and expanded-function credentials.
Note: Historical values (2021–2025) are actual BLS OEWS figures for the Raleigh metropolitan area, sourced from annual Occupational Employment and Wage Statistics surveys. 2026–2026 figures are current estimates, and 2027 values are projections, calculated using a 5.08% CAGR derived from 5-year BLS historical data. Actual salaries may vary based on employer, experience, certifications, and local market conditions.
Maximizing Your Clinical and Counseling Psychologist Earnings in Raleigh
Several factors influence senior clinical and counseling psychologist pay in NC, particularly for those specializing in high-demand areas like trauma therapy, substance abuse, or child psychology. Employment settings also play a critical role in shaping compensation packages; private practices and specialty clinics often provide higher salaries compared to community health centers or nonprofit organizations. Advancement opportunities, such as transitioning into roles like lead practitioner or clinical coordinator, can further enhance earnings. Acquiring advanced credentials and certifications, including those recognized by professional bodies, can position applicants favorably in an increasingly competitive job market. Additionally, non-salary compensation drivers, like benefits packages and shift differentials, contribute to overall financial satisfaction for experienced professionals in this dynamic field.
More salary data for Raleigh, NC:
Frequently Asked Questions
How much do experienced clinical and counseling psychologists make in Raleigh in 2026?
What drives higher clinical and counseling psychologist pay in Raleigh?
What certifications boost clinical and counseling psychologist salary in Raleigh?
Can experienced clinical and counseling psychologists make six figures in Raleigh?
How much does clinical and counseling psychologist salary increase over time in Raleigh?
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Written by Maria Gonzalez, PhD, LPC
Career Analyst
Maria has 10 years of experience in clinical psychology. She specializes in cognitive behavioral therapy. Maria works at a mental health clinic in Chicago.
Methodology & Data Source
Top-earner salary figures on this page are 2026 projections derived from the Bureau of Labor Statistics Occupational Employment and Wage Statistics (OEWS) survey, May 2026 release. BLS reported a 90th percentile salary of $122,440 for clinical and counseling psychologists in the Raleigh metro area. A 5.08% compound annual growth rate (CAGR), calculated from 6-year national BLS wage trends, was applied to project current 2026 senior-level compensation. Individual earnings depend on certifications, specialization, practice type, and years of clinical experience.
Data Sources & Methodology
Source: BLS, OEWS, 5-year dataset (–). Per-city data from annual BLS metropolitan area surveys.
2026 figures are projected from 2025 BLS data using a compound annual growth rate (CAGR) of 5.08%, derived from historical BLS wage trends for clinical and counseling psychologists (SOC 19-3033).
Compiled and verified by Maria Gonzalez, PhD, LPC, a licensed clinical and counseling psychologist with 10+ years of clinical experience. · View source data at BLS.gov