How much do private practice therapists make in Virginia?

In Virginia, what you earn as a clinician is closely tied to your credentials. Insurers set reimbursement rates with licensure in mind, and level of training often comes into play, too. That’s why doctoral-level providers such as psychologists and psychiatrists typically earn higher rates than master’s-level clinicians like counselors, social workers, and LMFTs.

Your scope of practice matters just as much. Each license comes with its own set of services you’re allowed to provide, which directly impacts billing opportunities. For example, psychologists can offer both assessments and therapy, while many master’s-level providers focus mainly on psychotherapy. On top of that, earnings can fluctuate depending on local demand for certain specialties and the overall healthcare market in a specific area.

Based on the most recent data from the Bureau of Labor Statistics, annual salary ranges for some of the most common therapist license types in Virginia are: 

• Licensed professional counselor (LPC): $39,150–$96,230
• Mental health social worker: $46,990–$99,990
• Licensed marriage and family therapist (LMFT): $42,790–$121,780
• Licensed psychologist: $60,120–$201,760
• Psychiatrist: $146,010–$239,200+

How much do therapists make per hour in Virginia?

Converted into hourly pay, these salary ranges suggest that therapists in Virginia who accept insurance typically earn about $19-$115+ per hour, depending on their license, experience level, and practice setting. Clinicians with more advanced training, like psychologists and psychiatrists tend to fall on the higher end of that spectrum.

Still, most therapists don’t think of their earnings strictly in hourly terms. Their schedules rarely mirror a traditional 40-hour work week, and a significant portion of time is spent on non-billable responsibilities like documentation, care coordination, and supervision. For providers in private practice, factors like overhead expenses, reimbursement rates, and the number of weekly sessions all influence what their time actually translates to financially.

These estimates reflect rates after becoming credentialed with insurance plans. Platforms like Headway can simplify that process, helping reduce administrative burdens so providers can focus more on client care and less on operational demands.