100% Remote (Must reside in Washington State)
Mental Health Therapist (W2) LMHC or LMFT, Fully Remote
Licensure Required: Active, unrestricted Washington State LMHC or LMFT
Don’t be lonely in this work.
Come work with us!
- Growth
- Insights
- Learning
- Knowledge
- Connections
- Guidance
- Support
- Collaboration
- Honesty
- Compassion
- Empowerment
- Strengths
- Accountability
- Kindness
- Direct Feedback
- & Humor!
TRUE TEAM, TRUE SUPPORT, AWESOME WORK FAMILY!
✨Are you fully licensed (or very close) in WA State, looking for your long-term clinical home?
If you love being a therapist, but community mental health feels exhausting and working in full isolation isn’t for you, you’ll feel right at home here. We are seeking exceptional therapists who want to put down roots, grow with us, and truly belong to a thriving work family.
This role is built for clinicians who want to do what they love most—focus on client care—without the burnout or administrative overhead of going it alone. You’ll work remotely from your own professional home office, fully supported by an engaged, collaborative team.
✨We’re looking for W2 team members who:
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Love working deeply with people and emotion!
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Are passionate about Emotionally Focused Therapy (EFT/EFFT), or eager to learn and deepen this work.
- If you know EMDR and want to bring this to our team, that would be great!
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Want to practice in a connected, relational way alongside a steady team.
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Are looking for a long-term career destination where you feel valued, supported, and connected for years to come.
Are you a good fit for us? Are we a good fit for you?
We thrive on collaboration and mutual support, so we’re looking for team members who love being part of a connected clinical community, while also feeling confident and grounded managing their independent practice. Because our clients count on our consistency, high reliability and excellent attendance are essential to who we are. We also hold ourselves to high professional standards, which means staying punctual with daily case documentation and keeping up with licensing and continuing education needs.
✨As an employed Telehealth Therapist here: You will be providing direct online counseling services, and a lot of it! With minimal paperwork requirements.
✅Perks: We are a well established, busy company & thriving overly full private practice (hence YOU!). Full time hours, per billable hour pay structure, and full of client contact with minimal documentation (and ZERO billing paperwork)!
📢Benefits included for our full time employees;
Medical benefits
Dental benefits
Paid time off
401k investment plan
401k safe harbor matching at 4%
Paid life insurance
CUE benefits
Licensing benefit
Paid liability & malpractice coverage
Direct deposits
Group Consulting
Individual supervision
… all in addition to our wonderful, fun and supportive office team environment.
QUALIFICATIONS:
Must be: fully Licensed LMHC or LMFT or Associates with license in good standing with WA state. Must be able to utilize evidence based practice in treatments and document such. You must reside in WA state.
You have done your “Person of the Therapist” work and walk the talk!
DETAILS and COMPENSATION STRUCTURE:
TYPICALLY A FAST BUILD to Full Time
Always remote Telework inside of Washington state.
Employees must be WA state residents as well.
Compensation Structure: Monthly payroll structure,
per billable Client Hour at a flat per hour rate.
This position allows you to do what you love, be a therapist! If you love seeing clients and that is your strong suit, then this position is for you. Please send your resume/vita, cover letter/letter of interest, and letters of recommendation/references to: ben @ lakewoodchildandfamily.com & fill out the form below so we can contact you asap!
Job Type: Full-time & Part-time options
Pay: $54,000.00 – $104,000.00+ per year
Schedule: Day shift, Monday to Friday. Or you set your own locked-in repeating schedule. (Schedules with evening and weekend spaces fill with clients more quickly.)
🪴Professional looking, confidential, quiet home office with excellent internet required!
Please Apply, if this is you! Come join us!
We look forward to meeting you!
Don’t let our name confuse you. While our historical roots are in family care, Lakewood Child and Family Counseling provides specialized, premium online therapy exclusively for adults across Washington State. Whether you are logging in from high-performance tech hubs like Bellevue, Redmond, and Mercer Island, or seeking experienced care in Tacoma, Olympia, Seattle, and Spokane, our virtual platform connects you with elite clinical support directly from the comfort and privacy of your home or office.
With 18 years of experience serving Washington residents, we intimately understand the heavy toll of executive burnout, complex trauma, anxiety, and major life transitions. We support busy adults at every stage of life, both parents and non-parents alike, who are ready to step away from surface-level coping and engage in the deep, somatic, and cognitive work that creates lasting change.
Our practice is structured to offer ultimate flexibility and absolute discretion. To ensure your care remains completely confidential and outside the permanent tracking databases of major health insurance corporations, we heavily prioritize and accept direct private-pay options. However, to maintain accessibility for our long-standing communities, we also accept Regence and select in-network insurance plans for clients in Spokane and throughout the state.
You are welcome here, exactly as you are. When you are ready to quiet the background noise and reclaim your sense of aliveness, use our secure portal to self-schedule your initial consultation. The path forward begins on day one.
Therapists available
Years in Business
%
Client Satisfaction
Position Overview
Are you an independently licensed clinician seeking the flexibility of telehealth without the administrative burdens of private practice? We are hiring a Full-Time Remote Therapist (W2) residing in Washington State. Provide compassionate, evidence-based care to adults across Washington while enjoying setting your own repeating schedule, consistent client referrals, and full administrative and billing support.
Key Responsibilities
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Provide 100% virtual individual therapy to clients across Washington State via HIPAA-compliant telehealth software.
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Conduct clinical intake assessments, diagnosis, and evidence-based treatment planning.
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Maintain timely and accurate clinical documentation in our Electronic Health Record (EHR) system.
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Uphold Washington State Department of Health standards and ethical guidelines.
Role Requirements
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Active Washington License: Unrestricted LMHC (Licensed Mental Health Counselor) or LMFT (Licensed Marriage and Family Therapist) in Washington State. (Associates/LMHCA/LMFTA considered case by case for this role).
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Washington Residency: Must currently live in Washington State.
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Clinical Experience: Minimum of 2 years post-licensure clinical counseling experience preferred.
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Remote Infrastructure: Dedicated private, HIPAA-compliant home office space with excellent high-speed internet.
Salary & Benefits
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Competitive Compensation: Hourly / Salaried structure based on caseload metrics.
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W2 Security: Guaranteed employer tax contributions, paid liability coverage, and administrative backing.
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Benefits Package: Health & dental insurance options for full-time clinicians.
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Work-Life Balance: Flexible locked-in repeating scheduling options with no commute.
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Practice Support: Complete handling of marketing, billing, insurance credentialing, and intake scheduling.
Why Clinicians Choose Us Over 1099 Telehealth Platforms
If you have looked at large online counseling platforms or group networks, you’ve seen the flashy headline numbers. What they don’t tell you is how much of that money vanishes to self-employment taxes, retail health insurance, and corporate overhead.
Stop Paying a 1099 Tax Penalty on Your Hard Work
At our practice, you get the high-earning upside of a private caseload (Per client hour) with the heavy-duty financial backing of a premium W2 employer. See how keeping $100,000 as a W2 beats a $130,000 1099 headline:
| The Reality Check | Our W2 Practice ($100k Target) | Typical 1099 Platform ($130k Gross) |
|---|---|---|
| Your Tax Rate | ✅ Standard Income Tax (We pay your 7.65% employer FICA match) | ❌ Double Taxed (You pay the full 15.3% Self-Employment Tax) |
| Premium Health & Dental | ✅ 99% Practice-Paid ($25-$50 out of your paycheck) | ❌ Retail Cost (You pay $600 to $900+/mo on the open exchange) |
| Malpractice & Liability | ✅ 100% Covered | ❌ Out of Pocket (You buy your own policies) |
| Administrative Support | ✅ Full Billing & Intake Team Included | 📉 Fee Splits (They take 30 to 40% of the insurance rate & violates fee split laws) |
| True Financial Take-Home | 💰 High-Yield W2 Earnings + Full Safety Net | 📉 Shrinks radically after taxes and buying health insurance |
Remote Mental Health Therapist: LMFT, LMHC, LMFTA, LMHCA (W2 with Full Benefits)
Position Type: Full-Time, 100% Remote / Telehealth
Location: Remote (Must be licensed to practice in Washington State)
Compensation
- Fully Licensed (LMFT / LMHC): per completed client hour (top earners $100,000+/year)
- Associate Level (LMFTA / LMHCA): per completed client hour
- Benefits: 99% employer-paid medical, 100% paid dental, and professional liability insurance
About Us
For 18 years, our practice has provided a unique, legally compliant W2 model built to give clinicians the best of both worlds: the clinical autonomy, high-earning upside, and work-from-home comfort of a modern telehealth practice, backed by the rock-solid financial security and premium benefits of an established employer.
We take care of the entire business infrastructure, credentialing, telehealth platforms, marketing, and billing, so you can focus entirely on what you do best: helping clients change their lives from the comfort of your home office.
We do things differently. Our modified commission W2 model ensures you keep more of what you earn:
- True W2 Tax Advantages: We pay the employer portion of your payroll taxes (7.65% FICA match). You don’t get hit with the brutal 15.3% self-employment tax associated with 1099 contracts.
- 100% Employer-Paid Premium Benefits: We completely cover your medical and dental insurance premiums out of our pocket, saving you thousands of dollars a year compared to buying retail insurance on the open market.
- Zero Telehealth Overhead: Your malpractice and professional liability insurance, credentialing fees, marketing, secure video platform, EHR software, phone, etc are 100% covered by us.
- Built-in Administrative Power: Our dedicated intake and billing teams handle the headache of scheduling, insurance authorizations, and chasing down collections so you don’t work for free outside of session hours.
Compensation Structure
You are paid a flat piece-rate per completed client hour. Our thriving referral network ensures a steady, full telehealth caseload. Fully licensed therapists maintaining an active schedule easily cross $100,000+ annually while enjoying a robust, fully-funded safety net.
Note: As a modified commission system, compensation is tied directly to completed sessions notes. However, our internal billing policies and active client pipeline are optimized to maximize your active clinical hours and minimize gaps in your day.
What You’ll Do
- Provide high-quality, evidence-based individual, couples, or family therapy exclusively via our secure, provided telehealth platform.
- Maintain complete, timely clinical documentation (progress notes, treatment plans) within our electronic health record (EHR) system.
- Manage your remote caseload effectively while maintaining a healthy work-life balance.
What We’re Looking For
- Licensure: Active license in Washington State as an LMFT, LMHC, LMFTA, or LMHCA.
- Remote Workspace: A private, HIPAA-compliant space at home with high-speed internet and a reliable computer/camera setup.
- Experience: Comfortable managing a robust full-time telehealth caseload (targeting 28 to 32 completed sessions per week for top-tier earnings).
- Values: Ethical, autonomous, tech-savvy, and passionate about long-term client care.
How to Apply
Ready to escape the 1099 telehealth churn and lock in a premium remote W2 package where your hard work is actually rewarded? Submit your resume and a brief introduction today. We look forward to talking with you!
Frequently Asked Questions
Q: Is this remote therapist position a W2 or 1099 role?
A: This is a full-time W2 employee position, offering steady support, billing management, and benefit eligibility, rather than a 1099 contractor arrangement.
Q: Do I need to live in Washington State to apply for this remote LMHC/LMFT position?
A: Yes. Applicants must hold an active, unrestricted Washington State license (LMHC or LMFT) and currently reside in Washington State as we are a Washington employer.
Q: Are associate-level licenses (LMHCA or LMFTA) eligible for this remote position?
A: This specific position requires independent licensure as an LMHC or LMFT in Washington State. Skilled Associates would be considered on a case by case basis.

