Remote therapy roles require active state licensure: LCSW (Licensed Clinical Social Worker), LPC (Licensed Professional Counselor), LMFT (Licensed Marriage and Family Therapist), or a licensed psychologist credential. Telehealth employers often seek candidates with licensure in multiple states or Compact participation.

Remote therapists in salaried roles earn $60,000-$100,000 depending on credential level and employer. Telehealth platforms pay $35-$70/completed session. Private practice therapists with telehealth capability set their own rates, typically $150-$300/session for private pay clients.

Major remote therapy employers include BetterHelp, Talkspace, Brightside, Headspace Health, Cerebral, Lyra Health, Spring Health, Teladoc Behavioral Health, and major health system virtual mental health programs.