CAREERS AT SUMMIT COUNSELING
Join a Practice Built by Clinicians, for Clinicians
Since 2017, we’ve intentionally cultivated a supportive private practice grounded in flexibility, curiosity, respect, and reciprocity. Founded by LPC/MHSP clinicians Lindsay and Ben Taylor, Summit offers high-quality therapists an environment where you feel seen, valued, and empowered in your clinical passion.
CLINICIAN BENEFITS & CULTURE
Why Therapists Love Working at Summit
Competitive Compensation
You should be paid well for your professional skills and clinical expertise. We offer competitive, transparent compensation packages.
Professional Growth
We support advanced specialty training and actively encourage our counselors to cultivate a practice niche they are truly excited to serve.
Autonomy & Flexibility
Work-life balance isn’t just a buzzword here. We help build schedules and caseloads that fit alongside your real life, preventing burnout.
JOIN OUR CLINICAL TEAM
Current Openings
Thanks for your interest in working at Summit Counseling Services!
We are currently hiring for a full time Office Coordinator position.
While we don't have any current openings for clinical employment,
feel free to check out our Private Practice Guide below (it's free!).
Check back here for updates about future opportunities!
Outpatient Licensed Counselor
- Professional Development Stipend & Paid Time Off (PTO) Available
- Full W2 Status (Taxes withheld + Summit professional liability coverage provided)
- Flexible Scheduling & Work-Life Balance Emphasis
- Clinical Supervision Included for Pre-Licensed Providers (LPC/MHSP Track)
- No marketing, insurance, or extra administrative responsibilities.
Overview & About Our Culture
Our counseling team consists of a wonderful group of talented clinicians. We take pride in a positive, helpful, and engaged culture and are looking to add a new counselor to join our team who matches and contributes to this energy.
We are interested in building a counseling practice which actively values quality clinical care and creating balance for employees. It’s important that our employees feel respected, confident, supported, and excited about their work.
A good candidate is someone interested in working in a smaller team environment. Someone who has or is interested in developing a niche or working with specific populations. Someone who is creative and curious about the process of counseling. Someone who wants to learn and share with other talented and creative counselors. Curious about how to find the right fit for you? Check our our Download the Private Practice Guide (PDF) — it’s totally free!
Position Summary
We are seeking a qualified licensed counselor/therapist/social worker to join our team and provide individual and/or group outpatient counseling services. This is full-time position with flexibility in setting your preferred schedule. Pre-licensed candidates are welcome to apply though considerable preference will be given towards applicants with full licensure status.
The position has the option to be a fee-per-session or salary position. Choose the option that works best for you and your life outside work!
This position will see most clients in the office from our location in central Johnson City. Some telehealth sessions can be expected. You can expect your caseload to grow gradually. This position also includes a brief paid onboarding period.
This therapist role will be a W2 employee position rather than a 1099 contractor position. As such, all mandatory federal and state taxes will be withheld automatically and you will be covered by Summit’s professional liability coverage.
What You'll Do (And What You Won't Do)
What You’ll Do:
- Provide standard counseling services to individuals, couples, or families in a private practice setting.
- Formulate DSM-5 diagnoses.
- Maintain a sense of curiosity and hopefulness about clients and the counseling profession.
- Maintain ethical and justice-oriented care to all clients, respecting cultural backgrounds, differences, and marginalization.
- Maintain timely documentation utilizing Therapynotes electronic health records system.
- Maintain Tennessee Licensure status.
- Actively participate in our professional team and contributing to group meetings and consultations.
- Actively participate in team meetings and contribute positively to the culture of Summit.
- Actively express and pursue professional interests and specialty areas.
- Provide quality, evidence-based counseling services to clients.
- Demonstrate professionalism, motivation, and a genuine interest in the counseling experience for clients
What You Won’t Do:
- Be expected to seek, obtain, and/ or schedule new clients.
- Work evenings/ weekends (unless you want to!).
- Be expected to handle Billing/ Insurance Issues.
- Provide your own office supplies or furniture; though, your favorite plants, educational materials, and office-decor are welcome!
- Be a counselor in isolation. Formal staff and consultation meetings are held on a reoccurring schedule. Informal consultation happens daily with colleagues and owners.
Who You Are & Qualifications
Who You Are:
- You are licensed (or actively are pursuing licensure) to provide counseling services in the state of Tennessee.
- You are empathetic and confident enough to make decisions, and curious enough to seek and receive feedback from peers.
- You are aware and sympathetic to cultural and social diversity and experiences.
- You can demonstrate knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to child and/or adult populations.
You May be Interested in this Position if
- You seek the experience working with a group of motivated and highly talented providers.
- You are interested in developing a specialty in regards to modality, clientele, or presenting concerns.
- You desire to leave the community mental health grind to focus on providing effective therapy.
- You hold a natural curiosity about people and strategies to help them.
- You have a fondness for clients and a belief in their ability to improve.
Full Benefits & Compensation Details
- Salary or fee-per-session pay– choose what works best for you and your life outside of work!
- Health Insurance Benefits through Blue Cross Blue Shield
- Flexible scheduling
- Paid-time Off (PTO)
- Continuing Education Stipend (Annual)
- Clinical supervision for pre-licensed providers (LPC/MHSP track).
- Paid Licensure Reimbursement (New Applicants and Renewals)
Ready to grow with Summit?
Applications are reviewed on a rolling basis until positions are filled.
Office Coordinator
Full-Time
In Office
✓
Play an important role in day-to-day function of a busy office
✓
Work with a wonderful group of professionals
Overview & About Our Culture
Our counseling team consists of a wonderful group of talented clinicians. We take pride in a positive, helpful, and engaged culture and are looking to add a new support staff to join our team who matches and contributes to this energy. We are interested in building a counseling practice which actively values quality clinical care and professionalism for our clients. It's also important that our employees feel respected, confident, supported, and excited about their work. A good candidate is someone interested in working in a smaller team environment and is confident being the point of contact for out clients.
Position Summary
The office coordinator role is a pivotal role in our clinic. This role directly supports our staff and administrative team in providing professional, convenient, and helpful services to our clients. In this role you are the primary point of contact for our clients and contribute significantly to the positive reputation we hold.
Your tasks will include supporting efforts to respond to client requests, onboard new clients, and communicate clients and referral partners on a daily basis.
What You'll Do
What You’ll Do:
- Own responsibility for the our primary phone and email communications.
- Own the client onboarding process
- Assist owners and clinicians with additional client communication
- Assist will phone calls regarding billing
- Assist with insurance claims follow up
- Assist in managing day-to-day communications required to keep office functioning smoothly
- Be on site for at least 35 hours per week (some flexibility to work hybrid at times)
- Escalate concerns to owners
- Be a warm and helpful member of our team
- Own responsibility for the our primary phone and email communications.
- Own the client onboarding process
- Assist owners and clinicians with additional client communication
- Assist will phone calls regarding billing
- Assist with insurance claims follow up
- Assist in managing day-to-day communications required to keep office functioning smoothly
- Be on site for at least 35 hours per week (some flexibility to work hybrid at times)
- Escalate concerns to owners
- Be a warm and helpful member of our team
Who You Are & Qualifications
Who You Are:
- Organized and proactive
- Communicative and curious
- Interested in helping to build a values based practice
- Organized and proactive
- Communicative and curious
- Interested in helping to build a values based practice
You May be Interested in this Position if
- You are interested in taking leadership of day-to-day tasks
- You are confident playing a highly important role within the practice
- You are looking to continue join a group of wonderful humans and great clinicians.
- You are confident playing a highly important role within the practice
- You are looking to continue join a group of wonderful humans and great clinicians.
Full Benefits & Compensation Details
- $18-$20 per hour
- PTO
- 9 Paid vacation days
- Health insurance
- PTO
- 9 Paid vacation days
- Health insurance
Ready to grow with Summit?
Applications are reviewed on a rolling basis until positions are filled.
Graduate Internship Spring Semester 2027-No Longer Accepting Applications
- Internship program designed for broad exposure and learning
- Excellent clinical supervision
- Mentorship related to career progession including interviewing, insurance contracting, private practice structures, and contract negotiation.
- Opportunity to be an active member of a highly skilled team of counselors.
Overview & About Our Culture
Our counseling team consists of a wonderful group of talented clinicians. We take pride in a positive, helpful, and engaged culture.
We are interested in building a counseling practice which actively values quality clinical and professional development for our interns. It’s important that our interns feel respected, confident, supported, challenged, and ultimately excited about their future professional goals.
A good candidate for our internship program is someone who is interestedin becoming an active member and contributor to our team. They are curious, they are ambitious, and they take on challenges with support. They are someone who wants to learn and share with other talented and creative counselors.
Curious about how to find the right fit for you? Check our our
Download the Private Practice Guide (PDF)
— it’s totally free!
Position Summary
We are interviewing for Spring 2027 internship positions. Internship positions will be available for children’s counseling experience, adult counseling, and couples counseling.
Interns will be matched with a site supervisor responsible for their primary experience. Our internship program includes structured learning objectives and all interns will gain direct experience to clinical cases, documentation, diagnoses, crisis management, boundary setting and difficult cases, professional development and more.
What You'll Do (And What You Won't Do)
What You’ll Do:
- Provide standard counseling services to in a private practice setting with appropriate supervision
- Practice formulating DSM-5 diagnoses.
- Maintain a sense of curiosity and hopefulness about clients and the counseling profession.
- Maintain ethical and justice-oriented care to all clients, respecting cultural backgrounds, differences, and marginalization.
- Maintain timely documentation utilizing Therapynotes electronic health records system with direct feedback from site supervisor.
- Actively participate in our professional team and contributing to group meetings and consultations.
- Actively participate in team meetings and contribute positively to the culture of Summit.
- Actively express and pursue professional interests and specialty areas.
- Provide ethical and high quality services to clients under direction of site supervisor.
- Demonstrate professionalism, motivation, and a genuine interest in the counseling experience for clients
What You Won’t Do:
- Be expected to seek, obtain, and/ or schedule new clients through your own marketing.
- Be expected to handle Billing/ Insurance Issues.
- Provide your own office supplies or furniture; though, your favorite plants, educational materials, and office-decor are welcome!
- Be a counselor in isolation. Formal staff and consultation meetings are held on a reoccurring schedule. Informal consultation happens daily with colleagues and owners.
Who You Are & Qualifications
Who You Are:
- You are an active graduate student enrolled in a counseling related field with the intention of pursuing counseling as a profession.
- You are empathetic and confident enough to make decisions, and curious enough to seek and receive feedback from peers.
- You are aware and sympathetic to cultural and social diversity and experiences.
- You can demonstrate experience appropriate knowledge of diagnostics, psychopharmacology, and supportive treatment approaches as applied to child and/or adult populations.
You May be Interested in this Position if
- You seek the experience working with a group of motivated and highly talented providers.
- You are interested in developing a specialty in regards to modality, clientele, or presenting concerns.
- You would like to learn from a broad group of clinicians with multiple areas of expertise.
- You hold a natural curiosity about people and strategies to help them.
- You have a fondness for clients and a belief in their ability to improve.
Full Benefits & Compensation Details
- Internship positions are paid per session.
Ready to grow with Summit?
Applications are reviewed on a rolling basis until positions are filled.
FREE CLINICIAN RESOURCE
Confused About Navigating Private Practice?
Graduate school rarely prepares clinicians for comparing employment models. We’ve put together a straightforward guide outlining common private practice structures—complete with pros, cons, and essential questions to ask during interviews.
Tips for Finding A Private Practice Position
Private practices are managed in many different ways.
There are some basics you should know as you explore options to find what is best for you!
A W2 employee is a traditional employee of the practice. The practice handles your taxes and may provide benefits like paid time off and health insurance. A 1099 contractor is an independent business owner operating under the practice’s umbrella, meaning you’re responsible for your own taxes, insurance, and business expenses.
Often times the split for a 1099 is higher (and should be) due to the need to pay extra in taxes, liability insurance, and other business expenses. Be wary of practices that hire 1099 contractors but treat them as W2 employees.
A W2 employee is a traditional employee of the practice. The practice handles your taxes and may provide benefits like paid time off and health insurance. A 1099 contractor is an independent business owner operating under the practice’s umbrella, meaning you’re responsible for your own taxes, insurance, and business expenses.
Often times the split for a 1099 is higher (and should be) due to the need to pay extra in taxes, liability insurance, and other business expenses. Be wary of practices that hire 1099 contractors but treat them as W2 employees.
The main pros are a stable, consistent income and the practice handling administrative tasks like taxes. The main cons are less flexibility and fewer tax write-offs for work-related expenses.
The main pros are greater flexibility in scheduling and the potential for a higher income. The main cons are a higher administrative burden and the responsibility for your own taxes and benefits.
The three common payment models are fee split, salary, and flat rate per session.
In a fee-split model, you receive a percentage of the revenue generated from the clients you see. For example, in a 60/40 split, you get 60% of the client’s payment, and the practice keeps 40%.
A salary model means you are paid a consistent amount every pay period. The main pro of a salary model is steady, predictable pay, which is good for financial planning. The main con is that your pay is not directly tied to your caseload, which may limit your potential for higher earnings.
In a per-session model you are paid a set amount for each session you conduct, regardless of the client’s payment. It’s a middle ground between the fee split and salary models.
This depends on your needs and the quality of the practice. The fee split model often offers a higher range of pay but it includes more risk as well. If the practice cannot fill your caseload or does a poor job of tracking payments from insurance and clients your pay will be impacted. You’ll also likely not be paid for the time it takes to fill your caseload as well.
A salary model is more consistent and safe for you as you’ll be paid no matter your caseload size generally. However, because there is more risk to the practice in this case your overall salary might be less than if you were on fee-split and had a full caseload.
A private practice that is transparent and can confidently answer your questions is a good sign. Other green flags include clear explanations of their operational model, a willingness to share historical data (like how quickly they fill a caseload), and an emphasis on values like work-life balance and clear communication.
Be cautious if a practice gives vague answers, gets defensive when you ask detailed questions, or can’t provide historical data.
Be wary if they demonstrate a lack of transparency about administrative responsibilities or a culture that discourages questions are also warning signs.
Be cautious of practices whose emails end in @gmail.com or similar. These are not HIPAA compliant and a possible sign that practice operations are not buttoned up well.
Salaries posted in listings that seem too good to be true often are. These are usually reflective of fee-split models and assume seeing 30ish clients a week at the practice’s highest reimbursement level and 100% payment by clients and insurance. More likely you’ll see 20-25ish clients a week and the reimbursement level will vary.
You may ask what an average reimbursement per session is for a clinician of your licensure level.
You may ask how they chose their specific pay model(s). They should hopefully be able to explain the pros/cons to you.
You should ask how billing is managed; does the practice take charge of payments from clients are are you responsible for tracking billing?
Who is responsible for marketing and filling your caseload? You or the practice?
How quickly do caseloads tend to fill?
Are you paid for no-shows or cancellations?
What is the culture of the practice? What is it’s vision? What were the goals for starting this practice?
What administrative tasks are you vs the practice responsible for?
Will the practice provide a phone or phone number if you are responsible for direct client contact?
Does the practice offer any benefits?
What are your performance expectations within the practice? How will you know if you’re doing a good job or poor job?