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So.  You want to be an Agent of Change?



We help people get into a rhythm in private practice with a strong, supportive environment that runs like a well-oiled machine.

Hear from Clinical Director, EMilY HORNING, LCSW



What We Promise:

  • Full Caseload in 90-days, NO RECRUITING CLIENTS REQUIRED!  Clinicians’ caseloads are built entirely for them in 60-90-days.
  • Hands-on, Immersive Training:
    • Licensure-required and post-licensure supervision is provided in-house (or outside, as necessary) for most clinicians, at no-cost to most clinicians
    • Specific spot-work supervision is also provided (e.g., separate couples counseling supervision), at no-cost to most clinicians
    • Monthly Workshops where in-house clinicians are paid to present to one another within their areas of expertise/training/certification
    • Group consultations with paid experts in the field (e.g., Dr. Jeffrey Kottler)
  • The Most Competitive Starting Mental Health Salaries in St. Louis: Our compensation model means new clinicians make full-time salaries working just 3 days per week!


  • 3-Day Work Week: Clinicians are only required to be in the office working 3 days per week, and otherwise are asked to check email about every 24 hours; Any infrequent ad hoc meetings or requirements are compensated at an hourly rate, and supervision is provided!!!


  • Group Experiences: Once per quarter, outside facilitators lead day-long group therapy experiences **for our therapists** to process and grow within the difficult work of being clinicians. There is nothing like this offered anywhere else in STL!!!

  • Social Events: Three times per year, Change, Inc. pays for social events for clinicians and staff to be together in a social setting with no agenda but to have fun and relax.
  • Opportunities for Growth and Advancement: Most all of our clinicians go on to become clinical mentors or licensure supervisors, or to fulfill leadership functions within our environment.


What We Expect

We invest a lot, so we expect a lot of engagement. This is absolutely a place where you can expect a two-way street.

  • We have a contract with a minimum length of stay which enables us to make good on our investment in you.
  • We chart and track retention and have goals that are used as a barometer for areas of success and needed growth.
  • We suppress logistical requirements as much as we can — limited meetings, limited administrative minutia (we spent too much time working under the heavy yoke of Medicaid!!!) — so we expect a very quick response time to email and electronic communication.
  • More broadly, the administrative requirements we do have are typically to communicate, follow best-practices, and make sure we get paid.  We take them seriously.
  • We emphasize personal growth and development as therapists and as people, and we expect these things to be taken seriously as well.

The Bottom Line.

At Change, Inc., we do things differently by choice, and there is a distinct culture and way of thinking that goes along with that.  It’s cool if you don’t think you’d fit!!!

HEAR FROM Assistant clinical director, Cortney dollens, LPC

Hear from Assistant Clinical Director, NICOLE NEACE, LPC







Please note the following qualifications carefully:

  • Required : Documented Master’s degree or higher in Counseling or related field.
  • Required : Documented minimum 2-4 years experience in mental health at-large, and some actual counseling experience.
  • Preferred : Documented Licensure as an unrestricted, non-supervision-required Licensed Professional Counselor (LPC) (if in MO) or LCPC (if coming from IL), Social Worker (LCSW), Marriage & Family Therapist (LMFT), or Licensed Clinical Psychologist (LCP). 
    NOTE: **Supervision-required/Provisional licensure (LMSW, PLPC, PLMFT, etc.) will be considered if all other qualifications met on a case by case basis.** 
  • Preferred : Approved supervisor status
  • This is a healthcare environment — all employees are required to be vaccinated + booster, or to show proof thereof


You think you’re up to the challenge, eh?

  • Email resume to!

    ***Please no phone calls or visits.***

    If we’re interested, someone will contact you back within 3-10 business days.



Provisionally Licensed Clinicians working 3 days per week:

Compensation is paid at a flat hourly rate per client, commensurate with therapist licensure and experience.

Years 1-2:
$59K to $65K (3 days per week)

Year 3: 
Eligible for %-based compensation!!!
 Up to $75K+/year (3 days per week)


Fully Licensed Clinicians working 3 days per week:

Compensation is a percentage of the billed amount per client, commensurate with therapist licensure and experience.

Year 1:
$60K-$77K+ (3 days per week)

Year 2-3: 
Eligible for %-based compensation!!!

$77K-$125K+ per year (3 days per week)

Additional BENEFITS

  • Continuing education reimbursement
  • Free annual admission to a conference we all attend together (last year we went to the Psychotherapy Networker Conference in DC)!
  • Quarterly therapeutic “group experiences” focused on process, case conceptualization, team-building, and more!
  • In-house training aimed at helping you learn new skills opportunities to grow with your peers that are simply not offered anywhere else in STL.
  • 3x yearly social events paid for entirely by the company, with our entire team — no agenda but to hang out and build community!.
  • Employee-driven social events/happy hours
  • Healthcare Insurance // up to 50% paid for by us!