Employment Opportunities

So, you want to be an Agent of Change?


Change, Inc. is the premier counseling and wellness center in St. Louis, Missouri, providing discerning clients concierge-level, managed care-free, mental health care. Located centrally and conveniently on South Kingshighway and Hampton & 44, Change, Inc. offers down-to-earth, non-judgmental counseling.

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

Here’s what you should know:

1. YOU WILL GET A FULL CASELOAD QUICKLY: We can generally get you a full caseload (25-30 clients weekly) in about 90-120 days, all paying cash.  Even people who take insurance will tell you this is fast!  We say “generally” because we can supply clients quite quickly, but the speed to full is ultimately dependent on your ability to retain them.

2. WE WILL HELP YOU FIGURE THIS OUT: Most therapists coming into private practice are some mix of over- and under-confident. For example, they might come in expecting to really perform well with clients (over-confident), but when they struggle, they assume they must’ve been skill-deficient (under-confident), instead of understanding that it simply takes time to acclimate to a new environment, even for seasoned therapists. In fact, what works very well in certain settings (e.g., in-patient substance treatment) often doesn’t work well in private practice. On a separate but related note, many therapists come in very worried about money and whether they’ll make enough to leave the “security” of their previous jobs. We make it our job to help you get there. We provide solid, involved, but collegial supervision, primarily aimed at the development of the person of the counselor (you!) and continuing to understand how who you are in therapy is as important as what you do. In short, you’ll have a lot of latitude to be yourself in therapy, but lots of support and follow-up to evaluate how well you are retaining clients and to see how what you’re doing is working.

3. YOU WILL CONTINUE TO GROW…IN THE RIGHT AREAS: We provide $500/year in continuing ed benefits, in addition to the full conference admission (approx. $500/value) to the American Counseling Association conference, to which we all travel together and use as a time to relationship-build. However, we find that most therapists have more than enough theoretical knowledge (even if they don’t think so), but are often underdeveloped as people and/or have not spent enough time in therapy themselves. After all, the research shows that our personal motives for becoming counselors in the first place tend to organize around common themes that are often unconscious and unaddressed within typical clinical supervision (Adams, 2014b; Sussman, 2007). The themes often involve lingering struggles from childhood loss and ongoing needs for recognition and approval (Barnett, 2007; Kottler, 2016; Kuchuck, 2014), as well as trying to clarify and bring resolution to our own problems (Orlinsky & Ronnestad, 2005). There is also a recurrent theme related to learning greater authenticity, as well as feeling a greater sense of power and control over both others and ourselves (Hamman, 2001). So…at Change, Inc., once a quarter we have a “Group Experience,” where an outside therapist comes in to work with us and help us process our shit, including but not limited to our own personal struggles as well as the struggles of being a therapist. There is typically a fair amount of crying and laughing and satiating food. Once a quarter we also have a “Social Gathering where we get together at some restaurant and eat and drink together. If this sounds good, don’t get it wrong — it’s not utopia. We get to know one another and sometimes its messy. But we have the sense that we’re going somewhere together. And that we need one another. All of us tend to approach the whole of life as therapists — i.e., this is sort of “therapy as a lifestyle,” as the continual search to grow and better ourselves as much as our clients.

That said, here’s THE FLIP SIDE:

We invest a lot, so we expect a lot of engagement. This is absolutely a place where you can expect a two-way street: you give a lot and you will get a lot as follows (for example):

  • We have a contract with a minimum length of stay to make good on our investment.
  • We chart and track retention and have goals that are used as a barometer of success.
  • 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!!!).
  • What administrative requirements are there 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.

Bottom line: this isn’t the kind of place you want to come work if therapy is a ‘hat’ you wear or if you want the anonymity of hiding in a cubicle. It’s a good place if therapy is just who you are. We do things differently by choice, and there is a distinct culture and line of thinking that goes along with that into which only certain people fit.

House-keeping items below. Contact us if you’re up for the challenge!



  • ASAP


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

QUALIFICATIONS (****Please read****):

This is not an entry level position. Please note the following qualifications:

  • Required : Documented Master’s degree or higher in Counseling or related field.
  • Required : Documented minimum 2-4 years counseling experience in outpatient therapy, and must have couples experience (different than “family”).
  • Required : Documented Licensure as an unrestricted, non-supervision-required Licensed Professional Counselor (LPC) (if in MO) or LCPC (if coming from IL), Social Worker (LCSW), or Marriage & Family Therapist (LMFT). NOTE: **Supervision-required/Provisional licensure is not acceptable.**
  • Preferred : Approved supervisor status


  • Email resume only to ryan@changeincorporated.org***Please no phone calls or visits.***
    If we’re interested, someone will contact you back within 3 business days.