A therapist-first practice.
The care a client gets is downstream of how the therapist is treated. A clinician who is rested, supported, paid fairly, and trusted to do the work does better work. That isn't a perk here, it's the operating model. Clients pay their therapist for expertise. The caring comes free. Clinicians pay Azimuth a share for the community, the supervision, the credentialing, the billing, and the infrastructure. Our caring comes free too.
A path, not a ladder.
Staff Clinicians here have a path to Clinical Partner. Partners carry a larger share of what they collect, shape how their service line runs, and set their own caseload, schedule, and clinical approach. Nobody here is handed a productivity quota or told how to treat their clients. Clinical Partner is a professional designation, not an ownership interest in the practice.
We treat OCD the way it should be treated.
Real exposure and response prevention, not talk therapy with an ERP label on it. That includes the presentations other practices decline: harm and taboo obsessions, scrupulosity, relationship OCD, sensorimotor, real event and false memory. Those are the themes people are most ashamed to name and most likely to have had mishandled somewhere else. A specialty practice saying them plainly is doing its job.
OPEN POSITIONS
We're hiring clinicians who want to specialize, and associates who want to learn ERP from the ground up.
Staff Clinician
Independently licensed in Texas: LPC, LCSW, LMFT, or Licensed Psychologist. Additional licensure in Michigan, Wisconsin, or Minnesota is a plus.
You'll carry a caseload of OCD and anxiety clients and treat them with ERP. If you've trained in it, good. If you've done CBT for anxiety and want to go deeper, we'll get you there, and consultation is built into the week. Staff Clinicians earn 60 to 65% of collected revenue, paid as a W2 employee with an hourly draw every pay period and a per-paycheck true-up on what's collected. At our current payer mix that works out to roughly $64 to $69 per completed session. A full caseload of 25 sessions a week lands between $76,000 and $83,000 a year. Professional liability insurance is covered by the practice.
Associate
Texas LPC-Associate or LMSW. (Sorry, MFTs, we're looking for a supervisor for you.)
You'll see OCD and anxiety clients under a board-approved supervisor in your discipline. Weekly individual supervision, case consultation, and ERP training are part of the job and count as paid hours. Associates earn 40% of collected revenue, paid as a W2 employee with an hourly draw every pay period and a per-paycheck true-up on what's collected. At our current payer mix, 40% works out to roughly $42 per completed session, and a full caseload of 25 sessions a week lands around $50,000 a year. Supervision toward full licensure is provided at no cost to you. Professional liability insurance is covered by the practice.
Intern / Practicum Student
Graduate student in a counseling, social work, or psychology program, placed for practicum or internship. Your program must approve Azimuth as a site.
You'll see OCD and anxiety clients with weekly site supervision on top of your program's supervision. ERP training and case consultation are built into the placement. Interns are paid $25 per completed session as a W2 employee. When you graduate and your associate license comes through, you can move straight into an Associate role.
What therapist-first looks like
It's easy to say. Here's what it means in a normal week.
You're a W2 employee. Payroll taxes, malpractice insurance, the EHR, billing, and credentialing are covered by the practice.
Your clinical judgment is yours. No productivity quotas, no scripts, and nobody telling you how to treat your clients.
You don't carry hard cases alone. Weekly consultation and ERP training are built into the schedule. Bring the case that's stuck.
The paperwork is handled. Credentialing, billing, and collections run through the practice, so your time goes to clients.
We're honest about the ramp. Caseloads grow with referrals. We don't hire ahead of demand, and we won't promise a full book on day one.
You can leave on good terms. There's no non-compete. Just a 12-month client and staff non-solicit.
Tell us about yourself.
One form for every role. We read every one, and you'll hear back within five business days.
Azimuth OCD and Anxiety is an equal opportunity employer. All clinical roles except Intern / Practicum Student require an active Texas license or associate license in good standing with the Texas Behavioral Health Executive Council.