Counseling Businesses for Sale in USA – Buy & Sell on DealStream

Discover top counseling businesses for sale in the United States on DealStream, your premier marketplace for mental health counseling practice listings. Whether you’re looking to buy an established therapy practice with a loyal client base or invest in a turnkey counseling business in key markets like California, Texas, and New York, our comprehensive listings deliver unmatched growth potential and solid cash flow. Browse expert-vetted opportunities today and take the first step toward owning a thriving counseling practice that makes a real difference.

All Matching Deals

Child Psychology Services
Idaho

This well-established and profitable business provides high-quality support services for children with developmental disabilities. With a strong reputation for compassionate care and professional excellence, the company has built long-standing relationships with families, schools, and community partners. The...

$500,000
Cash Flow: $198,000
Details
Established Mental Health Services Clinic
Shelby County, TN

The well established clinic serves over 1,200 patients, ensuring consistent revenue with a loyal client base. A profitable cash-based weight loss program contributes an extra $7,000 to $10,000 monthly, enhancing financial stability. The clinic offers comprehensive services, including medication management,...

$577,023
Cash Flow: $248,703
Details
23 Year Old Psychologist Practice With Real Estate
Missouri

Perfect business for an existing therapist or a therapist group. All the infrastructure is in place. There are currently 5 therapists in the group, and it would be easy to add more therapists and grow profit. Most of the work is done virtually but turn-key real estate is included for an additional $200k....

$125,000
Cash Flow: $46,898
Details
Georgia

GABH1A - $1.6 Million Revenue Mental Health Practice Located in Georgia Company Overview Broker is pleased to exclusively offer a well-established mental health practice in Georgia. Founded in 2014, the practice has built a strong reputation for highly personalized therapy and psychological care....

On Request
Details
United States

XYBH2A - $1.8 Million Forensic Psychology and Counseling Practice in the Northeast Specializing in Treatment of Sex Offenders Company Overview Broker is pleased to introduce a forensic psychology and counseling practice for sale in the northeast. This nationally recognized practice offers a comprehensive...

On Request
Details
Psychology Practice in Suburban NY
New York

**Accepting Bids** This thriving Psychology Practice was founded to provide psychological support to patients experiencing developmental challenges across their lifespan. The practice treats a variety of mental health issues, including anxiety, depression, and OCD. The practice offers a number of...

On Request
Cash Flow: $159,240
Details
Ohio

Company Overview/Services Broker is pleased to offer a Mental Health Practice for sale in Central Ohio. The practice provides mental health counseling services to adults and families (92%), as well as children and adolescents (8%). Payer sources include 61% Medicaid, 30% insurance, 6% private pay (cash),...

$1,850,000
Cash Flow: $284,000
Details
California

Location: Nestled in Wisconsin, this well-established community resource center offers a unique opportunity to step into a highly respected and impactful business. Services: A trusted hub for comprehensive mental health and wellness, the center specializes in: • Stress reduction • Couples and family...

$300,000
Details
Licensed Mental Health&Substance Abuse Outpatient
New Jersey

A growing mental health and drug rehab treatment center with expanding Mental Health PHP programming is being offered for sale along with the business and the real estate. The center provides a full continuum of outpatient care, including Mental Health Partial Hospitalization (PHP), Substance Abuse...

$9,000,000
Cash Flow: $890,000
Details
Crystal Lake, IL

Seize the opportunity to own a comprehensive Behavioral Health Services organization which includes Applied Behavior Analysis (ABA), child/adolescent counseling, adult counseling, family and couples therapy, and telehealth sessions. This opportunity is perfect for investors, licensed professionals,...

$999,000
Cash Flow: $252,314
Details
Nebraska

Broker is pleased to present Project Alpha (the “Company”), a multi-location, northeast-focused mental health and mentorship provider for teens and young adults between the ages of 16 - 30. With a team of 20+ employees, the Company has provided services to over 230 unique clients through July 2025....

On Request
Cash Flow: $550,000
Details
Virginia

This is a highly respected, mental health group practice with excellent margins and culture. Located in a high-demand area, this turnkey operation is fully equipped with a strong leadership team, a great training program, and clinicians committed to the business. Industry experts would say it has many...

On Request
Cash Flow: $628,000
Details
Manasquan, NJ Practice for Sale
New Jersey

4-year full medical spa and wellness center collecting $375,571.00. Services include injectables such as botox and dermal fillers, facials, medical peels, laser and lPL facials. Wellness practice also includes medical weight loss. Great location, easy access. Plenty of room for growth. All management...

On Request
Details
Wichita, KS [East-side] Practice for sale:
Wichita, KS

35+ year established Chiropractic/Weight loss practice. Includes all furnishings and equipment. In 2020 and 2021, weight loss collections totaled $1,188,000.00. Great way to get new patients and introduce to Chiropractic care. 2000 sqft, great location with high visibility. Basically can walk in and...

On Request
Details
Cleveland, OH Practice for Sale
Cleveland, OH

14 year successful NMD / LAc holistic cash based wellness practice collecting $153,395.00. 126 new patients / 1,026 total visits. Open 3.5 days ~ under 30 hours weekly. Excellent location!! Easy access - plenty of parking. All management systems in place. Current owner retiring - ideal opportunity for...

$149,944
Details
South New Jersey Practice for Sale
New Jersey

10 year family practice collecting $58,710.00. Dr take home pay before taxes $36,570.00. Open 2 days weekly. Closed Fridays for extended weekends of relaxation/recreation. Low/low overhead. Low stress. High net cash flow. Enjoyable family wellness practice. 1/2 cash/1/2 insurance. Located between Philly...

$25,000
Details
Nappanee, IN Practice For Sale
Nappanee, IN

40 year generational practice collecting $126,028.00. Low overhead. Beautiful location. This is a small and quaint town with large concentration of Amish. Strong economy of farming, manufactured motor homes, and recreational vehicles. This is the RV capital of the world. Strong blue collar community...

$102,870
Details
Fresno, CA

Currently looking for a person that is interested in helping people through therapy, Counseling, and other school base services. Must have a board to transfer organization. Already Established clinic. Great Employees small but profitable for the right buyer. Currently has long term contract to continue...

On Request
Details
Palm Beach, FL

35-year-school psychology practice in South Florida selling assets for new and established practices.. These include psychological testing instruments (30+), therapeutic games (20+), children's therapy stories and books (40+), professional books, manuals ,pamphlets,and professionally designed website,...

On Request
Details
Detroit, MI

This well-known firm is your ONE-STOP SHOP for a broad range of mental health counseling needs. The company provides services to a wide range of individuals, families and schools. In recent years they added forensic testing and special educational assessments. They have a staff of over a dozen therapists...

$480,000
Cash Flow: $171,254
Details
Asheville North Carolina Practice For Sale
Asheville, NC

ASHEVILLE NC $199,000.00 (Office Condo Available For Purchase) An AO, Arthrostim, Activator and Drop practice. With an expected 30% growth for 2021-projected $363,130.00 gross. Brand New DR Digital Xray and EHR w/Chirotouch. 70% CASH. Located in the heart of the breathtaking Blue Ridge Mountains- Asheville...

On Request
Details

Tips for Buying Counseling Businesses In US

Understand Regulatory Compliance

One of the most crucial aspects of acquiring a counseling business in the US is ensuring full compliance with all state and federal regulations. Counseling practices must adhere to specific licensing requirements, maintain confidentiality standards (such as HIPAA), and follow established protocols for record-keeping and billing. Before making an offer, thoroughly review the current business’s licenses and certifications, and verify that all therapists on staff are appropriately credentialed. Non-compliance can lead to severe penalties or even forced closure, so this due diligence step is essential.

Analyze Client Base and Referral Sources

The long-term value of a counseling business largely depends on a stable, recurring client base and reliable referral sources. Before buying, ask for detailed reports on client retention, appointment bookings, and top referral channels. Assess whether key clients or referral agreements are likely to transfer post-acquisition, as client relationships in healthcare can hinge on trust and continuity. Understanding these dynamics will help you gauge revenue consistency and spot potential risks related to client attrition after the transition.

Evaluate Staff and Culture Fit

The expertise, qualifications, and morale of the counseling team are fundamental to the practice’s reputation and ongoing success. During negotiations, arrange to meet leadership and staff, and evaluate factors such as team structure, turnover rates, and compensation models. Consider how well the employees’ skills and culture align with your own management style and business vision. Retaining experienced therapists through clear communication and favorable transition terms can increase acquisition success and minimize disruption for both staff and clients.