Substance Abuse, Behavioral Disorder, and Mental Health Counselors Salary in San Francisco, CA
Substance Abuse, Behavioral Disorder, and Mental Health Counselors in the San Francisco-Oakland-Fremont, CA metro area earn a median $68,400 a year — 15% more than the national median. After 2026 taxes, that is $53,800 take-home, or $4,483 a month.
Take-home pay calculator
Pre-filled with the median substance abuse, behavioral disorder, and mental health counselors salary in San Francisco, CA. Enter your own offer to see your paycheck.
- Federal income tax$6,218
- Social Security (6.2%)$4,241
- Medicare (1.45%)$992
- California income tax$2,260
- CA State Disability Insurance (SDI)$889
- Take-home pay$53,800
Marginal rate: 22% federal + 8.00% state
Got an offer somewhere else? Compare it with this one after taxes and rent →
Substance Abuse, Behavioral Disorder, and Mental Health Counselors pay by experience in San Francisco, CA
| Percentile | Salary | Hourly | Take-home / yr | Per month |
|---|---|---|---|---|
| 10th percentile (entry level) | $48,050 | $23.10 | $39,231 | $3,269 |
| 25th percentile | $55,190 | $26.53 | $44,447 | $3,704 |
| Median (50th) | $68,400 | $32.88 | $53,800 | $4,483 |
| 75th percentile | $107,320 | $51.60 | $77,183 | $6,432 |
| 90th percentile (top earners) | $132,510 | $63.71 | $92,020 | $7,668 |
Wages: BLS Occupational Employment and Wage Statistics, May 2025. Take-home: single filer, California resident, 2026 tax rules.
What $68,400 buys in San Francisco, CA
Prices in San Francisco, CA are 15.6% higher than the U.S. average (housing costs are 1.95× the national average). Adjusted for local prices, a median substance abuse, behavioral disorder, and mental health counselors's $53,800 take-home pay has the buying power of $46,535 in a typical American city.
Rents: HUD Fair Market Rents, FY2026 (40th-percentile gross rent incl. utilities). Price levels: BEA Regional Price Parities, 2024.
San Francisco, CA has 1.3× the national concentration of substance abuse, behavioral disorder, and mental health counselors jobs — a strong local market for this occupation.
Best-paying cities for substance abuse, behavioral disorder, and mental health counselors, adjusted for cost of living
San Francisco, CA ranks #27 of 42 metro areas once taxes and local prices are taken into account.
| # | Metro area | Median salary | Take-home | Real value* |
|---|---|---|---|---|
| 1 | Houston, TX | $67,370 | $56,225 | $57,006 |
| 2 | Austin, TX | $66,780 | $55,810 | $56,910 |
| 3 | Seattle, WA | $73,580 | $60,594 | $54,523 |
| 4 | Portland, OR | $75,420 | $56,118 | $53,233 |
| 5 | Kansas City, MO | $60,690 | $49,029 | $52,980 |
| 6 | Cleveland, OH | $59,630 | $49,235 | $52,421 |
| 7 | Phoenix, AZ | $66,020 | $53,785 | $52,059 |
| 8 | Milwaukee, WI | $61,960 | $50,020 | $51,600 |
| 27 | San Francisco, CA | $68,400 | $53,800 | $46,535 |
*Take-home pay divided by the BEA price level, so every city is measured in U.S.-average dollars. See all 42 metros →
About the job: substance abuse, behavioral disorder, and mental health counselors
- Typical education
- Master's degree
- Work experience
- None required
- On-the-job training
- Internship/residency
- Job outlook, 2025–35
- +18.4% (much faster than average)
Source: BLS Standard Occupational Classification and Employment Projections, 2025–35.
Substance Abuse, Behavioral Disorder, and Mental Health Counselors salaries elsewhere in California
- San Jose, CA — $72,550
- Sacramento, CA — $61,050
- Riverside, CA — $57,880
- San Diego, CA — $57,660
- Los Angeles, CA — $51,910
Frequently asked questions
How much does a substance abuse, behavioral disorder, and mental health counselors make in San Francisco, CA?
The median substance abuse, behavioral disorder, and mental health counselors salary in the San Francisco-Oakland-Fremont, CA metro area is $68,400 a year, or about $32.88 an hour, according to the Bureau of Labor Statistics (May 2025). The middle half earn between $55,190 and $107,320.
What is a substance abuse, behavioral disorder, and mental health counselors’s take-home pay in San Francisco, CA?
On the median $68,400 salary, a single filer living in California takes home about $53,800 a year ($4,483 a month) after federal tax, Social Security, Medicare and $3,149 in California taxes in 2026.
Is San Francisco, CA a good place to work as a substance abuse, behavioral disorder, and mental health counselors?
Pay here is 15% above the national median of $59,350. Local prices are 15.6% above the U.S. average, so the take-home pay buys what $46,535 would in a typical U.S. city. San Francisco, CA ranks #27 of 42 metro areas for cost-of-living-adjusted pay in this job.
Can a substance abuse, behavioral disorder, and mental health counselors afford rent in San Francisco, CA?
HUD’s fair market rent for a one-bedroom in San Francisco, CA is $2,620 a month ($3,187 for two bedrooms) — 58% of a median substance abuse, behavioral disorder, and mental health counselors’s monthly take-home pay. Financial planners usually suggest keeping rent under about 30%.