Clinical and Counseling Psychologists in the Winston-Salem Metro

BLS metro-level wage data places Clinical and Counseling Psychologists pay in Winston-Salem, NC at a median of $79,600 per year ($38.27/hr), drawn from the OEWS May 2025 release for this Metropolitan Statistical Area. Compared with the national median of $100,580, the metro estimate is 21% below. OEWS reports the difference but does not identify its cause. Approximately 150 clinical and counseling psychologists are employed across the Winston-Salem MSA in SOC 19-3033.

The Winston-Salem pay distribution spans from $58,020 at the 10th percentile to $131,060 at the 90th, a 2.3× observed spread. Differences in specialization, employer, sector, location, credentials, schedule, and experience may all contribute, but OEWS does not isolate their effects. The 25th percentile sits at $65,730 and the 75th at $96,990, so half of Winston-Salem-based clinical and counseling psychologists earn within that middle band.

Metro figures use establishment work location, not worker residence. BLS draws metro boundaries from the OMB MSA definitions, so Winston-Salem, NC covers the central city plus outlying counties tied to the metro economically. OEWS includes straight-time pay, tips, commissions, incentive pay, and production bonuses. It excludes employer health and retirement benefits, overtime premiums, stock compensation, signing bonuses, and other nonproduction bonuses. The same occupation's national profile, statewide NC estimate, and peer-metro rows provide distinct geographic comparisons. A published median is a benchmark, not a prediction or ceiling for one worker.