Can a PMHNP work from home in a different state?

Yes, but you must be licensed in the state where the PATIENT is located. Your physical location matters less than your licensure status.

What is the best state license for telehealth?

California and New York are widely considered the most valuable licenses due to their large populations and high reimbursement rates.

Top 15 Telehealth Companies Hiring PMHNPs in 2026

Q: Do telehealth PMHNPs earn less than in-person providers?

Slightly. Telehealth roles often pay about 5-10% less in base salary compared to in-person roles, but they save significantly on commuting costs and time.

Quick Answer

The top telehealth companies hiring PMHNPs in 2026 include Talkiatry, Cerebral, Done, Brightside Health, and Grow Therapy. Telehealth PMHNP salaries typically range from $130,000 to $215,000+ depending on the company and pay model (W2 vs. 1099), with 62% of all PMHNP job postings now offering remote or telehealth options.

The landscape of psychiatric care has fundamentally shifted. In 2026, telehealth is no longer just an alternative; for many PMHNPs, it is the primary mode of practice. Based on our analysis of over 8,500 active job postings on PMHNP Hiring, the demand for remote psychiatric providers has grown by 12% year-over-year.

Whether you are looking for the stability of a salaried (W2) role or the flexibility of a contract (1099) position, these are the top companies shaping the future of telepsychiatry.

1. Talkiatry

What they do: Talkiatry is a premier mental health practice that provides in-network psychiatry. They are known for high-quality care and a provider-centric model, employing established psychiatrists and PMHNPs on a W2 basis.

Salary Range: $150,000 - $190,000 (Base + Productivity Bonuses)
Employment Type: W2 Full-time
Key Benefits: Comprehensive health insurance, 401(k) with match, paid malpractice, CME allowance ($2,500), and administrative support.

Pros: Strong clinical leadership, collaborative environment (easy access to MDs), and they handle all insurance credentialing and billing. No administrative burden. Cons: Strict schedule requirements; higher patient volume expectations compared to private practice.

Browse Talkiatry Jobs

2. Cerebral

What they do: One of the largest and most well-known telehealth platforms, Cerebral focuses on medication management and therapy for anxiety, depression, and ADHD.

Salary Range: $135,000 - $165,000 (or $70-$90/hr for 1099)
Employment Type: Mixed (W2 and 1099 options)
Key Benefits: 100% remote flexibility, stock options (for full-time), licensure reimbursement.

Pros: Massive patient volume means you can fill your schedule immediately. Very flexible hours. Cons: Historical controversy over prescribing practices has led to tighter internal regulations; high churn rate.

3. Brightside Health

What they do: Brightside specializes in treating anxiety and depression with "Precision Psychiatry," utilizing data to guide prescribing decisions.

Salary Range: $145,000 - $175,000
Employment Type: W2 and 1099
Key Benefits: Technology-forward platform, consistent patient flow, clinical decision support tools.

Pros: Excellent tech stack makes documentation faster. Focus on evidence-based care. Cons: Limited scope of practice (mostly anxiety/depression); less autonomy in treatment plans due to algorithm-driven guidance.

4. Grow Therapy

What they do: Grow Therapy is less of a clinic and more of a "practice-in-a-box" for providers who want to launch their own private practice but need help with insurance and billing.

Salary Range: $150,000 - $220,000+ (Earnings dependent on volume)
Employment Type: 1099 Independent Contractor
Key Benefits: You own your patient panel. They handle credentialing with major payers (Aetna, Cigna, UHC, etc.) and billing.

Pros: Maximum autonomy. You set your rates (within insurance limits) and schedule. High earning potential. Cons: No guaranteed salary; you only get paid when you see patients. No benefits (health/401k).

5. Done. (Done ADHA)

What they do: A specialized platform focusing primarily on ADHD management.

Salary Range: $80 - $110 per hour
Employment Type: 1099 Independent Contractor
Key Benefits: Very specific patient population, flexible part-time work.

Pros: Streamlined workflow if you are comfortable treating ADHD. Good for side income. Cons: Highly repetitive caseload; regulatory scrutiny on stimulant prescribing can be stressful.

6. Lyra Health

What they do: Lyra partners with large employers (like Starbucks, eBay) to provide mental health benefits to employees. They focus on evidence-based short-term care.

Salary Range: $160,000 - $185,000
Employment Type: W2 and 1099
Key Benefits: Premium reimbursement rates, matched with highly motivated clients (employees of top tech firms).

Pros: High-functioning patient population. Less "chronic" maintenance care, more solution-focused. Cons: High expectations for clinical outcomes and data reporting.

7. Spring Health

What they do: Similar to Lyra, Spring Health is a B2B mental health provider using "Precision Mental Healthcare" to match employees with providers.

Salary Range: $150,000 - $180,000
Employment Type: W2 and 1099
Key Benefits: "Provider-first" culture, proprietary assessment tools.

Pros: Diverse patient population. Strong emphasis on finding the right fit between patient and provider. Cons: rigorous vetting process to get hired.

8. Alma

What they do: Like Grow Therapy, Alma is a membership-based network that helps providers take insurance.

Salary Range: $150,000 - $215,000+ (Volume based)
Employment Type: Independent Practice (Member)
Key Benefits: Guaranteed enhanced reimbursement rates from payers like Optum and Aetna.

Pros: Strong community of providers. Excellent slick software. Guaranteed payment within 2 weeks (Alma takes the risk). Cons: Monthly membership fee ($125/mo) required to use the platform.

9. Headway

What they do: The direct competitor to Alma and Grow, Headway is a free platform for providers to get credentialed and bill insurance.

Salary Range: $140,000 - $200,000+ (Volume based)
Employment Type: Independent Practice
Key Benefits: Free to use (no monthly fee).

Pros: Zero overhead cost to start. Rapid credentialing. Cons: Customer support for providers can sometimes be slow compared to paid platforms like Alma.

10. Rula (formerly Path Mental Health)

What they do: Rula connects patients with mental health providers covered by their insurance.

Salary Range: $100 - $130 per session
Employment Type: 1099
Key Benefits: They fill your caseload for you. Marketing is done entirely by them.

Pros: Great for filling gaps in a schedule. Cons: Lower reimbursement rates than if you negotiated directly, but higher convenience.

11. Teladoc Health (BetterHelp)

What they do: The giant of telehealth. Teladoc offers general medical and psychiatric services.

Salary Range: $130,000 - $160,000
Employment Type: W2 and 1099
Key Benefits: Stability of a publicly traded company.

Pros: Endless supply of patients. Brand recognition. Cons: Lower per-visit pay compared to specialized startups. Bureaucratic.

12. MDLive (by Evernorth)

What they do: A Cigna-owned telehealth platform offering urgent care and behavioral health.

Salary Range: $135,000 - $165,000
Employment Type: 1099 mainly
Key Benefits: Flexible scheduling in 15-30 minute blocks.

Pros: Integration with Cigna network guarantees volume. Cons: Often focused on shorter, more transactional interactions.

13. Amwell

What they do: Provides telehealth infrastructure for hospitals and health plans, and maintains its own provider group (Amwell Medical Group).

Salary Range: $140,000 - $170,000
Employment Type: 1099 and W2
Key Benefits: Academic partnerships and hospital integrations.

Pros: More "medical" model, often treating higher acuity patients than D-to-C apps. Cons: Older technology interface compared to startups.

14. Included Health (formerly Doctor On Demand)

What they do: Comprehensive virtual care including primary care and behavioral health.

Salary Range: $155,000 - $185,000
Employment Type: W2
Key Benefits: Excellent benefits package, paid time off, malpractice coverage.

Pros: Collaborative care model with PCPs and therapists. Cons: Fixed scheduling requirements.

15. Array Behavioral Care

What they do: Specifically focused on telepsychiatry, often partnering with hospitals for tele-consults (ER/Inpatient) as well as at-home care.

Salary Range: $160,000 - $200,000+
Employment Type: W2
Key Benefits: Specialized high-acuity work available.

Pros: Ability to do inpatient/ER work from home (Regulated/Scheduled & Scheduled). High pay for high acuity. Cons: Can be high stress if working the crisis/ER line.

Telehealth vs. In-Person PMHNP Salary Comparison

Is there a "remote tax"? Historically, yes—remote roles paid slightly less. However, in 2026, that gap is closing.

Verdict: While in-person roles still command a ~10% premium on base salary, the net income for telehealth providers often ends up higher due to lack of commuting costs and the ability to work multiple jobs or hold multiple state licenses.

How to Get Hired as a Telehealth PMHNP

The competition for remote roles is fierce. Here are 5 tips to stand out:

Get Licensed in "Compact" States: Don't just hold a license in your home state. Getting a license in Arizona, Washington, or New York makes you instantly hireable by national platforms.
Master the Tech: During your interview, ensure your lighting, background, and connection are flawless. This is the job. If you can't Zoom well, you can't treat well.
Highlight "Zoomside Manner": explicitly mention how you build rapport virtually during your interview.
Understand 1099 vs W2: Know whether you want benefits (W2) or higher cash flow (1099) and pitch yourself accordingly.
Use Specialized Job Boards: Don't just rely on Indeed. Use platforms dedicated to PMHNPs.

States with Most Telehealth PMHNP Jobs

According to our internal data, these states have the highest volume of remote PMHNP open requisitions:

Frequently Asked Questions

Q: Do telehealth PMHNPs earn less than in-person providers? A: Slightly. On average, telehealth roles pay about 5-10% less in base salary ($155k avg vs $165k avg), but the savings in commute time and expenses often equalize the net value.

Q: Can I work from home if I live in a different state? A: Generally, yes. The "Golden Rule" of telehealth is that you must be licensed in the state where the patient is physically located at the time of the appointment. Your location is secondary.

Q: Do I need my own malpractice insurance for telehealth? A: If you are a W2 employee (e.g., for Talkiatry or Included Health), they usually cover it. If you are a 1099 contractor (e.g., for Grow Therapy or Alma), you typically must purchase your own coverage.

Ready to find your remote role? Browse 1,200+ Telehealth PMHNP Jobs on PMHNP Hiring today.