Mental Health Directors can find top-paying opportunities in Washington, DC, where the average salary reaches $123,313. San Diego, CA, and Los Angeles, CA, also offer competitive salaries, with averages of $111,687 and $110,347, respectively. Baltimore, MD, Chicago, IL, and Virginia Beach, VA, provide attractive compensation packages, with salaries averaging $108,598, $97,689, and $89,907, respectively.