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National Clinical Mental Health Counseling Exam

Licensing Information

Requirements for Licensure:
  • A minimum of 60 semester hours of graduate level academic courses in counseling or a related field (can include 48 hour MA with CAGS, a second MA degree, or a Ph.D.)

  • A practicum (minimum of 100 hours) - must include 40 direct client contact hours and 25 hours of supervision. The requirement for the practicum is met in the first semester (practicum semester) of the Fieldwork Placement.
  • 25 hours of supervision break down as follows:
    - 10 hours individual supervision (on site)
    - 5 hours group supervision (CP111 meets this requirement)
    - 10 hours either individual or group supervision (7 hrs met by CP111)

  • An internship (minimum of 600 hours) - must include 240 direct client contact hours and 45 hours of supervision.
  • 45 hours of supervision break down as follows:
    - 15 hours individual supervision (on site)
    - 15 hours group supervision (CP111 meets this requirement)
    - 15 hours either individual or group supervision (7 hrs met by CP111)

  • One 3 semester hour or 4 quarter hour graduate-level course in the following ten areas:
    1. Counseling Theories, Practice, and Techniques
    2. Human Psychology; Development; Behavior & Learning, and Personality Theory
    3. Psychopathology; Abnormal Psychology; Abnormal Behavior; Etiology; Dynamics and Treatment of Abnormal Behavior
    4. Social Cultural Foundations; Issues and Trends of a Multicultural & Diverse Society; Working with Minority Populations
    5. Helping Relationships; Counseling Skills, Procedures and Techniques
    6. Group Work, Dynamics, and Processes
    7. Special Treatment Issues (e.g. Pharmacology; Substance Abuse; School; Career Issues; Marriage and Family Treatment; Sexuality and Lifestyle Choices; Treating Special Populations)
    8. Appraisal; Psychological Assessment and Techniques
    9. Research and Evaluation
    10. Professional Orientation: Ethics and Legal Issues in Counseling
    11. One or more elective courses in areas relevant to the knowledge and skills relevant to the practice of mental health counseling
    BGSP Coursework and Clinical Experience Meeting LMHC Requirements

  • 3,360 Hours of Supervised, Post-Master’s Work Experience - 960 must be direct client contact hours and 130 must be hours of supervision. (Academic school counseling, vocational guidance services, industrial or organizational consulting services, teaching, and conducting research are excluded and will not count toward the post-master’s experience requirement)

  • Passing Grade on the National Clinical Mental Health Examination (NCMHE)

  • Application for Licensure

The Exam
  • 10 Clinical Mental Health Counseling Cases
  • + Divided in 5-8 Sections
The exam will cover the following areas:
  1. Evaluation and Assessment
  2. Clinical Diagnosis and Treatment Planning
  3. Clinical Practice
For more specific information on the exam and scoring, visit

Study Materials

AATBS: NCMHCE Independent Study Program (Simulated Practice Vignettes, Two CDs. Live Online Workshop and Free 1 hour Strategies Workshop also available.)
Phone: (800) 472-1931

Counselor Exam Review
Phone: 330-947-9330

Arthur-Brende Scenario Simulator for the NCMHCE
Phone: 888-326-9229

Dr. Linton’s Online Study Prep for the NCMHCE

NBCC’s Official Preparation Guide for the NCMHCE

Psychotherapists Training Institute (Discover ExamAce: PTI's online Practice Simulations)

Free Study Materials Online

1. Question of the Day:
2. Sample Exam:
3. Practice Questions:
4. Sample Questions:




MaMHCA: Presented by the Professional Training Institute:

  1. LMHC Exam content review with topics such as: Diagnosis, Treatment Planning, Evaluation, Professional Practice, Counseling Theory, Human Growth and Development, etc. The workshop also focuses on test taking techniques and strategies. In addition, participants will receive the PTI Clinical Mental Health Counselor Handbook and Study Guide.
  2. Fees: $450 for members of MaMHCA, $500 for non-members
  3. Takes place on Thursday Evening, and all day on Friday and Saturday
  4. Held at MaMHCA Classroom & Offices, Foxboro, MA
  5. Registration Deadline: 10 days before workshop, but workshops are limited to 30 participants*
  6. Next workshops: March 27-29, 2014
    Upcoming workshops: May 29-31, 2014
  7. Register Online or call Deborah Bergstrom at 508-698-0010.

Other PTI Trainings (Not Exam-Specific!):

  1. Working with the DSM-IVR
  2. Essentials of Treatment Planning
  3. Advanced Treatment Planning
  4. Creating a Successful Professional Practice


Test Registration

What’s Needed for Registration?

  1. Completed Original Ink Registration Form
  2. $185 Examination Fee (Check or Money Order Payable to NBCC, or Fill out Credit Card section on Registration form)
  3. Official Sealed Transcript with Conferral Date of Master’s Degree (no faxes!)
  4. Approximately Two Weeks of Patience as Paperwork is Processed by NBCC Assessment Dept

Submission Address:

NBCC Assessment Dept.
PO Box 7407
Greensboro,NC 27417-0407


Once Your Paperwork is Processed and You Receive Confirmation from NBCC:ted Orig

Licensure Examination Registration

  1. You can register for an exam through AMP's website at or by phone at 888-519-9901.
  2. Fees are good for 6 months

Test Registration Questions? Tel: 336-547-0607; E-mail:; Web site:
Test Locations in MA: Boston, Holyoke, and Framingham

The exam will be given one week per month, the first week of each month except April and September (3rd week). During the specified week, the exam is offered Monday thru Saturday 9:00 to 1:30 in Boston, Holyoke and Framingham.