Michigan Professional Counselor — Requirements & Free Practice
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Limited Licensed Counselor
Michigan counseling license for supervised practice while accruing experience for full licensure.
Licensing authority: Michigan Department of Licensing and Regulatory Affairs / Michigan Board of Counseling · Application information
Late renewal — within 60 days after expiration
- Application
- Submit the renewal application and required fee by the expiration date.
- Continued practice
- The statute permits continued practice and title use during this sixty-day period.
- Continuing education
- The counseling licensing guides state that profession-specific continuing education is not required for renewal; maintain professional competence. Required human-trafficking and implicit-bias training still apply.
- Disciplinary disclosure
- Report previously unreported sanctions from another licensing or disciplinary authority.
- Expiration
- Within 60 days after expiration.
- Fees
- Pay renewal and late renewal fees and fulfill applicable competency or continuing-education requirements.
- Good moral character
- Provide documentation for affirmative good-moral-character responses.
- Human trafficking training
- Certify completion of the one-time human-trafficking training.
- Implicit bias training
- Complete one hour per year of the license cycle; renewal attestation certifies compliance.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16201(2): sixty-day late renewal
- Counseling - General Rules
R 338.1777(3): limited renewal and relicensure limit
Limited license renewal — hardship extension
- Application
- Submit the renewal application and required fee by the expiration date.
- Continuing education
- The counseling licensing guides state that profession-specific continuing education is not required for renewal; maintain professional competence. Required human-trafficking and implicit-bias training still apply.
- Deadline
- The Department must receive the request at least 30 days before the last scheduled Board meeting before license expiration.
- Disciplinary disclosure
- Report previously unreported sanctions from another licensing or disciplinary authority.
- Extension limit
- A maximum of three one-year extension requests per individual.
- Good moral character
- Provide documentation for affirmative good-moral-character responses.
- Hardship
- Board and Department discretion; no automatic extension.
- Human trafficking training
- Certify completion of the one-time human-trafficking training.
- Implicit bias training
- Complete one hour per year of the license cycle; renewal attestation certifies compliance.
- Submission
- Send the written request to BPLHelp@michigan.gov.
- Supporting information
- Describe hardship, cause, remedies and whether it persists; report hours completed and remaining, all supervisors and employers with contact details and dates, examination attempts and dates, and any prior extension request and outcome.
Official no-examination sources
Effective from 2026-09-22.
- Counseling - General Rules
R 338.1777(4)(a)-(j): hardship extension requirements
- Guidelines for Filing a Limited Licensed Counselor Extension Request
Extension eligibility and annual request limit
- Guidelines for Filing a Limited Licensed Counselor Extension Request
Extension Request Requirements
Initial limited licensure for supervised counseling experience
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Master’s or doctoral counseling degree from an accredited institution in a program satisfying R 338.1765. Current R 338.1763 adopts CACREP 2024 or 2016 standards. Nonaccredited programs must satisfy equivalent coursework including diagnosis and treatment, practicum and internship, with CCE or NACES-member evaluation at the applicant’s expense; minimum 48 semester/72 quarter hours for entry by June 30, 2023 or 60 semester/90 quarter hours for entry on or after July 1, 2023.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Examination
- Initial limited licensure requirements under MCL 333.18111 and R 338.1772 do not require a licensing examination; examination passing is part of the later full-license route.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Renewal limit
- Annual renewal is limited to ten years, counting relicensure; hardship extensions may be considered.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Supervision
- Practice under a Michigan licensed professional counselor in good standing; include the supervisor’s name, business address, telephone number and signed qualification statement in the disclosure statement.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18111(1)
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18111(2)-(3)
- Counseling - General Rules
R 338.1772(a)-(c): exhaustive limited application requirements
Initial licensure without examination — military member, veteran or dependent
- Competence
- Demonstrate competence through training, experience or another method prescribed by the Department in consultation with the Board.
- Criminal history check
- Comply with MCL 333.16174(3).
- Equivalent license
- Hold a current license in good standing for the same health profession in another state or country, with requirements substantially equivalent to or exceeding Michigan requirements; the license must support the counseling license level sought.
- Military status
- Member of the armed forces or uniformed services, veteran, or eligible dependent, as determined by the Department.
- Statutory override
- MCL 333.16186a requires issuance without examination notwithstanding other Article 15 requirements.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16186a(1): mandatory issuance without examination
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16186a(1)(a)-(d): eligibility conditions
Reinstatement — suspension for unpaid repayment installment
- Payment
- Pay the installment; MCL 333.16245(3) mandates reinstatement on payment.
- Suspension
- Suspension for the grounds stated in MCL 333.16221(j).
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16245(3): repayment installment suspension
Reinstatement — suspension of six months or less with statutory presumption
- Examination
- This route uses the R 792.10711(3) presumption; cases requiring individualized examination or further petition are recorded separately.
- Presumption exceptions
- The presumption is unavailable if the order provides otherwise, another complaint is pending, a subsequent disciplinary order has entered, or a complaining-party petition alleges failure to fulfill an order term.
- Suspension
- Suspension of six months or less and all suspension-order terms satisfied.
Official no-examination sources
Effective from 2026-09-22.
- Applying for Reinstatement
R 792.10711(3)(a)-(d): reinstatement after suspension of six months or less
Relicensure — exactly three years after expiration
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Expiration
- Exactly three years after expiration.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Submit the disclosure statement required for counseling relicensure.
- Renewal limit
- For the limited license, relicensure counts toward the ten-year renewal limit.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Statutory reading
- MCL 333.18114(1)-(2) addresses less than and more than three years and does not expressly assign equality. Apply the general MCL 333.16201(3) provision allowing relicensure within three years; satisfy its application, fees and applicable continued-competency requirements.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16201(3): within-three-year relicensure
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(1): relicensure less than three years
Relicensure — grandfathered pre 1991 education and pre 1993 experience
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Master’s or doctoral degree in counseling or student personnel work received before October 1, 1991.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Examination
- The grandfathered subsection applies excepting subsections (1)-(2) and imposes no take-or-retake examination requirement.
- Experience
- Two years of professional experience completed before October 1, 1993.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Guide disclosure demand
- The January 26, 2026 licensing guides say a professional disclosure statement is required from every applicant. This implementing demand is displayed as a condition alongside the controlling statutory alternatives.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Statutory alternative
- Under MCL 333.18114(3), submit the applicable fees and either a professional disclosure statement under (a), or, when another counselor license is held or has been held, the out-of-state disciplinary verification under (b). Preserve the statute’s one-of wording.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(3): grandfathered education and experience
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(3)(b): grandfathered verification
Relicensure — expired more than three years
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Certification alternative
- Instead of taking or retaking an examination, demonstrate to the Department that certification requirements of NBCC, CRCC or an equivalent approved program are met. The licensing guide asks for evidence of current certification sent directly by the agency. This alternative is an applicant condition.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Examination equivalence
- NCMHCE is the expressly accepted equivalent under R 338.1776; another Department-approved equivalent remains an open applicant condition.
- Expiration
- More than three years after expiration, excluding the grandfathered cohort in MCL 333.18114(3).
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Renewal limit
- Limited-license relicensure counts as renewal toward the ten-year limit; hardship extensions are addressed separately.
- Score reporting
- If the examination option is used, take or retake and pass one of the adopted examinations and have official evidence sent by its agency.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Relicensure — expired more than 60 days and less than three years
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Prior Michigan limited licensed counselor license.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Expiration
- License expired more than 60 days but less than three years; the special grandfathered cohort is separately recorded.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Other license verification
- Any other counselor licensing authority must verify no pending proceedings or sanctions in force.
- Professional disclosure
- Submit a compliant professional disclosure statement.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(1): relicensure less than three years
License renewal
- Application
- Submit the renewal application and required fee by the expiration date.
- Continuing education
- The counseling licensing guides state that profession-specific continuing education is not required for renewal; maintain professional competence. Required human-trafficking and implicit-bias training still apply.
- Disciplinary disclosure
- Report previously unreported sanctions from another licensing or disciplinary authority.
- Good moral character
- Provide documentation for affirmative good-moral-character responses.
- Human trafficking training
- Certify completion of the one-time human-trafficking training.
- Implicit bias training
- Complete one hour per year of the license cycle; renewal attestation certifies compliance.
- Renewal cycle
- Annual renewal for no more than ten years; relicensure counts as renewal.
Official no-examination sources
Effective from 2026-09-22.
- Counseling - General Rules
R 338.1777(3): limited renewal and relicensure limit
- Michigan Limited Licensed Counselor Licensing Guide
Renewal requirements checklist
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16201(1): renewal
Licensed Professional Counselor
Michigan license to practice counseling without supervision.
Licensing authority: Michigan Department of Licensing and Regulatory Affairs / Michigan Board of Counseling · Application information
Licensure by endorsement — Canadian provincial license
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Canadian education
- MCL 333.16186(1)(c)-(d) requires qualifying education in Canada or the United States and Michigan professional services and reimbursement origin.
- Canadian examination condition
- MCL 333.16186(3) permits an approved Canadian national examination to establish equivalent provincial standards; this is a condition, not a United States exam leaf. No specific Canadian examination is named by that provision.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Master’s or doctoral counseling degree from an accredited institution in a program satisfying R 338.1765. Current R 338.1763 adopts CACREP 2024 or 2016 standards. Nonaccredited programs must satisfy equivalent coursework including diagnosis and treatment, practicum and internship, with CCE or NACES-member evaluation at the applicant’s expense; minimum 48 semester/72 quarter hours for entry by June 30, 2023 or 60 semester/90 quarter hours for entry on or after July 1, 2023.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Equivalent standards
- The prior license and licensing standards must substantially satisfy MCL 333.16186; the Board may require a personal interview.
- Examination evidence
- Provide proof of a passing score on one adopted United States examination used to obtain the prior professional counselor license.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Prior license
- Current full professional counselor license in a Canadian province.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Licensure by endorsement — United States license held at least five years
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Equivalent standards
- The prior license and licensing standards must substantially satisfy MCL 333.16186; the Board may require a personal interview.
- Examination presumption
- R 338.1775(2) presumes satisfaction of the prior-license, education and examination requirements in subrule (1)(b)-(d). The examination alternatives remain references; the applicant is not required to retake or submit new score evidence merely because the references are displayed.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Guide score submission
- The January 26, 2026 licensing guide lists only the professional disclosure statement as the additional item for this cohort.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Prior license
- Current full professional counselor license in good standing in another United States state for at least the last five years.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Licensure by endorsement — United States license held less than five years
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Master’s or doctoral counseling degree from an accredited institution in a program satisfying R 338.1765. Current R 338.1763 adopts CACREP 2024 or 2016 standards. Nonaccredited programs must satisfy equivalent coursework including diagnosis and treatment, practicum and internship, with CCE or NACES-member evaluation at the applicant’s expense; minimum 48 semester/72 quarter hours for entry by June 30, 2023 or 60 semester/90 quarter hours for entry on or after July 1, 2023.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Equivalent standards
- The prior license and licensing standards must substantially satisfy MCL 333.16186; the Board may require a personal interview.
- Examination evidence
- Provide proof of a passing score on one adopted examination used to obtain the other license; it need not be retaken solely because it was passed before applying.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Prior license
- Current full professional counselor license in another United States state, held for less than the last five years.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Licensure by examination — doctoral degree
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Degree path
- Doctoral degree in counseling.
- Education
- Master’s or doctoral counseling degree from an accredited institution in a program satisfying R 338.1765. Current R 338.1763 adopts CACREP 2024 or 2016 standards. Nonaccredited programs must satisfy equivalent coursework including diagnosis and treatment, practicum and internship, with CCE or NACES-member evaluation at the applicant’s expense; minimum 48 semester/72 quarter hours for entry by June 30, 2023 or 60 semester/90 quarter hours for entry on or after July 1, 2023.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Guide education wording
- The January 26, 2026 guide describes CACREP 2009 or 2016 accreditation; the controlling current rule adopts 2024 or 2016 standards.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Michigan experience
- Michigan experience starts only after issuance of the limited license, with supervision by a Michigan licensed professional counselor in good standing, and continues until full licensure.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Score reporting
- The testing agency must certify a passing score on one adopted examination directly to the Bureau.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Supervised experience
- Accrue at least 1500 post-degree counseling hours over at least 1 year(s), including 50 hours of regularly scheduled supervision in physical presence or by two-way real-time audiovisual technology, in the population and settings specified by R 338.1774(1)(c).
Licensure by examination — master degree
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Degree path
- Master degree in counseling.
- Education
- Master’s or doctoral counseling degree from an accredited institution in a program satisfying R 338.1765. Current R 338.1763 adopts CACREP 2024 or 2016 standards. Nonaccredited programs must satisfy equivalent coursework including diagnosis and treatment, practicum and internship, with CCE or NACES-member evaluation at the applicant’s expense; minimum 48 semester/72 quarter hours for entry by June 30, 2023 or 60 semester/90 quarter hours for entry on or after July 1, 2023.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Guide education wording
- The January 26, 2026 guide describes CACREP 2009 or 2016 accreditation; the controlling current rule adopts 2024 or 2016 standards.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Michigan experience
- Michigan experience starts only after issuance of the limited license, with supervision by a Michigan licensed professional counselor in good standing, and continues until full licensure.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Score reporting
- The testing agency must certify a passing score on one adopted examination directly to the Bureau.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Supervised experience
- Accrue at least 3000 post-degree counseling hours over at least 2 year(s), including 100 hours of regularly scheduled supervision in physical presence or by two-way real-time audiovisual technology, in the population and settings specified by R 338.1774(1)(c).
Late renewal — within 60 days after expiration
- Application
- Submit the renewal application and required fee by the expiration date.
- Continued practice
- The statute permits continued practice and title use during this sixty-day period.
- Continuing education
- The counseling licensing guides state that profession-specific continuing education is not required for renewal; maintain professional competence. Required human-trafficking and implicit-bias training still apply.
- Disciplinary disclosure
- Report previously unreported sanctions from another licensing or disciplinary authority.
- Expiration
- Within 60 days after expiration.
- Fees
- Pay renewal and late renewal fees and fulfill applicable competency or continuing-education requirements.
- Good moral character
- Provide documentation for affirmative good-moral-character responses.
- Human trafficking training
- Certify completion of the one-time human-trafficking training.
- Implicit bias training
- Complete one hour per year of the license cycle; renewal attestation certifies compliance.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16201(2): sixty-day late renewal
- Counseling - General Rules
R 338.1777(1)-(2): renewal requirements
Initial licensure without examination — military member, veteran or dependent
- Competence
- Demonstrate competence through training, experience or another method prescribed by the Department in consultation with the Board.
- Criminal history check
- Comply with MCL 333.16174(3).
- Equivalent license
- Hold a current license in good standing for the same health profession in another state or country, with requirements substantially equivalent to or exceeding Michigan requirements; the license must support the counseling license level sought.
- Military status
- Member of the armed forces or uniformed services, veteran, or eligible dependent, as determined by the Department.
- Statutory override
- MCL 333.16186a requires issuance without examination notwithstanding other Article 15 requirements.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16186a(1): mandatory issuance without examination
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16186a(1)(a)-(d): eligibility conditions
Reinstatement — revocation requiring five year waiting period
At least one of the following alternatives:
- Application
- Submit through MiPLUS, pay applicable fees, complete a criminal background check and provide at least two notarized affidavits.
- Guidelines
- Meet applicable adopted guidelines concerning service, treatment where relevant, discipline-order compliance, current learning, training, professional-skills evaluation and good-faith intent.
- Hearing
- Prove good moral character, safe and competent practice, compliance with reinstatement guidelines, and public-interest suitability by clear and convincing evidence.
- Other conditions
- The Board may impose corrective education or measures and may require a medical or physical ability examination; an unidentified evaluation remains an applicant condition.
- Probation
- One year of probation under Board-set conditions.
- Revocation
- Applicant’s revocation is one requiring five years before a reinstatement application under MCL 333.16245(4). Permanently revoked licenses cannot be reinstated.
Reinstatement — suspension for unpaid repayment installment
- Payment
- Pay the installment; MCL 333.16245(3) mandates reinstatement on payment.
- Suspension
- Suspension for the grounds stated in MCL 333.16221(j).
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16245(3): repayment installment suspension
Reinstatement — suspension of six months or less with statutory presumption
- Examination
- This route uses the R 792.10711(3) presumption; cases requiring individualized examination or further petition are recorded separately.
- Presumption exceptions
- The presumption is unavailable if the order provides otherwise, another complaint is pending, a subsequent disciplinary order has entered, or a complaining-party petition alleges failure to fulfill an order term.
- Suspension
- Suspension of six months or less and all suspension-order terms satisfied.
Official no-examination sources
Effective from 2026-09-22.
- Applying for Reinstatement
R 792.10711(3)(a)-(d): reinstatement after suspension of six months or less
Relicensure — exactly three years after expiration
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Expiration
- Exactly three years after expiration.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Submit the disclosure statement required for counseling relicensure.
- Renewal limit
- For the limited license, relicensure counts toward the ten-year renewal limit.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Statutory reading
- MCL 333.18114(1)-(2) addresses less than and more than three years and does not expressly assign equality. Apply the general MCL 333.16201(3) provision allowing relicensure within three years; satisfy its application, fees and applicable continued-competency requirements.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16201(3): within-three-year relicensure
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(1): relicensure less than three years
Relicensure — grandfathered pre 1991 education and pre 1993 experience
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Master’s or doctoral degree in counseling or student personnel work received before October 1, 1991.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Examination
- The grandfathered subsection applies excepting subsections (1)-(2) and imposes no take-or-retake examination requirement.
- Experience
- Two years of professional experience completed before October 1, 1993.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Guide disclosure demand
- The January 26, 2026 licensing guides say a professional disclosure statement is required from every applicant. This implementing demand is displayed as a condition alongside the controlling statutory alternatives.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Statutory alternative
- Under MCL 333.18114(3), submit the applicable fees and either a professional disclosure statement under (a), or, when another counselor license is held or has been held, the out-of-state disciplinary verification under (b). Preserve the statute’s one-of wording.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(3): grandfathered education and experience
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(3)(b): grandfathered verification
Relicensure — expired more than three years
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Certification alternative
- Instead of taking or retaking an examination, demonstrate to the Department that certification requirements of NBCC, CRCC or an equivalent approved program are met. The licensing guide asks for evidence of current certification sent directly by the agency. This alternative is an applicant condition.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Examination equivalence
- NCMHCE is the expressly accepted equivalent under R 338.1776; another Department-approved equivalent remains an open applicant condition.
- Expiration
- More than three years after expiration, excluding the grandfathered cohort in MCL 333.18114(3).
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Renewal limit
- Limited-license relicensure counts as renewal toward the ten-year limit; hardship extensions are addressed separately.
- Score reporting
- If the examination option is used, take or retake and pass one of the adopted examinations and have official evidence sent by its agency.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Relicensure — expired more than 60 days and less than three years
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Education
- Prior Michigan professional counselor license.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Expiration
- License expired more than 60 days but less than three years; the special grandfathered cohort is separately recorded.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Other license verification
- Any other counselor licensing authority must verify no pending proceedings or sanctions in force.
- Professional disclosure
- Submit a compliant professional disclosure statement.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 181 Counseling
MCL 333.18114(1): relicensure less than three years
License renewal
- Application
- Submit the renewal application and required fee by the expiration date.
- Continuing education
- The counseling licensing guides state that profession-specific continuing education is not required for renewal; maintain professional competence. Required human-trafficking and implicit-bias training still apply.
- Disciplinary disclosure
- Report previously unreported sanctions from another licensing or disciplinary authority.
- Good moral character
- Provide documentation for affirmative good-moral-character responses.
- Human trafficking training
- Certify completion of the one-time human-trafficking training.
- Implicit bias training
- Complete one hour per year of the license cycle; renewal attestation certifies compliance.
- Renewal cycle
- Three years.
Official no-examination sources
Effective from 2026-09-22.
- Counseling - General Rules
R 338.1777(1)-(2): renewal requirements
- Michigan Professional Counselor Licensing Guide
Renewal requirements checklist
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16201(1): renewal
Temporary License — Professional Counselor
Temporary counseling license under MCL 333.16181; ordinary examination-pending and military-dependent pathways have different terms.
Licensing authority: Michigan Department of Licensing and Regulatory Affairs / Michigan Board of Counseling · Application information
Temporary licensure — examination pending
At least one of the following alternatives:
- Application
- Submit the appropriate completed application and fees through MiPLUS.
- Criminal history check
- Submit fingerprints and complete state and federal criminal background checks; the licensing guides except relicensure when the license expired within the last three years.
- Duration
- Nonrenewable eighteen-month temporary license.
- Eligibility
- All full professional counselor licensure requirements other than examination or another required evaluation must be completed.
- English language
- Working knowledge of English under R 338.7002b, demonstrated by English-language health-profession education, at least 60 English-language college credits, an approved equivalent credential evaluation, or an accepted language test. Accepted test alternatives and minima are Cambridge 176 overall/185 speaking, ECCE 650, ECPE 650, IELTS Academic 6.5 within two years, MET 55, OET 300, PTE Academic 55 overall/50 each section, TOEFL-IBT 80 within two years, or TOEIC reading/listening 725, writing 150 and speaking 160 within two years. These language examinations are applicant conditions.
- Examination timing
- The adopted licensure examination is deferred; failure automatically voids the temporary license.
- Good moral character
- Good moral character; affirmative character answers require supporting documentation.
- Human trafficking training
- Complete the one-time training meeting R 338.1771 before issuance.
- Implicit bias training
- Initial licensure: at least two hours within the preceding five years. Renewal and relicensure: at least one hour per year of the license cycle under R 338.7004(2); retain documentation for six years.
- License verification
- Disclose every past or present health-profession license, registration or certification; arrange verification of pending proceedings and sanctions from the issuing authority. The statutory disciplinary requirements of MCL 333.16174(2) apply.
- Minimum age
- At least 18 years old.
- Prior failure
- The Board may not grant this temporary license after prior examination failure or when the license has been suspended or revoked.
- Professional disclosure
- Provide the professional disclosure statement required by MCL 333.18113, including contact details, practice, education and experience, fees, and department contact information; file changes within 30 days.
- Social security number
- Provide a Social Security number, or the required affidavit if legally exempt or no number is held.
- Supervision
- Only a full licensee in the same health profession may supervise.
Temporary licensure — military dependent
- Criminal history check
- Complete the criminal history check under MCL 333.16174(3).
- Duration
- Six months; one additional six-month term may be granted if eligibility continues and additional time is needed for initial licensure.
- Examination
- The temporary military-dependent eligibility list requires prior licensure and the criminal history check, without an identified new licensing examination.
- Military status
- Eligible dependent of a member of the armed forces or uniformed services, or of a veteran.
- Prior license
- Current equivalent counselor license in good standing from another state or country, at the license level sought.
- Supervision
- Practice only under a fully licensed professional counselor in the same health profession; the supervisor must not hold a limited or temporary license.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16181(5): military-dependent temporary qualifications
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16181(3): temporary supervision
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16181(6): military-dependent license duration and renewal
Temporary military dependent license — one six month renewal
- Criminal history check
- Complete the criminal history check under MCL 333.16174(3).
- Duration
- Six months; one additional six-month term may be granted if eligibility continues and additional time is needed for initial licensure.
- Examination
- The temporary military-dependent eligibility list requires prior licensure and the criminal history check, without an identified new licensing examination.
- Military status
- Eligible dependent of a member of the armed forces or uniformed services, or of a veteran.
- Prior license
- Current equivalent counselor license in good standing from another state or country, at the license level sought.
- Renewal discretion
- The Board must determine continuing eligibility and need for more time; only one additional six-month term is authorized.
- Supervision
- Practice only under a fully licensed professional counselor in the same health profession; the supervisor must not hold a limited or temporary license.
Official no-examination sources
Effective from 2026-09-22.
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16181(6): military-dependent license duration and renewal
- Michigan Public Health Code, Part 161 General Provisions
MCL 333.16181(5): military-dependent temporary qualifications
CRC Examination
- Provider
- Commission on Rehabilitation Counselor Certification (CRCC); delivered by Pearson VUE
- Format
- Computer-based multiple-choice examination administered three times a year in testing windows, in two locked sections (Rehabilitation and Disability; Counseling) with conjunctive scoring
- Exam questions
- 175 multiple-choice questions: 150 scored items and 25 field test questions
- Time limit
- 210 minutes to complete the examination questions (3½ hours allotted; set aside 4 hours)
- Passing score
- Passing score required on both the Counseling part and the Rehabilitation and Disability part in a single administration
- Exam fee
- $420 certification fee; $275 reexamination fee
Examination outline
1. Professional Orientation and Ethical Practice (10.7% of questions) (10.7%)
- A. Uphold professional ethical standards for rehabilitation counselors and manage risk. [C] — a) Conceptualize and articulate the counseling relationship; b) Adhere to and ensure confidentiality, privileged communication, and privacy; c) Understand how to promote and participate in advocacy and ensure accessibility; d) Maintain professional roles to ensure appropriate service provision; e) Maintain appropriate relationships with other professionals; f) Understand the differing professional relationships in forensic and indirect services; g) Understand the ethical requirements of evaluation, assessment, and interpretation; h) Understand the ethical requirements in the roles of teaching, supervising, and training; i) Understand the ethical implications of research and publication; j) Understand the limits and ethical implications of the use of technology and distance counseling; k) Understand and ensure appropriate business practices; l) Understand and apply ethical decision-making models and processes.
- B. Understand and apply laws and public policy affecting individuals with disabilities. [R] — a) Summarize and synthesize the impacts of the Rehabilitation Act of 1973.; b) Summarize and synthesize the impacts of Title V of the Rehabilitation Act of 1973 – Sections 501-504.; c) Summarize and synthesize the impacts of the Rehabilitation Act of 1973, as Amended.; d) Understand the impact of SSI/SSDI on employment, independent living and economic self-sufficiency.; e) Understand the impact of veteran benefits (e.g., service-connected disability compensation and non-service-connected pension) on employment, independent living and economic self-sufficiency.; f) Summarize and synthesize the impacts of the Fair Labor Standards Act.; g) Understand the definition of a disability in ADA, the uses of the definition, and how the definition relates to the rights guaranteed by the ADA.; h) Understand the rights guaranteed by the ADA in an employment setting.; i) Understand the definition of a reasonable accommodation as defined by the ADA.; j) Understand the rights guaranteed by the ADA on public transportation.; k) Understand the changes to the definition of disability in the ADAAA, the changes to the interactive process, and the implications for employees and employers.; l) Understand the role of the EEOC in relation to discrimination.; m) Summarize and synthesize the impacts of IDEA.; n) Summarize and synthesize the historical impacts of WIA.; o) Understand the rights and limits guaranteed by FMLA.; p) Understand the confidentiality and technology requirements of HIPAA.; q) Understand the impact of TWWIIA (Ticket to Work) on employment, independent living, and economic self-sufficiency.; r) Understand the impact and implications of WIOA on employment outcomes, independent living, and economic self-sufficiency.
- C. Advocate for diversity, understand, and apply appropriate services that address multicultural counseling issues. [C]
- D. Understand and apply appropriate rehabilitation terminology and concepts. [R]
- E. Understand and identify the differing professional roles, functions, and effective relationships with other providers and professionals. [C]
- F. Understand the credentialing issues related to the rehabilitation counseling profession and advocate for appropriate solutions. [C]
- G. Understand the differing organizational structures of rehabilitation counseling practice settings (e.g., public, private-for-profit, and not-for-profit service delivery systems). [R]
- H. Understand, synthesize, and apply knowledge of historical and philosophical foundations of rehabilitation counseling. [R]
2. Counseling Theories, Techniques, and Evidence-Based Practice (11.3% of questions) (11.3%)
- A. Apply clinical problem-solving and critical-thinking skills. [C]
- B. Understand rehabilitation techniques for individuals with disabilities. [R]
- C. Understand individual counseling theories. [C] — a) Integrated/Eclectic; b) Rational-Emotive Behavior Therapy; c) Reality Therapy; d) Person-Centered; e) Psychoanalytic; f) Gestalt; g) Trait-factor/Person Environment Fit; h) Behavioral; i) Cognitive/Behavioral; j) Adlerian; k) Solution-Focused; l) Narrative; m) Feminist; n) Existential
- D. Utilize individual counseling practices, interventions, and techniques. [C] — a) Systematic Desensitization; b) Behavior Analysis and Therapy; c) Social Skills; d) Time Management; e) Stress Management; f) Restructuring; g) Anger Management; h) Problem Solving Therapy; i) Person-centered practices; j) Mindfulness-based practices
- E. Understand substance use and treatment. [C]
- F. Establish and maintain effective working alliances with clients. [C]
- G. Understand dual diagnosis and co-occurring disorders. [C]
- H. Understand counseling/training to help clients develop workplace socialization skills. [R]
- I. Demonstrate motivational interviewing use and skills. [C]
- J. Facilitate treatment planning for clinical conditions (e.g., depression, anxiety, PTSD). [C]
- K. Understand human growth and development. [C]
- L. Apply evidence-based psychosocial/psychiatric rehabilitation interventions in rehabilitation counseling practice. [R]
- M. Apply evidence-based vocational interventions in rehabilitation counseling practice. [R]
- N. Apply or facilitate evidence-based counseling/therapy for clients with clinical diagnoses (e.g., depression, anxiety, PTSD). [C]
- O. Apply or facilitate evidence-based counseling/therapy for clients with substance use disorders. [C]
- P. Understand theories and techniques of clinical supervision. [C]
- Q. Recognize and utilize evidence and research-based practices. [C]
3. Group and Family Counseling (4.7% of questions) (4.7%)
- A. Understand family counseling theories. [C]
- B. Incorporate family counseling practices and interventions. [C]
- C. Understand group counseling theories. [C]
- D. Incorporate group counseling practices and interventions. [C]
4. Crisis and Trauma Counseling and Interventions (6.0% of questions) (6%)
- A. Conduct assessment of client risk and development of a safety plan. [C]
- B. Provide effective rehabilitation counseling services for individuals with polytrauma injuries. [C]
- C. Understand the impact of crises, disasters, and other trauma-causing events on people with disabilities. [C]
- D. Use principles of crisis intervention for people with disabilities during crises, disasters, and other trauma-causing events. [C]
- E. Understand the emergency management system within rehabilitation agencies and in the community. [C]
5. Medical and Psychosocial Aspects of Chronic Illness and Disability (9.3% of questions) (9.3%)
- A. Evaluate the psychosocial and cultural impact of disability. [R] — a) Individual adjustment to disability; b) Human sexuality and disability issues; c) Family or support system adjustment to disability
- B. Understand medical terminology. [R]
- C. Apply knowledge of the medical aspects and implications of various disabilities. [R] — a) Mental Functions; b) Sensory Functions and Pain; c) Voice and Speech Functions and Structures; d) Cardiovascular, Hematological, Immunological, and Respiratory Functions and Structures; e) Digestive, Metabolic, and Endocrine Systems and Structures; f) Genitourinary and Reproductive Functions and Structures; g) Neuromusculoskeletal and Movement Related Functions and Structures; h) Skin and Related Functions and Structures; i) Nervous System Structures; j) Eye, Ear, and Related Structures; k) Learning and Applying Knowledge; l) Interpersonal Interactions and Relationships; m) General Tasks and Demands; n) Communication; o) Mobility; p) Self-Care; q) Domestic-Life; r) Major Life Areas; s) Community, Social, and Civic Life
- D. Review the implications of medications as they apply to individuals with disabilities. [R]
- E. Address environmental and attitudinal barriers for individuals with disabilities. [R]
6. Assessment/Evaluation, Occupational Analysis, and Service Implementation (10.7% of questions) (10.7%)
- A. Understand the vocational implications of functional limitations associated with disabilities. [R] — a) Mental Functions; b) Sensory Functions and Pain; c) Voice and Speech Functions and Structures; d) Cardiovascular, Hematological, Immunological, and Respiratory Functions and Structures; e) Digestive, Metabolic, and Endocrine Systems and Structures; f) Genitourinary and Reproductive Functions and Structures; g) Neuromusculoskeletal and Movement Related Functions and Structures; h) Skin and Related Functions and Structures; i) Nervous System Structures; j) Eye, Ear, and Related Structures; k) Learning and Applying Knowledge; l) Interpersonal Interactions and Relationships; m) General Tasks and Demands; n) Communication; o) Mobility; p) Self-Care; q) Domestic-Life; r) Major Life Areas; s) Community, Social, and Civic Life
- B. Access and review resources for the assessment process. [C] — a) Review of case materials for pertinent information; b) Diagnostic and Statistical Manual of Mental Disorders (DSM); c) International Classification of Diseases (ICD)
- C. Refer or conduct informal assessments. [C] — a) Interviews and initial assessments; b) Situational assessment/job shadowing/community-based work assessment
- D. Refer or conduct formal assessments. [C] — a) Achievement Tests; b) Aptitude Tests; c) Intelligence Tests; d) Interest Inventories; e) Career, Work Values, and Maturity Tests; f) Personality Tests; g) Psychological/Neuropsychological Tests; h) Adaptive Behavior/Behavioral Observations; i) Mental Health Screeners; j) Learning Styles Tests; k) Ecological/Functional Capacity Evaluations; l) Dexterity Tests; m) Work Samples; n) Non-Cognitive Tests
- E. Refer or perform Transferable Skills Analysis (e.g., VDARE). [C]
- F. Interpret assessment results for rehabilitation planning purposes. [C]
- G. Perform job analysis. [R]
- H. Assess ergonomic, job accommodation, and assistive technology needs. [R]
- I. Advise on job modification and restructuring techniques. [R]
- J. Perform labor market analysis. [R] — a) Occupational and labor market information (e.g., DOT, ORS, O*NET, OOH, other national, regional, or local government labor market sources, private salary surveys); b) Methods and techniques used to conduct labor market surveys
- K. Use computer-based job matching systems. [C]
7. Career Development and Job Placement (9.3% of questions) (9.3%)
- A. Understand, identify, and apply career development and job placement strategies. [R]
- B. Understand, identify, and apply job readiness, seeking, and retention skills. [C]
- C. Understand the unique needs of specialized populations in relation to job development and placement. [R]
- D. Understand techniques to develop and retain relationships with employers to assist with job development and placement. [R]
- E. Understand and identify evidence-based employment models and services tailored to individuals with significant disabilities and/or barriers to competitive employment. [R] — i) Supported Employment (SE); ii) Customized Employment (CE); iii) Individual Placement and Support (IPS); iv) Self-Employment
- F. Understand the unique needs of individuals with a dual diagnosis in the workplace and apply appropriate strategies. [R]
- G. Understand and apply theories of career development and work adjustment. [C] — a) Trait-Factor/Person Environment Fit theories.; b) Personality theories; c) Developmental/Self-Concept theories; d) Sociological/Self-Concept theories; e) Behavioral theories
- H. Understand, identify, and facilitate the appropriate use of work conditioning or work hardening resources and strategies. [R]
- I. Understand the effective use of and risks of social media as a networking tool. [C]
8. Business Engagement (7.6% of questions) (7.6%)
- A. Assist employers with job accommodations for their employees with disabilities (e.g., assistive technology, workspace modifications). [R]
- B. Provide consultation services and training to employers / businesses concerning disability concepts, best practices, and applicable laws (e.g., hiring, return to work, reasonable accommodations, and retention). [R]
- C. Partner with employers/businesses to address needs and concerns related to hiring and retaining individuals with disabilities. [R]
- D. Understand, communicate, and apply business-focused strategies, techniques, and terminology to improve employment outcomes for individuals with disabilities. [R]
- E. Work with employers to develop pipelines for employing individuals with disabilities using work-based learning and training methods. [R] — a) Apprenticeships; b) Internships; c) On-the-job training (OJT)
- F. Understand the dual customer role (e.g., employer and person with a disability). [R]
9. Community Resources and Partnerships (8.0% of questions) (8%)
- A. Understand the programs and services available for specific and underserved populations. [R]
- B. Understand Social Security programs, benefits, work incentives, and disincentives. [R]
- C. Possess knowledge of funding sources and community resources for rehabilitation services. [R]
- D. Provide or facilitate skills development and independent living services. [R]
- E. Provide or facilitate financial literacy training. [R]
- F. Understand and refer to services available through client advocacy programs (e.g., Client Assistance Program [CAP], legal aid). [R]
- G. Refer to and partner with one-stop career centers and other community stakeholders. [R]
- H. Understand and facilitate life care planning and life care planning services. [R]
- I. Advocate with community partners for full community inclusion for people with disabilities. [R]
- J. Provide or facilitate counseling on the impact of employment on community services and benefits. [R]
10. Case Management (10.0% of questions) (10%)
- A. Understand and apply the case management process. [C] — a) Case finding; b) Planning; c) Service coordination; d) Referral to and utilization of other disciplines; e) Advocacy
- B. Complete case recording and documentation. [C]
- C. Understand and apply negotiation, mediation, and conflict resolution strategies. [C]
- D. Understand and apply the principles of caseload management. [C]
- E. Understand and address institutional and social barriers that impede access, equity, and success for clients. [C]
- F. Apply techniques for working with individuals with limited English proficiency or varied communication methods. [C]
- G. Understand and apply principles, models, and documentation formats for biopsychosocial case conceptualization and treatment planning. [C]
11. Health Care and Disability Management (7.3% of questions) (7.3%)
- A. Understand and provide appropriate medical intervention resources. [R]
- B. Understand the diversity of healthcare benefits, delivery systems, and the impact of services on individuals with disabilities. [R]
- C. Understand and collaborate with health promotion and wellness providers regarding strategies for people with chronic illness and disability. [R]
- D. Understand different insurance programs (e.g., Medicare, Medicaid, group and individual, short-and long-term disability, personal injury no-fault liability). [R]
- E. Understand and apply disability prevention and management strategies. [R]
- F. Understand the variability of workers’ compensation laws and practices. [R]
12. Research, Methodology, and Performance Management (5.3% of questions) (5.3%)
- A. Understand statistics and psychometric concepts related to measurement. [C] — a) Validity; b) Reliability/ Standard Error of Measurement; c) Norms; d) Scaled and Standard Scores; e) Percentiles; f) Distributions/Bell Curve; g) Norm- and Criterion-Referenced Measurement
- B. Understand research methods (e.g., surveys, case studies) and data analysis. [C]
- C. Assess research literature related to evidence – based practice. [C] — a) Research databases (e.g., EBSCO, PsycINFO, MEDLINE); b) Ability to select between various levels of evidence-based research (e.g., subject matter experts to the systematic reviews and meta-analyses gold standard)
- D. Comprehend concepts and principles of organizational development and stakeholder management. [C] — a) Effective management of services and programs, including areas such as administration, finance, benefit systems, and accountability; b) Strategic planning techniques and budget planning
- E. Understand program evaluation procedures for assessing the effectiveness of rehabilitation services and outcomes. [R]
Examination sources
- CRCC, CRC Exam Overview
CRC Exam Overview and CRC Exam Structure
- CRCC, 2021 Job Task Analysis CRC Knowledge Domains, Competencies and Tasks
p. 1, title block and legend
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 1 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 2 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 3 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 4 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 5 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 6 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 7 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 8 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 9 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 10 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 11 and % of Questions
- CRCC, CRC Exam Overview
CRC Exam Knowledge Domains, domain 12 and % of Questions
- CRCC, CRC Exam Overview web page
CRC Exam Structure
- CRCC, CRC Exam Overview web page
CRC Exam Scoring
- CRCC, CRC Exam Overview web page
CRC Exam Structure, sections
- CRCC, Get Certified web page
Get Certified, exam schedule
- CRCC, Get Certified web page
Get Certified, Submit Application and Payment
- CRCC, Get Certified web page
Get Certified, Fees
National Counselor Examination
- Provider
- National Board for Certified Counselors (NBCC); administered through the Center for Credentialing & Education (CCE) and delivered by Pearson VUE at test centers or online through OnVUE
- Format
- 200-question, multiple-choice, non-sectioned examination; scored and unscored items appear in jumbled order; a different form is compiled for each administration
- Exam questions
- 200 multiple-choice questions: 160 scored and 40 unscored field-test items
- Time limit
- 225 minutes to complete the examination within a 255-minute test session (one scheduled 15-minute break after question #100)
- Passing score
- Criterion passing score set by a modified Angoff method and adjusted for each form by statistical equating; passing scores may vary slightly for each version
Examination outline
1. Professional Practice and Ethics — This section encompasses counselors’ knowledge, skills, and abilities related to maintaining proper administrative and clinical protocols. (12% of items; 19 scored items) (12%)
- A. Assess your (the counselor) competency to work with a specific client
- B. Understand statistical concepts and methods in research
- C. Practice legal and ethical counseling
- D. Clarify counselor–client roles
- E. Discuss client’s rights and responsibilities
- F. Discuss limits of confidentiality
- G. Explain counselor agency policies
- H. Review payment, fees, and insurance benefits
- I. Explain counseling processes, procedures, risks, and benefits
- J. Explain uses and limits of social media
- K. Inform clients about the legal aspects of counseling
- L. Obtain informed consent
- M. Discuss confidentiality as it applies to electronic communication
- N. Establish group rules, expectations, and termination criteria
- O. Assess competency to provide informed consent
- P. Monitor the therapeutic relationship and build trust as needed
- Q. Review client records
- R. Provide adequate accommodations for clients with disabilities
- S. Provide information to third parties
- T. Provide referral sources if counseling services are inadequate/ inappropriate
- U. Advocate for professional and client issues
- V. Seek supervision/consultation
- W. Create and maintain documentation appropriate for each aspect of the counseling process
- X. Awareness and practice of self-care
2. Intake, Assessment, and Diagnosis — This section encompasses counselors’ knowledge, skills, and abilities to effectively conduct client intake, assessment, and diagnosis. (12% of items; 19 scored items) (12%)
- A. Conduct a biopsychosocial interview
- B. Conduct a diagnostic interview
- C. Conduct cultural formulation interview
- D. Conduct an initial interview
- E. Determine diagnosis
- F. Perform a Mental Status Exam (MSE)
- G. Consider co-occurring diagnoses
- H. Determine level of care needed
- I. Determine the appropriate modality of treatment
- J. Assess the presenting problem and level of distress
- K. Evaluate an individual’s level of mental health functioning
- L. Screen clients for appropriate services
- M. Select, use, and interpret appropriate assessment instruments
- N. Use formal and informal observations
- O. Assess for trauma
- P. Assess substance use
- Q. Obtain client self-reports
- R. Evaluate interactional dynamics
- S. Conduct ongoing assessment for at-risk behaviors (i.e., suicide, homicide, self/other injury, and relationship violence)
- T. Use pre-test and post-test measures to assess outcomes
- U. Evaluate counseling effectiveness
3. Areas of Clinical Focus — This section encompasses counselors’ knowledge and skills related to areas of clients’ concern(s). (29% of items; 47 scored items) (29%)
- A. Adjustment related to physical loss/injury/medical condition
- B. Aging/geriatric concerns
- C. Behavioral problems
- D. Bullying
- E. Caregiving concerns
- F. Cultural adjustments
- G. End-of-life issues
- H. Fear and panic
- I. Financial issues
- J. Gender identity development
- K. Grief/loss
- L. Hopelessness/depression
- M. Loneliness/attachment
- N. Hyper/hypo mental focus
- O. Intellectual functioning issues
- P. Insomnia/sleep issues
- Q. Maladaptive eating behaviors
- R. Remarriage/recommitment
- S. Developmental processes/tasks/issues
- T. Obsessive thoughts/behaviors
- U. Occupation and career development
- V. Physical issues related to anxiety
- W. Physical issues related to depression
- X. Physical/emotional issues related to trauma
- Y. Process addictions (pornography, gambling)
- Z. Racism/discrimination/oppression
- AA. Religious values conflict
- AB. Retirement concerns
- AC. Ruminating and/or intrusive thoughts
- AD. Separation from primary care givers
- AE. Sexual functioning concerns
- AF. Sleeping habits
- AG. Spiritual/existential concerns
- AH. Stress management
- AI. Substance use/addiction issues
- AJ. Suicidal thoughts/behaviors
- AK. Terminal illness issues
- AL. Visual/auditory hallucinations
- AM. Worry and anxiety
- AN. Adoption issues
- AO. Blended family issues
- AP. Child abuse-related concerns
- AQ. Child development issues
- AR. Dating/relationship problems
- AS. Divorce
- AT. Family abuse/violence (e.g., physical, sexual, emotional)
- AU. Interpersonal partner violence concerns
- AV. Marital/partner communication problems
- AW. Parenting/co-parenting conflicts
- AX. Emotional dysregulation
4. Treatment Planning — This section encompasses counselors’ knowledge, skills, and abilities to develop an effective course of treatment. (9% of items; 14 scored items) (9%)
- A. Collaborate with client to establish treatment goals and objectives
- B. Establish short- and long-term counseling goals consistent with clients’ diagnoses
- C. Identify barriers affecting client goal attainment
- D. Identify strengths that improve the likelihood of goal attainment
- E. Refer to different levels of treatment (e.g., outpatient, inpatient, residential, etc.)
- F. Refer to others for concurrent treatment
- G. Guide treatment planning
- H. Discuss termination process and issues
- I. Discuss transitions in group membership
- J. Follow-up after discharge
- K. Use assessment instrument results to facilitate client decision making
- L. Review and revise the treatment plan
- M. Engage clients in review of progress toward treatment goals
- N. Collaborate with other providers and client support systems (documentation and report writing)
- O. Discuss with clients the integration and maintenance of therapeutic progress
- P. Educate client to the value of treatment plan compliance
5. Counseling Skills and Interventions — This section encompasses counselors’ knowledge, skills, and abilities to conduct effective counseling. (30% of items; 48 scored items) (30%)
- A. Align intervention with client’s developmental level
- B. Align intervention with counseling modality (individual, couple, family, or group)
- C. Align intervention with client population (e.g., veterans, minorities, disenfranchised, disabled)
- D. Implement individual counseling in relation to a plan of treatment
- E. Establish therapeutic alliance
- F. Apply theory-based counseling intervention(s)
- G. Address addiction issues
- H. Address cultural considerations
- I. Address family composition and cultural considerations
- J. Evaluate and explain systemic patterns of interaction
- K. Explore family member interaction
- L. Explore religious and spiritual values
- M. Guide clients in the development of skills or strategies for dealing with their problems
- N. Help clients develop support systems
- O. Help facilitate clients’ motivation to make the changes they desire
- P. Improve interactional patterns
- Q. Provide crisis intervention
- R. Educate client about transference and defense mechanisms
- S. Facilitate trust and safety
- T. Build communication skills
- U. Develop conflict resolution strategies
- V. Develop safety plans
- W. Facilitate systemic change
- X. Provide distance counseling or telemental health
- Y. Provide education resources (e.g., stress management, assertiveness training, divorce adjustment)
- Z. Provide psychoeducation for client
- AA. Summarize
- AB. Reframe/redirect
- AC. Facilitate empathic responses
- AD. Use self-disclosure
- AE. Use constructive confrontation
- AF. Facilitate awareness of here-and-now interactions
- AG. Facilitate resolution of interpersonal conflict
- AH. Use linking and blocking in a group context
- AI. Management of leader–member dynamics
- AJ. Model giving and receiving of feedback
- AK. Address impact of extended families
- AL. Contain and manage intense feelings
- AM. Explore the influence of family of origin patterns and themes
- AN. Address the impact of social support network
- AO. Use “structured” activities
- AP. Promote and encourage interactions among group members
- AQ. Promote and encourage interactions with the group leader
- AR. Use psychoeducation as a part of the group process
- AS. Explain phases in the group process
- AT. Identify and discuss group themes and patterns
- AU. Create intervention based on the stage of group development
- AV. Challenge harmful group member behaviors
- AW. Address the potential interaction of members outside of the group
6. Core Counseling Attributes — This section encompasses behaviors, traits, and dispositions of effective counselors. (8% of items; 13 scored items) (8%)
- A. Awareness of self and impact on clients
- B. Genuineness
- C. Congruence
- D. Demonstrate knowledge of and sensitivity to gender orientation and gender issues
- E. Demonstrate knowledge of and sensitivity to multicultural issues
- F. Demonstrate conflict tolerance and resolution
- G. Empathic attunement
- H. Empathic responding
- I. Foster the emergence of group therapeutic factors
- J. Non-judgmental stance
- K. Positive regard
- L. Respect and acceptance for diversity
- M. Use foundational listening, attending, and reflecting skills
Examination sources
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 2, Job Analysis and Content Outline
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 2, Table 1 lead-in
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 10, Table 3 lead-in
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 7, CACREP domains
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 7, Examination Purpose, Content, and Form
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 20, Pass/Fail Score Determination
- NBCC, The National Counselor Examination (NCE) Content Outline
p. 2, Exam Form
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 9, Registering for the Examination — Registration Process
- NBCC, Candidate Handbook for State Licensure: National Counselor Examination (NCE)
p. 9, Test authorization
- NBCC, National Counselor Examination (NCE) Examination Specifications
p. 1, title block
- NBCC, About the National Counselor Examination (NCE) web page
Page tabs
National Clinical Mental Health Counseling Examination
- Provider
- National Board for Certified Counselors (NBCC); administered through the Center for Credentialing & Education (CCE) and delivered by Pearson VUE at test centers or online through OnVUE
- Format
- 11 clinical case studies, each with one narrative in three sections (initial intake summary and two counseling sessions) followed by 9–15 four-option, single-answer multiple-choice questions; one case study is unscored
- Exam questions
- 130–150 multiple-choice items, of which 100 are scored
- Time limit
- 225 minutes to complete the examination within a 255-minute test session (one scheduled 15-minute break after the fifth case study)
- Passing score
- Cut score set through standard setting and applied to other forms through statistical equating; the total score is the number of correctly answered scored items
Examination outline
1. Professional Practice and Ethics — This section encompasses counselors’ knowledge, skills, and abilities related to maintaining proper administrative and clinical protocols. (15% of scored items) (15%)
- A. Assess your (the counselor) competency to work with a specific client
- B. Understand statistical concepts and methods in research
- C. Practice legal and ethical counseling
- D. Clarify counselor/client roles
- E. Discuss client’s rights and responsibilities
- F. Discuss limits of confidentiality
- G. Explain counselor/agency policies
- H. Review payment, fees, and insurance benefits
- I. Explain counseling processes, procedures, risks, and benefits
- J. Explain uses and limits of social media
- K. Inform clients about the legal aspects of counseling
- L. Obtain informed consent
- M. Discuss confidentiality as it applies to electronic communication
- N. Establish group rules, expectations, and termination criteria
- O. Assess competency to provide informed consent
- P. Monitor the therapeutic relationship and build trust as needed
- Q. Review client records
- R. Provide adequate accommodations for clients with disabilities
- S. Provide information to third parties
- T. Provide referral sources if counseling services are inadequate/inappropriate
- U. Advocate for professional and client issues
- V. Supervision
- W. Create and maintain documentation appropriate for each aspect of the counseling process
- X. Awareness and practice of self-care
2. Intake, Assessment, and Diagnosis — This section encompasses counselors’ knowledge, skills, and abilities to effectively conduct client intake, assessment, and diagnosis. (25% of scored items) (25%)
- A. Conduct a biopsychosocial interview
- B. Conduct a diagnostic interview
- C. Conduct cultural formulation interview
- D. Conduct an initial interview
- E. Determine diagnosis
- F. Perform a Mental Status Exam (MSE)
- G. Consider co-occurring diagnoses
- H. Determine level of care needed
- I. Determine the appropriate modality of treatment
- J. Assess the presenting problem and level of distress
- K. Evaluate an individual’s level of mental health functioning
- L. Screen clients for appropriate services
- M. Select, use, and interpret appropriate assessment instruments
- N. Use formal and informal observations
- O. Assess for trauma
- P. Assess substance use
- Q. Obtain client self-reports
- R. Evaluate interactional dynamics
- S. Conduct ongoing assessment for at-risk behaviors (i.e., suicide, homicide, self/other-injury, and relationship violence)
- T. Use pre-test and post-test measures to assess outcomes
- U. Evaluate counseling effectiveness
4. Treatment Planning — This section encompasses counselors’ knowledge, skills, and abilities to develop an effective course of treatment. (15% of scored items) (15%)
- A. Collaborate with client to establish treatment goals and objectives
- B. Establish short- and long-term counseling goals consistent with client’s diagnosis
- C. Identify barriers affecting client goal attainment
- D. Identify strengths that improve the likelihood of goal attainment
- E. Refer to different levels of treatment (e.g., outpatient, inpatient, residential)
- F. Refer to others for concurrent treatment
- G. Guide treatment planning
- H. Discuss termination process and issues
- I. Discuss transitions in group membership
- J. Follow up after discharge
- K. Use assessment instrument results to facilitate client decision-making
- L. Review and revise the treatment plan
- M. Engage clients in review of progress toward treatment goals
- N. Collaborate with other providers and client support systems (documentation and report writing)
- O. Discuss with clients the integration and maintenance of therapeutic progress
- P. Educate client to the value of treatment plan compliance
5. Counseling Skills and Interventions — This section encompasses counselors’ knowledge, skills, and abilities to conduct effective counseling. (30% of scored items) (30%)
- A. Align intervention with client’s developmental level
- B. Align intervention with counseling modality (individual, couple, family, or group)
- C. Align intervention with client population (e.g., veterans, minorities, disenfranchised, disabled)
- D. Implement individual counseling in relation to a plan of treatment
- E. Establish therapeutic alliance
- F. Apply theory-based counseling intervention(s)
- G. Address addiction issues
- H. Address cultural considerations
- I. Address family composition and cultural considerations
- J. Evaluate and explain systemic patterns of interaction
- K. Explore family member interaction
- L. Explore religious and spiritual values
- M. Guide clients in the development of skills or strategies for dealing with their problems
- N. Help clients develop support systems
- O. Help facilitate clients’ motivation to make the changes they desire
- P. Improve interactional patterns
- Q. Provide crisis intervention
- R. Educate client about transference and defense mechanisms
- S. Facilitate trust and safety
- T. Build communication skills
- U. Develop conflict resolution strategies
- V. Develop safety plans
- W. Facilitate systemic change
- X. Provide distance counseling or telemental health
- Y. Provide education resources (e.g., stress management, assertiveness training, divorce adjustment)
- Z. Provide psychoeducation for client
- AA. Summarize
- AB. Reframe/redirect
- AC. Facilitate empathic responses
- AD. Use self-disclosure
- AE. Use constructive confrontation
- AF. Facilitate awareness of here-and-now interactions
- AG. Facilitate resolution of interpersonal conflict
- AH. Use linking and blocking in a group context
- AI. Management of leader–member dynamics
- AJ. Model giving and receiving of feedback
- AK. Address impact of extended families
- AL. Contain and manage intense feelings
- AM. Explore the influence of family of origin patterns and themes
- AN. Address the impact of social support network
- AO. Use “structured” activities
- AP. Promote and encourage interactions among group members
- AQ. Promote and encourage interactions with the group leader
- AR. Use psychoeducation as a part of the group process
- AS. Explain phases in the group process
- AT. Identify and discuss group themes and patterns
- AU. Create intervention based on the stage of group development
- AV. Challenge harmful group member behaviors
- AW. Address the potential interaction of members outside of the group
6. Core Counseling Attributes — This section encompasses behaviors, traits, and dispositions of effective counselors. (15% of scored items) (15%)
- A. Awareness of self and impact on clients
- B. Genuineness
- C. Congruence
- D. Demonstrate knowledge of and sensitivity to gender orientation and gender issues
- E. Demonstrate knowledge of and sensitivity to multicultural issues
- F. Demonstrate conflict tolerance and resolution
- G. Empathic attunement
- H. Empathic responding
- I. Foster the emergence of group therapeutic factors
- J. Non-judgmental stance
- K. Positive regard
- L. Respect and acceptance for diversity
- M. Use foundational listening, attending, and reflecting skills
Examination sources
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 2, Job Analysis and Content Outline
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 2, Table 1 lead-in
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 2, Table 1 footnote 1
- NBCC, Candidate Handbook for State Licensure: National Clinical Mental Health Counseling Examination (NCMHCE)
p. 8, Examination Format
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 9, Scoring and Equating
- NBCC, The National Clinical Mental Health Counseling Examination (NCMHCE) Content Outline
p. 9, Case Studies
- NBCC, Candidate Handbook for State Licensure: National Clinical Mental Health Counseling Examination (NCMHCE)
p. 9, Registering for the Examination — Registration Process
- NBCC, Candidate Handbook for State Licensure: National Clinical Mental Health Counseling Examination (NCMHCE)
p. 9, Test Authorization Window
- NBCC, National Clinical Mental Health Counseling Examination (NCMHCE) Examination Specifications
p. 1, title block
- NBCC, About the National Clinical Mental Health Counseling Examination (NCMHCE) web page
Page tabs