New York Professional Counselor — Requirements & Free Practice
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Licensed Mental Health Counselor
The ordinary New York license for the practice of mental health counseling. Diagnostic authority additionally requires the separately issued diagnostic privilege, subject to statutory supervised-practice provisions.
Licensing authority: New York State Education Department, Office of the Professions, State Board for Mental Health Practitioners · Application information
Conditional registration for continuing education deficiency
- Duration
- At most one year; no renewal or extension.
- Eligibility
- Existing licensee admitting or attesting to a continuing education deficiency.
- Fee
- Pay the conditional-registration fee in addition to regular registration and mandatory CE fees.
- Remediation
- Agree to remedy the deficiency and complete one approved CE hour per month plus any additional CE required by the Department.
Official no-examination sources
Effective from 2026-09-22.
- NYSED 8 NYCRR Subpart 79-9, Mental Health Counseling
8 NYCRR §79-9.8(f), conditional registration
- NYSED article-163
Education Law §8412(3)(a), conditional registration
Licensure by endorsement
- Age
- At least 21.
- Child abuse training
- Complete required child abuse identification/reporting coursework or the statutory exemption.
- Documents
- Submit Forms 1, 2, 3, 4E and 4F and the required fee.
- Education
- Graduate degree in mental health counseling or a related field that qualified the applicant for licensure in the originating jurisdiction.
- Exam score
- NBCC must send the prior passing NCMHCE score; NYSED states no other examination is acceptable. Passage before application remains a currently offered exam requirement.
- Ineligible applicants
- Applicants without five years of acceptable post-licensure practice in the last ten years, or with non-comparable initial licensing qualifications, must submit initial-licensure documentation for Department evaluation.
- License elsewhere
- License issued by another jurisdiction, with acceptable licensure and disciplinary status in every jurisdiction where a professional license is held.
- Licensed practice
- At least five years of satisfactory licensed practice in the ten years immediately preceding the New York application.
- Moral character
- Good moral character as determined by the Department.
- Prior failure
- Under 59.6(c), unsuccessful attempts at a New York licensing examination preclude endorsement unless a comparable licensing examination has later been passed.
- Supervised experience
- Supervised mental health counseling and psychotherapy experience that qualified the applicant for the originating license.
Initial licensure by examination
- Age
- At least 21 years old.
- Application
- Submit Form 1 and the required licensure and first-registration fee.
- Child abuse training
- Complete New York approved identification and reporting of child abuse training or establish the authorized exemption.
- Education
- A master's or doctoral counseling degree from a licensure-qualifying registered, acceptable accredited, or Department-determined substantially equivalent program; equivalent education normally includes at least 60 graduate semester hours and a 600-clock-hour supervised internship/practicum. Foreign programs must satisfy Department verification and substantial equivalence.
- English proficiency
- If education was completed in a country where English is not the principal language, satisfy 8 NYCRR 59.3 by an acceptable English proficiency examination or an acceptable licensing examination given in English; an English proficiency test is an applicant condition.
- Exam admission
- Degree awarded and education approved before admission; apply for licensure and obtain NYSED eligibility notification, then register with NBCC.
- Experience
- At least 3,000 post-degree supervised clock hours, including at least 1,500 direct client-contact hours, under a qualified supervisor in an authorized setting. New York practice generally requires a limited permit; the Department may accept authorized supervised experience without a permit in the limited circumstances specified in 79-9.3(b).
- Moral character
- Good moral character as determined by the Department.
- Other licensure
- Provide Form 3 verification for each jurisdiction in which licensed or certified.
- Prior exam pass
- NCMHCE previously passed for another licensing jurisdiction is accepted when NBCC sends the score directly; non-standard conditions are accepted only as authorized, including ADA accommodations.
Triennial registration renewal
- Application fee
- Submit the registration application and required registration and continuing education fees.
- Certification
- Certify compliance with continuing education or an authorized exemption/adjustment.
- Continuing education
- At least 36 approved hours per triennium, prorated for shorter periods, subject to statutory exemptions or adjustments; normally no more than 12 self-study hours. Include three hours on professional boundaries for periods beginning on or after April 1, 2023.
- Exam boundary
- Registration renewal under Education Law 6502(3) and 8412 and 79-9.8(d) requires registration and continuing education, with no licensing examination repeated.
- License
- Existing New York mental health counselor license, valid for life unless revoked, annulled or suspended.
Official no-examination sources
Effective from 2026-09-22.
- NYSED article-130-subarticle-1
Education Law §6502(3), registration renewal and return after lapse
- NYSED 8 NYCRR Subpart 79-9, Mental Health Counseling
8 NYCRR §79-9.8(d), registration renewal
- NYSED 8 NYCRR Subpart 79-9, Mental Health Counseling
8 NYCRR §79-9.8(c)(1), continuing education hours
Return to registered practice after a lapse with continuous lawful practice elsewhere
- Continuing education
- Meet the last registered period's CE; one approved hour per lapsed month, capped at 36, in the new period or the permitted window from 36 months before its start through its end; meet the regular CE requirement for the new period.
- License
- Existing New York license and lapsed New York registration.
- Practice history
- Lawful continuous mental health counseling practice in another jurisdiction throughout the lapse.
- Registration
- Submit proper re-registration application and fee; do not resume practice until issued the registration certificate.
Official no-examination sources
Effective from 2026-09-22.
- NYSED article-130-subarticle-1
Education Law §6502(3), registration renewal and return after lapse
- NYSED part-59
8 NYCRR §59.8(b), resumption of practice
- NYSED 8 NYCRR Subpart 79-9, Mental Health Counseling
8 NYCRR §79-9.8(e)(3)
Return to registered practice after a lapse without continuous lawful practice elsewhere
- Continuing education
- Meet the last registered period's CE; complete one approved hour per lapsed month, capped at 36, during the 12 months before the new registration period; then at least 12 approved hours in each succeeding 12-month period until the next registration date.
- License
- Existing New York license and lapsed New York registration.
- Practice history
- No lawful continuous mental health counseling practice elsewhere throughout the lapse.
- Registration
- Submit proper re-registration application and fee; do not resume practice until issued the registration certificate.
Official no-examination sources
Effective from 2026-09-22.
- NYSED article-130-subarticle-1
Education Law §6502(3), registration renewal and return after lapse
- NYSED part-59
8 NYCRR §59.8(b), resumption of practice
- NYSED 8 NYCRR Subpart 79-9, Mental Health Counseling
8 NYCRR §79-9.8(e)(2)
Initial licensure with a Regents substantial meeting waiver
- Age
- At least 21 years old.
- Application
- Submit Form 1 and the required licensure and first-registration fee.
- Child abuse training
- Complete New York approved identification and reporting of child abuse training or establish the authorized exemption.
- Education
- A master's or doctoral counseling degree from a licensure-qualifying registered, acceptable accredited, or Department-determined substantially equivalent program; equivalent education normally includes at least 60 graduate semester hours and a 600-clock-hour supervised internship/practicum. Foreign programs must satisfy Department verification and substantial equivalence.
- English proficiency
- If education was completed in a country where English is not the principal language, satisfy 8 NYCRR 59.3 by an acceptable English proficiency examination or an acceptable licensing examination given in English; an English proficiency test is an applicant condition.
- Exam admission
- Degree awarded and education approved before admission; apply for licensure and obtain NYSED eligibility notification, then register with NBCC.
- Experience
- At least 3,000 post-degree supervised clock hours, including at least 1,500 direct client-contact hours, under a qualified supervisor in an authorized setting. New York practice generally requires a limited permit; the Department may accept authorized supervised experience without a permit in the limited circumstances specified in 79-9.3(b).
- Moral character
- Good moral character as determined by the Department.
- Other licensure
- Provide Form 3 verification for each jurisdiction in which licensed or certified.
- Prior exam pass
- NCMHCE previously passed for another licensing jurisdiction is accepted when NBCC sends the score directly; non-standard conditions are accepted only as authorized, including ADA accommodations.
- Regents waiver
- Regents may waive education, experience or examination requirements only when satisfied they have been substantially met, following Committee on the Professions review; this discretionary waiver does not create another examination.
Restoration after temporary surrender for drug or alcohol treatment
- Department conditions
- Commissioner may impose reasonable conditions needed to protect public health, safety and welfare because of former incapacity.
- Exam boundary
- 6510-b(1) defines this restoration on fitness and reasonable individual conditions; it identifies no required examination. 24.7(a)(2) expressly excludes temporary-surrender restoration from its disciplinary-restoration procedure.
- Fitness
- Show to the Department's satisfaction that incapacity for active professional practice has been eliminated.
- Program
- Complete the approved treatment/rehabilitation program and comply with agreed conditions.
- Surrender
- Temporary surrender under 6510-b for drug/alcohol-related incapacity without patient/client harm.
Official no-examination sources
Effective from 2026-09-22.
- NYSED article-130-subarticle-3
Education Law §6510-b(1), temporary surrender and restoration
- NYSED part-24
8 NYCRR §24.7(a)(2)(i), exclusion of temporary surrender
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
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