Appendix G
State Laws and Regulations Regarding the Practice of Counselors as of November 2009



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Appendix g State Laws and Regulations Regarding the Practice of Counselors as of November 2009 

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Alabama Licensed A person Master’s degree or higher in Professional who renders counseling from a CACREP- Counselor professional or CORE-accredited program counseling or its equivalent at a regionally services in accredited institution, with private practice at least 48 graduate semester to individuals, hours groups, organizations, corporations, institutions, government agencies, or the general public Alaska Licensed Master’s degree or higher in Professional counseling or a related field Counselor (including psychology, marital and family therapy, social work, and applied behavioral science) from a CACREP-accredited program or its equivalent, with at least 60 graduate semester hours in counseling, including coursework in eight core subjects

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 3,000 hours Applicant License Yes— of supervised must be at renewal assessment, experience in least 19 years every 2 years; diagnosis, professional old, have requires treatment counseling under a master’s 40 contact planning, a board-approved degree focused hours, 6 individual supervisor; 1,000 primarily in hours of and group hours of the required professional continuing counseling experience may be counseling, education in subtracted for every have ethics 15 graduate semester completed the hours obtained required hours beyond the master’s of professional degree experience, have passed the NCE 3,000 hours Applicant License Yes— of supervised must be at renewal assessment, experience in least 18 years every 2 years; diagnosis, professional old, have a requires treatment counseling, master’s or 40 contact planning, including 1,000 doctoral degree hours individual hours of direct in counseling, and group client contact, 100 have counseling hours of face-to-face completed supervision under the required an LPC or other number of licensed mental hours of health professional professional (can be by telephone experience, or electronic have passed means because of the NCE remote location of counselor) continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Arizona Licensed Master’s degree or higher in Professional counseling or a related field Counselor from a CACREP- or CORE- accredited program that includes at least 60 semester hours and coursework in 14 content subjects Arkansas Licensed LAC: an Master’s degree or higher in Professional applicant with counseling with at least 60 Counselor; less than 3 years semester hours in a program Licensed of post– that reflects the CACREP or Associate master’s-level CORE curriculum, from a Counselor supervision regionally accredited institution experience if all other requirements have been met

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 2 years or 3,200 Applicant License Yes— hours of full-time must have renewal assessment, post-master’s successfully every 2 years; diagnosis, supervised work completed all requires treatment experience in core courses 40 contact planning, psychotherapy, required for hours, 3 individual including a master’s hours of and group assessment, degree from continuing counseling diagnosis, and an accredited education in treatment, with 100 program, have behavioral hours of clinical the required health ethics supervision and number of or mental 1,600 hours of direct professional health law, client contact experience 3 hours in hours, have cultural passed competence the NCE, and diversity NCMHCE, or CRCE 3 years or 3,000 Applicant must License Yes, LPC Mandated hours of post- have received renewal only— coverage, master’s supervised graduate every 2 years; assessment, mandated experience under training requires diagnosis, offering, a board-approved in higher 24 contact treatment any willing supervisor (1 year = education hours, 2 planning, provider 1,000 hours); 1 year primarily hours of individual of experience may related to continuing and group be gained for each professional education in counseling 30 semester hours counseling, ethics earned beyond a have completed master’s degree (up the required to 2 years) number of years of professional supervised experience, have passed the NCE and an oral examination continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb California Licensed For those grandfathered in Professional or beginning graduate study Clinical before August 1, 2012, a Counselor master’s or doctoral degree from an accredited or approved institution with 48 semester hours in a program that is counseling or psychotherapy in content; for those beginning graduate study after August 1, 2012, a 60-semester- unit master’s or doctoral degree from an accredited or approved institution that is counseling or psychotherapy in content Colorado Licensed Master’s degree or higher in Professional professional counseling from a Counselor CACREP-accredited program or regionally accredited institution with 48 semester hours, including coursework in core subjects and a practicum or internship

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged At least 3,000 Applicant Licenses will Yes— post-degree hours must have be issued assessment, of supervised completed beginning diagnosis, experience by all degree January 1, treatment an LPC, LMFT, and clinical 2011, and planning, LCSW, licensed experience must be individual psychologist, or requirements, renewed and group licensed psychiatrist have obtained annually or counseling over a period of a passing biannually; at least 2 years, score on requires 18 including at least examinations hours of 1,750 hours of direct approved by approved counseling with the board, continuing individuals or groups probably the education in a clinical mental NCE, the annually health–counseling NCMHCE, setting and 150 and a hours in a hospital or California community mental jurisprudence health setting and ethics examination 2 years or 2,000 Applicant License Yes— hours of post- must be at renewal every assessment, master’s practice least 21 years 2 years; no diagnosis, in applied old, have a continuing- treatment psychotherapy under master’s degree education planning, board-approved in professional requirement individual supervision, counseling, and group including 100 hours have counseling of supervision, of completed which 70 must the necessary be individual years of supervision post-master’s practice, have passed the NCE and the Colorado jurisprudence examination continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Connecticut Licensed Master’s degree or higher in Professional counseling or related mental Counselor health field from a regionally accredited institution consisting of at least 60 semester hours, completion of required coursework, and a sixth-year degree in counseling

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 1 year or 3,000 Applicant License Yes— Mandated hours of post- must have a renewal assessment, coverage master’s supervised master’s or annually; diagnosis, experience in doctoral degree requires treatment professional in social work, 15 contact planning, counseling with at marriage and hours individual least 100 hours of family therapy, and group direct supervision counseling, counseling psychology, or a related mental health field; have completed the required number of hours of postgraduate professional experience; have passed the NCE or NCMHCE continued

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0 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Delaware Licensed Master’s degree or higher, Professional including at least 48 semester Counselor hours of Mental Health District of Licensed Master’s degree in counseling Columbia Professional or a related field, including 60 Counselor graduate semester hours and coursework in 10 core subjects (including a practicum or internship)

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 3,000 hours of Applicant License Yes— full-time clinical must have renewal assessment, professional a graduate every 2 years; diagnosis, counseling degree, have requires treatment experience within completed 40 contact planning, a 4-year period, of the required hours individual which 1,600 hours number of and group must be professional professional counseling direct supervision experience (including 100 hours, have hours of face-to-face passed the supervision); 30 NCE or graduate semester NCMHCE, hours or more be certified by beyond a master’s the NBCC as degree may be a CCMHC substituted for 1 year or by another or 1,600 hours of national required experience mental health specialty certifying organization 2 years or 3,500 Applicant License Yes— hours of post- must have renewal every assessment, master’s supervised a master’s 2 years; no diagnosis, professional degree, have continuing- treatment counseling completed education planning, experience, including the required requirement individual 200 hours under number of and group an LPC and 100 professional counseling hours of “immediate experience supervision”; hours, have remaining hours can passed be under supervision the NCE, of any licensed NCMHCE, or mental health CRCE professional continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Tennessee Licensed LPC/MHSP: in addition to or Professional as part of the graduate degree, Counselor- completion of 9 graduate Mental semester hours of coursework Health related to diagnosis, appraisal, Service and assessment of and Provider; treatment for mental disorders; Licensed LPC: 60 graduate semester Professional hours in professional Counselor counseling or a related field from an institution accredited by the Southern Association of Colleges and Schools, CACREP, or a comparable accrediting body, including completion of a master’s degree in professional counseling and a supervised 500-hour practicum or internship (300 hours of which must be completed in a clinical setting)

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 2 years of post- Applicant License Yes, LPC/ master’s professional must be at renewal MHSP and experience consisting least 18 years every 2 years; LPC— of 3,000 hours old, have requires 20 assessment, of direct clinical completed all contact hours diagnosis, experience (at least educational (10 per year), treatment 10 hours per week) and clinical- 3 hours of planning, and 50 hours of experience continuing individual supervision per week requirements; education and group LPC/MHSP per year in counseling must have ethics or passed Tennessee the NCE, code, NCMHCE, rules, or and Tennessee regulations Jurisprudence Examination for Professional Counselors; LPC must have passed the NCE and Tennessee Jurisprudence Examination for Professional Counselors continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Texas Licensed Master’s degree or higher Professional in professional counseling Counselor or related field (including psychology, psychiatry, social work, marriage and family therapy, and guidance and counseling) consisting of 48 graduate semester hours from an accredited institution, including completion of specific coursework and a 300-hour supervised practicum with at least 100 hours of direct client contact Utah Licensed Master’s degree or higher in Professional mental health counseling Counselor from a CACREP-accredited program, including at least 60 graduate semester hours in specific coursework, 3 semester hours of a practicum, and 6 semester hours of an internship

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 3 years or 3,000 Applicant License Yes— Mandated hours of post- must have renewal assessment, coverage master’s supervised a graduate every 2 years; diagnosis, experience under degree from requires 24 treatment a board-approved an approved contact hours planning, LPC, including program, have (12 per year), individual 1,500 hours of direct completed 3 hours of and group client contact all clinical- continuing counseling experience education in requirements, ethics every 2 have passed years the NCE and Texas Jurisprudence Examination 2 years or 4,000 Applicant License Yes— Mandated hours of post- must have renewal assessment, coverage master’s supervised completed every 2 years; diagnosis, professional all degree- requires treatment counseling program, 40 contact planning, experience, 1,000 coursework, hours individual of which must and clinical- and group be supervised experience counseling experience in mental requirements; health therapy, have passed including 100 the NCE, hours of face-to- NCMHCE, face supervision by and the Utah a licensed mental Professional health therapist Counselor Law, Rules and Ethics Examination continued

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0 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Vermont Licensed Master’s degree or higher in Clinical counseling from an accredited Mental institution with a minimum Health of 60 semester hours and Counselor 1,000 hours of a supervised practicum, internship, or field experience in a clinical mental health setting Virginia Licensed Master’s degree or higher in Professional counseling or related field, Counselor including 60 semester hours from a program that reflects the CACREP or CORE curriculum, and completion of a supervised internship of at least 600 hours

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 2 years or 3,000 Applicant Licensure Yes— Mandated hours of post- must have renewal assessment, offering master’s experience received a every 2 years; diagnosis, in clinical mental graduate requires 40 treatment health counseling, degree, contact hours planning, and including 2,000 completed and 4 hours individual/ hours of direct client the minimum continuing group contact and 100 number education in counseling hours of face-to-face of hours ethics supervision under of clinical a board-approved experience, licensed mental and passed health professional the NCE and NCMHCE 4,000 hours of Applicant License Yes— Mandated postgraduate must have renewal assessment, coverage supervised completed annually; diagnosis, counseling all degree- requires treatment experience, including program, 20 contact planning, 2,000 hours of direct coursework, hours, 2 individual client contact and and clinical- hours of and group 200 hours of face- experience continuing counseling to-face supervision requirements; education in (of which 100 hours have passed the ethics must be individual NCMHCE supervision with an LPC and 100 can be group supervision); graduate-level internship hours may count toward the 4,000 hours, depending on the program continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Washington Licensed Master’s degree or higher in Mental mental health counseling or Health related field from a regionally Counselor accredited institution, including a supervised counseling practicum or internship and 4 hours of HIV/ AIDS education and training West Licensed Master’s degree or higher Virginia Professional (acceptable degrees: Counselor specialization in community agency counseling, mental health counseling, pastoral counseling, rehabilitation counseling, school counseling, substance-abuse or addiction counseling, or similar degrees that include “counseling” deemed closely related by the board) from a CACREP- or CORE-accredited program or comparable accrediting body with 60 semester hours and a practicum and internship

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 3 years of full- Applicant License Yes— Mandated time counseling must have renewal assessment, coverage or 3,000 hours a graduate annually; diagnosis, of postgraduate degree, have requires 36 treatment supervised mental completed contact hours planning, health counseling all clinical- every 2 years, individual in an approved experience 6 hours of and group setting, including requirements, continuing counseling 1,200 hours of have passed education in direct counseling the NCE or ethics and with individuals, NCMHCE law couples, groups, or families and 100 hours of immediate supervision by a board-approved supervisor 2 years or 3,000 Applicant License Yes— hours of post- must have renewal assessment, master’s supervised a graduate every 2 years; diagnosis, professional degree, have requires treatment counseling completed 40 contact planning, experience under all clinical- hours, 3 individual a board-approved experience hours of and group professional, of requirements, continuing counseling which at least have passed education in 50% is in the the NCE or ethics direct provision CRCE of counseling services to clients and which includes at least 1 hour of direct individual supervision for every 20 hours of practice continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE State Credentialsa Definition Educational Requirementsb Wisconsin Licensed Master’s degree or higher in Professional professional counseling or Counselor equivalent program from a regionally accredited institution with at least 42 semester hours, including 3 semester hours of counseling theories and 3 semester hours of supervised counseling Wyoming Licensed Master’s degree or higher Professional in counseling with at least Counselor 48 semester hours from a CACREP- or CORE- accredited program or regionally accredited institution NOTE: This summary should not be relied upon as a definitive source of information on license requirements—state license boards should always be consulted for current and complete requirements. CPC = certified professional counselor, LAC = licensed associate counselor, LAPC a = licensed associate professional counselor, LCMHC = licensed clinical mental health counselor, LCPC = licensed clinical professional counselor, LIMHP = licensed independent mental health practitioner, LMHC = licensed mental health counselor, LMHP = licensed mental health practitioner, LPC = licensed professional counselor,

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 APPEnDIx G License Renewal and Health- Clinical-Experience Licensing Continuing Independent Insurance Requirements Requirementsc Education Practice? Coveraged 2 years or 3,000 Applicant License Yes— hours of post- must have renewal assessment, master’s supervised a master’s every 2 years; diagnosis, professional or doctoral requires treatment counseling practice, degree, have 30 contact planning, including 1,000 completed hours individual hours of face-to-face all clinical- and group client contact and 1 experience counseling hour of face-to-face requirements, supervision per week have passed by a board-approved the NCE, mental health NCMHCE, professional CRCE, or equivalent examination and the Wisconsin jurisprudence examination 3,000 hours of Applicant License Yes— Mandated supervised clinical must be 18 renewal assessment, coverage experience (1,500 of years old, have every 2 years; diagnosis, which must be post- a master’s requires treatment master’s), including or doctoral 45 contact planning, 100 hours of face- degree, have hours individual to-face supervision completed and group by a licensed mental all clinical- counseling health professional experience requirements, have passed the NCE LPCC = licensed professional clinical counselor, LPC/I = licensed professional counselor intern, LPC-MH = licensed professional counselor of mental health, LPCMHC = licensed professional clinical mental health counselor, LPC/MHSP = licensed professional counselor/mental health service provider, LPMHC = licensed professional mental health counselor CACREP = Council for Accreditation of Counseling and Related Educational Programs b (organizational affiliate of American Counseling Association), CCMHC = certified clinical mental health counselor, CHEA = Council for Higher Education Accreditation, continued

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 MEnTAL HEALTH CoUnSELInG SERVICES UnDER TRICARE CORE = Council on Rehabilitation Education, DSM = Diagnostic and Statistical Manual of Mental Disorders, NBCC = National Board for Certified Counselors. AAODA = Advanced Alcohol and Other Drug Abuse Counselor (examination c administered by the International Certification and Reciprocity Consortium/Alcohol and Other Drug Abuse, Inc.), ATCB = Art Therapy Credentials Board, CBMT = Certification Board for Music Therapists, CRCE = Certified Rehabilitation Counselor Examination, EMAC = Examination for Master Addictions Counselors (administered by National Board for Certified Counselors), NCE = National Counselor Examination (administered by National Board for Certified Counselors), NCMHCE = National Clinical Mental Health Counselor Examination (administered by National Board for Certified Counselors), PEPK = Practice Examination of Psychological Knowledge (administered by Northamerican Association of Masters in Psychology). Mandated coverage (or freedom of choice) refers to laws that mandate that specific d provider groups be reimbursed for their services when the services are covered by a health plan. Mandated offering refers to laws that require insurers to offer the services of a provider when the services are covered by a health plan. Any willing provider refers to laws that require managed-care organizations to contract with any qualified provider who agrees to meet the contractual terms and conditions of the plan.