LCMHCS Information

Application Requirements: (G.S. 90-336, Rule .0301, .0308, .0309, .0501, .0801)

NCBLCMHC is pleased to offer both an electronic and paper application process. Although, applicants can still mail a paper application, we encourage applicants to utilize the online application process to save money on postage, ensure your application is received, and to decrease the initial application processing time. Please expect an additional 2-3 weeks processing time for paper applications. If you would like to apply by paper, you are welcome to print and mail the paper application. All printable applications are made available in portable document format (PDF) and available only by request to the Board office.

• General Information
• Credentials
• Legal & Ethics History
• Education
• References
• Professional Counseling Experience
• Clinical Supervision Training
• Application fee of $238 (includes $38 criminal background check fee)
  • Application Validation – Notary Public
  • Criminal Background Check
  • LCMHCS Jurisprudence Exam
  • LCMHCS Professional Disclosure Statement
  • Verification of Professional Counseling Experience

Educational Requirements: (G.S. 90-336, Rule .0302, .0801)

• Clinical Supervision Training shall provide an understanding of the purposes, theoretical frameworks, and models of clinical supervision as well as the roles and relationships related to clinical supervision; shall include legal, ethical, and multicultural issues associated with clinical supervision.
• Three (3) semester graduate credits from a regionally accredited institution of higher education documented on official transcript

OR

• Forty-five (45) hours of approved continuing education from approved provider documented with certificate of attendance identifying:
  • Dates of attendance
  • Number of hours
  • Name of attendee
  • Name of course
  • Name of provider
  • Signature of responsible officer of continuing education provider
• Continuing counselor education must be provided by one of the following national organizations, their affiliates, or by a vendor approved by one of the following organizations:
  • American Association of State Counseling Boards (aascb.org)
  • American Counseling Association (counseling.org);
  • Commission on Rehabilitation Counselor Certification (crccertification.com); and
  • National Board for Certified Counselors (nbcc.org).

References

• Applicants are to provide a list of three individuals (may include supervisors) who are acquainted with their professional counseling work.
• At least one reference must be a licensed clinical mental health counselor.
• References are to complete the Applicant Reference Form.
• The completed forms must be returned directly to the applicant in a sealed envelope with the reference’s signature over the seal or sent directly to the Board.
• Unsigned forms/envelopes will be returned.

Professional Disclosure Statement Requirements: (G.S. 90-343, Rule .0801)

• Must be provided to clients prior to rendering supervision services
• A signed copy must be retained in supervisee records
• Must include all items listed in Rule .0801(b) – Instructions and requirements can be found under the Professional Disclosure Statement Section of the Board website.

Professional Counseling Experience: (G.S. § 90-336(d)(2), Rule .0801)

Verification of Professional Counseling Experience

LCMHCS Applicants must document on forms provided by the Board:

• Verification of Professional Counseling Experience: (G.S. § 90-336(d)(2))
  • At least 5 years full-time licensed professional counseling experience with 2,500 direct client contact hours
  • At least 8 years part-time licensed professional counseling experience with 2,500 direct client contact hours
  • Not less than 5 years but no more than 8 years combined of full/part-time licensed professional counseling experience with 2,500 direct client contact hours
• General information of person verifying
  • Must be verified by a licensed mental health professional (Rule .0213)
    • Licensed Clinical Mental Health Counselors (LCMHC);
    • Licensed Marriage and Family Therapists (LMFT);
    • Licensed Clinical Social Workers (LCSW) with a master's degree in social work from a school of social work accredited by the Council of Social Work Education;
    • Licensed Psychologists;
    • Licensed Medical Doctors with a Medical Board certification in psychiatry;
    • Nurse Practitioners approved to practice in North Carolina and certified by the American Nurses Credentialing Center as an advanced practice nurse practitioner and certified in psychiatric nursing; and
    • Clinical Nurse Specialists certified by the American Nurses Credentialing Center or the American Psychiatric Nurse Association as an Advanced Practice Psychiatric Clinical Nurse Specialist (CNS).
• Location of experience
• Verification that licensed experience occurred
• Dates and hours
  • Must separate full-time and part-time
  • Document direct client contact hours