Washington licenses mental health counselors through the Washington State Department of Health. The state utilizes a two-stage pathway consisting of the Licensed Mental Health Counselor Associate (LMHCA) and the Licensed Mental Health Counselor (LMHC).
Individuals must complete supervised postgraduate experience and pass a qualifying examination before obtaining full licensure.
Washington Counseling Licensure & Supervision Quick Summary
| Requirement | Details |
| Official Licensing Authority | Washington State Department of Health |
| Full Clinical License Title | Licensed Mental Health Counselor (LMHC) |
| Initial / Associate License Title | Licensed Mental Health Counselor Associate (LMHCA) |
| Total Supervised Hours Required | 3,000 hours |
| Minimum Direct Client Contact Hours | 1,200 hours |
| Required National Exam(s) | NCE or NCMHCE |
| State Jurisprudence Exam Required? | No |
The Path to Licensure in Washington
Step 1: Complete a Qualifying Graduate Degree
Applicants must complete a master’s or doctoral degree in counseling or a related field.
Educational requirements include:
- Minimum 60 graduate semester hours (or 90 quarter hours)
- Degree must be in:
- counseling, or
- a related discipline approved by the secretary based on nationally recognized standards
- counseling, or
Washington does not require CACREP accreditation, but the program must meet accepted professional standards. Prospective applicants can explore Washington counseling degrees to find relevant programs, including CACREP-accredited counseling programs.
Step 2: Obtain Licensed Mental Health Counselor Associate (LMHCA) Credential
Applicants must obtain associate status before completing supervised experience.
The statute defines an associate as a prelicensure candidate gaining supervised experience required for licensure.
Important:
- Supervised experience must occur while practicing as an associate
- The associate credential functions as the required pathway for supervised practice
Step 3: Complete Supervised Clinical Experience
To qualify for LMHC licensure, applicants must complete supervised postgraduate experience.
Requirements include:
- 3,000 hours of supervised experience
- At least 1,200 hours of direct counseling
- Completion over 36 months full-time or equivalent
Supervision requirements include:
- At least 100 hours of immediate supervision
Supervised experience must:
- Be completed in an approved setting
- Be supervised by a qualified licensed mental health counselor or equally qualified licensed mental health practitioner
Step 4: Pass the Required Examination
Applicants must pass a national counseling examination administered by the National Board of Certified Counselors (NBCC).
Accepted examinations include:
- National Counselor Examination (NCE counseling exam), or
- National Clinical Mental Health Counselor Examination (NCMHCE)
The Department of Health must receive official exam results directly from NBCC before licensure can be granted.
Consider a Featured Online Counseling Program
| School and Program Information | Online Program? Entry Requirements | Course Information | |
|---|---|---|---|
|
Walden University
MS in Clinical Mental Health Counseling
CACREP Accredited |
✔ Online
GRE scores not required
|
Prepare to become the competent, compassionate counselor you were meant to be with Walden's CACREP-accredited MS in Clinical Mental Health Counseling program.
|
Learn More |
|
Northwestern University
Online MA in Counseling
CACREP Accredited |
✔ Online
GRE Not Required
Bachelor's Required |
CACREP-accredited online Master of Arts in Counseling from The Family Institute at Northwestern University. Prepare to pursue licensure in as few as 18 months.
|
Learn More |
|
Northwestern University
Master of Science in Marriage and Family Therapy
COAMFTE Accredited
|
✔ Online
GRE Not Required
Bachelor's Required |
Complete your COAMFTE-accredited MFT online program in as few as 21 months. No GRE is required, but applicants must hold an undergraduate degree.
|
Learn More |
|
Liberty University
MA: Clinical Mental Health Counseling
CACREP Accredited |
✔ Online
Online with required intensives
|
Our CACREP-accredited online master’s in counseling helps you become a skilled mental health counselor ready to empower others for positive change.
|
Learn More |
|
Mid-America Christian University (MACU)
Master of Science (MS) in Counseling
Higher Learning Commission (HLC)
|
✔ Online
100% Online
|
Oklahoma’s largest MS in Counseling program, with emphases in addiction and substance abuse, applied behavioral science, clinical mental health counseling, and more!
|
Learn More |
|
University of Denver
Master of Arts in School Counseling
CACREP Accredited |
✔ Online
No GRE Required; Minimum GPA 2.5 Required
|
With no GRE required, earn your CACREP-accredited Master's in School Counseling online in as few as 24 months from the University of Denver.
|
Learn More |
|
The Chicago School
M.A. in Clinical Mental Health Counseling
CACREP Accredited |
✔ Online
Bachelor's Degree Required.
|
This online, CACREP-accredited CMHC program prepares students for a career offering mental health services in a variety of settings.
|
Learn More |
|
Colorado Christian University
Clinical Mental Health Counseling, M.A. - Online Curriculum
CACREP Accredited |
✔ Online
Bachelor's Degree
|
Optional program emphasis in Marriage and Family Therapy and Substance Use Disorders. CACREP-accredited.
|
Learn More |
|
Colorado Christian University
School Counseling, M.A.
HLC Accredited
|
✔ Online
Bachelor's Degree
|
Complete in as little as 30 months of consecutive coursework. Required 5-day, on-campus residency each summer of the program. CACREP is in process.
|
Learn More |
*Sponsored Counseling Programs
For detailed degree information, view the guides to:
Online CACREP Accredited programs | Online MPCAC Accredited programs
Supervision & Ethics in Washington
Who Qualifies as a Supervisor in Washington?
Supervision must be provided by:
- a licensed mental health counselor, or
- another qualified licensed mental health practitioner
Can Associates Practice Independently in Washington?
The statute establishes associate status as a supervised, prelicensure role.
Associates complete required supervised experience prior to qualifying for full licensure as an LMHC.
What Are the Required Supervision Ratios?
Washington requires:
- At least 100 hours of immediate supervision during the supervised experience period
Common Licensure Pitfalls in Washington
Pro Tip
Ensure supervised experience is completed in an approved setting under a qualified supervisor to meet statutory requirements.
Warning
Failure to meet the minimum direct counseling hours or supervision requirements may delay licensure.
Walden University - MS in Clinical Mental Health Counseling (CACREP Accredited)
Northwestern University - Online MA in Counseling (CACREP Accredited)
Northwestern University - Master of Science in Marriage and Family Therapy (COAMFTE Accredited)
Liberty University - MA: Clinical Mental Health Counseling (CACREP Accredited)
Mid-America Christian University (MACU) - Master of Science (MS) in Counseling (Higher Learning Commission (HLC) Accredited)
University of Denver - Master of Arts in School Counseling (CACREP Accredited)
The Chicago School - M.A. in Clinical Mental Health Counseling (CACREP Accredited)
Colorado Christian University - School Counseling, M.A. (HLC Accredited)
Frequently Asked Questions About Counseling Licensure in Washington
Can I Practice Independently as an Associate in Washington?
Associates are prelicensure candidates completing supervised experience required for licensure. Full independent practice requires licensure as a Licensed Mental Health Counselor (LMHC).
How Long Does It Take to Become Fully Licensed in Washington?
Washington requires:
- 3,000 hours of supervised experience
- At least 36 months of full-time or equivalent supervised practice
Does Washington Require CACREP Accreditation for Licensure?
No. Washington does not require CACREP accreditation. Degree programs must meet standards approved by the secretary based on nationally recognized counseling education standards.
CACREP Accredited



