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| Boilerpipe Text | How to Become a Mental Health Counselor: Career Guide, Salary, and Licensing
By
Updated on September 26, 2025
Edited by
•
Reviewed by
Our Integrity Network
At Psychology.org we believe in providing trustworthy and actionable information about degree programs, careers, professional issues, and regional laws concerning the psychology, counseling, and social work professions. Our writers and editors leverage the latest data from primary sources across the site.
We also rely on our freelance Integrity Network, which is comprised of experienced professionals who pull from their first-hand industry experience and expertise to review content for accuracy and completeness. Integrity Network members typically have a graduate or terminal degree and several years of relevant professional experience.
Explore our full list ofÂ
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Career Overview
How to Become
Licensing
Salary
FAQ
Mental health counselors need a graduate degree and license to practice. Learn more about how to become a mental health counselor.
Key Takeaways
To become a mental health counselor, you need a graduate degree in counseling or a related field, supervised clinical experience, and a state license to practice.
Most states require 2,000 to 3,000 supervised hours and passing scores on either the NCE or NCMHCE national exams administered by the NBCC.
Mental health counselors earn a median annual salary of $59,190, and the field is projected to grow 17% from 2024 to 2034, far above the national average.
More than 1 in 5 U.S. adults live with a mental health condition, according to the
National Institute of Mental Health
. Mental health counselors help clients with a variety of issues that impact health and well-being.
They provide support and treatment for mental health challenges and behavioral disorders.
This guide explains how to become a mental health counselor, including training requirements and job outlook.
What Is a Mental Health Counselor? Definition and Role
A professional mental health counselor is trained and licensed to provide a variety of interventions to help alleviate human suffering. Mental health counselors treat conditions such as depression, anxiety disorders, bipolar disorder, and PTSD.
Some counselors may specialize in behavioral conditions such as gambling or substance use disorder. Others may focus on specific populations, such as those seeking marriage and family therapy or treatment for autism.
Mental health professionals may work independently in private practice or at facilities such as mental health centers. These counselors work closely with other mental health professionals, including psychiatrists, who are licensed to prescribe medications.
Mental Health Counselor Responsibilities and Job Duties
Mental health counselors have many responsibilities, including the following:
Related Careers and Alternative Paths for Counseling Majors
Psychology majors can enter a variety of
alternative careers
outside of being a therapist or counselor. According to the Bureau of Labor Statistics,
61%
of psychology majors found employment in the following non-psychology fields in 2023:
Management
Community and social service
Educational instruction and library
Healthcare practitioners and technical occupations
Business and financial operations
A career in mental health counseling requires a deep desire to help others. If you’re interested in this profession, you can expect to spend 5-8 years completing the requisite education and training. The licensure process for mental health counselors, or the equivalent, varies by state.
1
The first step is to obtain a bachelor’s degree from an accredited institution. Students interested in a counseling career tend to complete majors in subjects such as psychology, human services, or behavioral health science. The degree usually requires 120-126 credits and may provide
internship or practicum
experience such as interviewing and case management.
2
Many states require a
master’s degree in counseling
, counseling psychology, or a related field as the minimum educational requirement for licensure. Students usually complete a master’s in 2-3 years. State licensing boards widely accept degrees accredited by the
Council for Accreditation of Counseling and Related Educational Programs
. This ensures the program meets high standards established by the mental health profession.
3
Aspiring professional counselors must complete 2,000-3,000 clinical hours providing both direct and indirect services under the supervision of a licensed mental health provider.
4
All 50 states and Washington, D.C. require that mental health counselors earn a license to practice. Applicants must successfully complete supervised clinical work experience and pass a
National Board for Certified Counselors
(NBCC) exam for licensure. Once applicants pass the exam, they can apply for licensure through the designated licensing board in their state.
5
NBCC administers two examinations: the
National Counselor Examination
(NCE) and the
National Clinical Mental Health Counseling Examination
(NCMHCE). A state may require one or more for licensure.
The NCMHCE exam consists of 11 case studies that simulate scenarios a clinical mental health counselor encounters. Applicants must complete affiliated multiple-choice questions in 255 minutes. The NCMHCE is also required for NBCC’s certified clinical mental health counselor certification.
Mental Health Counselor Licensure
Passing a national licensing exam is a crucial step in becoming a mental health counselor. Each U.S. state’s counseling board establishes the license application process. Some states issue mental health licenses, such as the licensed professional counselor, to graduates who pass the NCMHCE and meet other requirements for licensure as an independent practitioner.
Other states issue credentials such as licensed professional counselor of mental health and licensed mental health counselor. States may also have associate licenses, such as licensed clinical mental health counselor associate, for pre-licensure candidates who complete supervised experience for licensure.
States could soon join an
interstate counseling compact
, allowing for the portability of counseling credentials in 2025. In the meantime, licensed practitioners in good standing in their jurisdiction can apply for licensure by reciprocity.
Mental Health Counselor Salaries and Job Outlook
Mental health counselors are in demand. According to the Bureau of Labor Statistics (BLS), the number of mental health counselor jobs is projected to
grow 17%
from 2024 to 2034, over five times the average growth rate for all U.S. jobs.
Salaries depend on various factors, including a practitioner’s experience level, location, and employer. As of May 2024, the median annual salary for mental health counselors was $59,190. The lowest 10% earned $39,090, while the highest 10% earned $98,210.
The top five highest-paying states for mental health counselors are Alaska, $88,870; New Jersey, $75,900; Hawaii, $75,610; Oregon, $72,860; and California, $72,530.
Mental Health Counselor Salary Breakdown
Annual Salary Percentile
Annual Salary
10%
$39,090
25%
$47,170
Median (50%)
$59,190
75%
$76,230
90%
$98,210
Source:
BLS, 2023
FAQs About Becoming a Mental Health Counselor
Counselors and therapists
use applied psychology to help clients with mental health challenges, and both require state licenses to practice. Therapists use psychotherapy over the long term to explore the root cause of behavioral and mental health conditions. Counselors focus on empowering clients with practical tools to address these challenges.
A clinical mental health counselor uses a variety of techniques and interventions to treat and prevent behavioral and mental health conditions.
Alaska pays mental health counselors an average annual salary of $88,870, the most of any state, followed by New Jersey, Hawaii, Oregon, and California.
California has the highest employment level of mental health counselors, followed by Pennsylvania, Florida, New York, and Texas, according to the Bureau of Labor Statistics.
The Psychology.org team includes writers, editors, and contributing psychology students and professionals dedicated to helping you navigate the field. We follow a strict editorial and review process to ensure our content is up-to-date, factual, and relevant. Learn more about
our editorial process
.
© 2026 Psychology.org, a Red Ventures Company |
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# How to Become a Mental Health Counselor: Career Guide, Salary, and Licensing

By
[N. Susan Emeagwali](https://www.psychology.org/contributors/n-susan-emeagwali/)
Updated on September 26, 2025
Edited by
[Diana Zaremba](https://www.psychology.org/contributors/diana-zaremba/)
•
Reviewed by
[Rayelle Davis, LCPC](https://www.psychology.org/contributors/rayelle-davis-m-ed-lcpc-ncc/)
Our Integrity Network

At Psychology.org we believe in providing trustworthy and actionable information about degree programs, careers, professional issues, and regional laws concerning the psychology, counseling, and social work professions. Our writers and editors leverage the latest data from primary sources across the site.
We also rely on our freelance Integrity Network, which is comprised of experienced professionals who pull from their first-hand industry experience and expertise to review content for accuracy and completeness. Integrity Network members typically have a graduate or terminal degree and several years of relevant professional experience.
Explore our full list of [Integrity Network members.](https://www.psychology.org/contributors/)
- [Career Overview](https://www.psychology.org/careers/mental-health-counselor/#overview)
- [How to Become](https://www.psychology.org/careers/mental-health-counselor/#how-to-become)
- [Licensing](https://www.psychology.org/careers/mental-health-counselor/#licensing)
- [Salary](https://www.psychology.org/careers/mental-health-counselor/#salary)
- [FAQ](https://www.psychology.org/careers/mental-health-counselor/#faq)
Mental health counselors need a graduate degree and license to practice. Learn more about how to become a mental health counselor.
Key Takeaways
- To become a mental health counselor, you need a graduate degree in counseling or a related field, supervised clinical experience, and a state license to practice.
- Most states require 2,000 to 3,000 supervised hours and passing scores on either the NCE or NCMHCE national exams administered by the NBCC.
- Mental health counselors earn a median annual salary of \$59,190, and the field is projected to grow 17% from 2024 to 2034, far above the national average.
More than 1 in 5 U.S. adults live with a mental health condition, according to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/statistics/mental-illness#part_154790). Mental health counselors help clients with a variety of issues that impact health and well-being.
They provide support and treatment for mental health challenges and behavioral disorders.
This guide explains how to become a mental health counselor, including training requirements and job outlook.
## What Is a Mental Health Counselor? Definition and Role
A professional mental health counselor is trained and licensed to provide a variety of interventions to help alleviate human suffering. Mental health counselors treat conditions such as depression, anxiety disorders, bipolar disorder, and PTSD.
Some counselors may specialize in behavioral conditions such as gambling or substance use disorder. Others may focus on specific populations, such as those seeking marriage and family therapy or treatment for autism.
Mental health professionals may work independently in private practice or at facilities such as mental health centers. These counselors work closely with other mental health professionals, including psychiatrists, who are licensed to prescribe medications.
### Mental Health Counselor Responsibilities and Job Duties
Mental health counselors have many responsibilities, including the following:
-  Assessing and diagnosing clients’ mental and behavioral health conditions
-  Developing evidence-based interventions and reviewing treatment plans
-  Providing individual, group, and family therapy sessions
-  Maintaining records of clients’ progress
-  Providing referrals for additional resources/professionals
### Related Careers and Alternative Paths for Counseling Majors
Psychology majors can enter a variety of [alternative careers](https://www.psychology.org/resources/alternative-careers-for-psychology-majors/) outside of being a therapist or counselor. According to the Bureau of Labor Statistics, [61%](https://www.bls.gov/ooh/field-of-degree/psychology/psychology-field-of-degree.htm#emp) of psychology majors found employment in the following non-psychology fields in 2023:
- Management
- Community and social service
- Educational instruction and library
- Healthcare practitioners and technical occupations
- Business and financial operations
## How to Become a Mental Health Counselor
A career in mental health counseling requires a deep desire to help others. If you’re interested in this profession, you can expect to spend 5-8 years completing the requisite education and training. The licensure process for mental health counselors, or the equivalent, varies by state.
1. 1
### Earn a Bachelor’s Degree in Counseling or a Related Field
The first step is to obtain a bachelor’s degree from an accredited institution. Students interested in a counseling career tend to complete majors in subjects such as psychology, human services, or behavioral health science. The degree usually requires 120-126 credits and may provide [internship or practicum](https://www.psychology.org/resources/internships-and-practicums/) experience such as interviewing and case management.
2. 2
### Earn a Master’s Degree in Counseling or a Related Field
Many states require a [master’s degree in counseling](https://www.psychology.org/degrees/masters-in-counseling/), counseling psychology, or a related field as the minimum educational requirement for licensure. Students usually complete a master’s in 2-3 years. State licensing boards widely accept degrees accredited by the [Council for Accreditation of Counseling and Related Educational Programs](https://www.cacrep.org/). This ensures the program meets high standards established by the mental health profession.
3. 3
### Complete Post-Graduate Supervision Requirement
Aspiring professional counselors must complete 2,000-3,000 clinical hours providing both direct and indirect services under the supervision of a licensed mental health provider.
4. 4
### Apply for Licensure with Your State Board
All 50 states and Washington, D.C. require that mental health counselors earn a license to practice. Applicants must successfully complete supervised clinical work experience and pass a [National Board for Certified Counselors](https://www.nbcc.org/exams) (NBCC) exam for licensure. Once applicants pass the exam, they can apply for licensure through the designated licensing board in their state.
5. 5
### Pass the National Licensing Examination
NBCC administers two examinations: the [National Counselor Examination](https://www.nbcc.org/exams/nce) (NCE) and the [National Clinical Mental Health Counseling Examination](https://www.nbcc.org/Exams/NCMHCE) (NCMHCE). A state may require one or more for licensure.
The NCMHCE exam consists of 11 case studies that simulate scenarios a clinical mental health counselor encounters. Applicants must complete affiliated multiple-choice questions in 255 minutes. The NCMHCE is also required for NBCC’s certified clinical mental health counselor certification.
## Mental Health Counselor Licensure
Passing a national licensing exam is a crucial step in becoming a mental health counselor. Each U.S. state’s counseling board establishes the license application process. Some states issue mental health licenses, such as the licensed professional counselor, to graduates who pass the NCMHCE and meet other requirements for licensure as an independent practitioner.
Other states issue credentials such as licensed professional counselor of mental health and licensed mental health counselor. States may also have associate licenses, such as licensed clinical mental health counselor associate, for pre-licensure candidates who complete supervised experience for licensure.
States could soon join an [interstate counseling compact](https://counselingcompact.org/compact-commission/), allowing for the portability of counseling credentials in 2025. In the meantime, licensed practitioners in good standing in their jurisdiction can apply for licensure by reciprocity.
## Mental Health Counselor Salaries and Job Outlook
Mental health counselors are in demand. According to the Bureau of Labor Statistics (BLS), the number of mental health counselor jobs is projected to [grow 17%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) from 2024 to 2034, over five times the average growth rate for all U.S. jobs.
Salaries depend on various factors, including a practitioner’s experience level, location, and employer. As of May 2024, the median annual salary for mental health counselors was \$59,190. The lowest 10% earned \$39,090, while the highest 10% earned \$98,210.
The top five highest-paying states for mental health counselors are Alaska, \$88,870; New Jersey, \$75,900; Hawaii, \$75,610; Oregon, \$72,860; and California, \$72,530.
| Annual Salary Percentile | Annual Salary |
|---|---|
| 10% | \$39,090 |
| 25% | \$47,170 |
| Median (50%) | \$59,190 |
| 75% | \$76,230 |
| 90% | \$98,210 |
Source: [BLS, 2023](https://data.bls.gov/oesprofile/)
## FAQs About Becoming a Mental Health Counselor
Collapsed
Expand All
### What’s the difference between a counselor and a therapist?
[Counselors and therapists](https://www.psychology.org/resources/counseling-therapy-psychology-differences/) use applied psychology to help clients with mental health challenges, and both require state licenses to practice. Therapists use psychotherapy over the long term to explore the root cause of behavioral and mental health conditions. Counselors focus on empowering clients with practical tools to address these challenges.
### What is a clinical mental health counselor?
A clinical mental health counselor uses a variety of techniques and interventions to treat and prevent behavioral and mental health conditions.
### What state pays mental health counselors the most?
Alaska pays mental health counselors an average annual salary of \$88,870, the most of any state, followed by New Jersey, Hawaii, Oregon, and California.
### Where do most mental health counselors work?
California has the highest employment level of mental health counselors, followed by Pennsylvania, Florida, New York, and Texas, according to the Bureau of Labor Statistics.
Explore Related Careers
[ How to Become a Licensed Counselor: A Step-by-Step Guide By Kathleen Curtis September 23, 2025](https://www.psychology.org/careers/counseling/)
[ How to Become a Behavioral Counselor: Education, Licensure, and Salary Guide By James M. Tobin September 26, 2025](https://www.psychology.org/careers/behavioral-counselor/)
[ How to Become a Counseling Psychologist: A Step-By-Step Guide By N. Susan Emeagwali December 18, 2025](https://www.psychology.org/careers/counseling-psychologist/)
The Psychology.org team includes writers, editors, and contributing psychology students and professionals dedicated to helping you navigate the field. We follow a strict editorial and review process to ensure our content is up-to-date, factual, and relevant. Learn more about [our editorial process](https://www.psychology.org/about-us/).
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| Readable Markdown | ## How to Become a Mental Health Counselor: Career Guide, Salary, and Licensing

By
Updated on September 26, 2025
Edited by
•
Reviewed by
Our Integrity Network
At Psychology.org we believe in providing trustworthy and actionable information about degree programs, careers, professional issues, and regional laws concerning the psychology, counseling, and social work professions. Our writers and editors leverage the latest data from primary sources across the site.
We also rely on our freelance Integrity Network, which is comprised of experienced professionals who pull from their first-hand industry experience and expertise to review content for accuracy and completeness. Integrity Network members typically have a graduate or terminal degree and several years of relevant professional experience.
Explore our full list of [Integrity Network members.](https://www.psychology.org/contributors/)
- [Career Overview](https://www.psychology.org/careers/mental-health-counselor/#overview)
- [How to Become](https://www.psychology.org/careers/mental-health-counselor/#how-to-become)
- [Licensing](https://www.psychology.org/careers/mental-health-counselor/#licensing)
- [Salary](https://www.psychology.org/careers/mental-health-counselor/#salary)
- [FAQ](https://www.psychology.org/careers/mental-health-counselor/#faq)
Mental health counselors need a graduate degree and license to practice. Learn more about how to become a mental health counselor.
Key Takeaways
- To become a mental health counselor, you need a graduate degree in counseling or a related field, supervised clinical experience, and a state license to practice.
- Most states require 2,000 to 3,000 supervised hours and passing scores on either the NCE or NCMHCE national exams administered by the NBCC.
- Mental health counselors earn a median annual salary of \$59,190, and the field is projected to grow 17% from 2024 to 2034, far above the national average.
More than 1 in 5 U.S. adults live with a mental health condition, according to the [National Institute of Mental Health](https://www.nimh.nih.gov/health/statistics/mental-illness#part_154790). Mental health counselors help clients with a variety of issues that impact health and well-being.
They provide support and treatment for mental health challenges and behavioral disorders.
This guide explains how to become a mental health counselor, including training requirements and job outlook.
## What Is a Mental Health Counselor? Definition and Role
A professional mental health counselor is trained and licensed to provide a variety of interventions to help alleviate human suffering. Mental health counselors treat conditions such as depression, anxiety disorders, bipolar disorder, and PTSD.
Some counselors may specialize in behavioral conditions such as gambling or substance use disorder. Others may focus on specific populations, such as those seeking marriage and family therapy or treatment for autism.
Mental health professionals may work independently in private practice or at facilities such as mental health centers. These counselors work closely with other mental health professionals, including psychiatrists, who are licensed to prescribe medications.
### Mental Health Counselor Responsibilities and Job Duties
Mental health counselors have many responsibilities, including the following:
### Related Careers and Alternative Paths for Counseling Majors
Psychology majors can enter a variety of [alternative careers](https://www.psychology.org/resources/alternative-careers-for-psychology-majors/) outside of being a therapist or counselor. According to the Bureau of Labor Statistics, [61%](https://www.bls.gov/ooh/field-of-degree/psychology/psychology-field-of-degree.htm#emp) of psychology majors found employment in the following non-psychology fields in 2023:
- Management
- Community and social service
- Educational instruction and library
- Healthcare practitioners and technical occupations
- Business and financial operations
A career in mental health counseling requires a deep desire to help others. If you’re interested in this profession, you can expect to spend 5-8 years completing the requisite education and training. The licensure process for mental health counselors, or the equivalent, varies by state.
1. 1
The first step is to obtain a bachelor’s degree from an accredited institution. Students interested in a counseling career tend to complete majors in subjects such as psychology, human services, or behavioral health science. The degree usually requires 120-126 credits and may provide [internship or practicum](https://www.psychology.org/resources/internships-and-practicums/) experience such as interviewing and case management.
2. 2
Many states require a [master’s degree in counseling](https://www.psychology.org/degrees/masters-in-counseling/), counseling psychology, or a related field as the minimum educational requirement for licensure. Students usually complete a master’s in 2-3 years. State licensing boards widely accept degrees accredited by the [Council for Accreditation of Counseling and Related Educational Programs](https://www.cacrep.org/). This ensures the program meets high standards established by the mental health profession.
3. 3
Aspiring professional counselors must complete 2,000-3,000 clinical hours providing both direct and indirect services under the supervision of a licensed mental health provider.
4. 4
All 50 states and Washington, D.C. require that mental health counselors earn a license to practice. Applicants must successfully complete supervised clinical work experience and pass a [National Board for Certified Counselors](https://www.nbcc.org/exams) (NBCC) exam for licensure. Once applicants pass the exam, they can apply for licensure through the designated licensing board in their state.
5. 5
NBCC administers two examinations: the [National Counselor Examination](https://www.nbcc.org/exams/nce) (NCE) and the [National Clinical Mental Health Counseling Examination](https://www.nbcc.org/Exams/NCMHCE) (NCMHCE). A state may require one or more for licensure.
The NCMHCE exam consists of 11 case studies that simulate scenarios a clinical mental health counselor encounters. Applicants must complete affiliated multiple-choice questions in 255 minutes. The NCMHCE is also required for NBCC’s certified clinical mental health counselor certification.
## Mental Health Counselor Licensure
Passing a national licensing exam is a crucial step in becoming a mental health counselor. Each U.S. state’s counseling board establishes the license application process. Some states issue mental health licenses, such as the licensed professional counselor, to graduates who pass the NCMHCE and meet other requirements for licensure as an independent practitioner.
Other states issue credentials such as licensed professional counselor of mental health and licensed mental health counselor. States may also have associate licenses, such as licensed clinical mental health counselor associate, for pre-licensure candidates who complete supervised experience for licensure.
States could soon join an [interstate counseling compact](https://counselingcompact.org/compact-commission/), allowing for the portability of counseling credentials in 2025. In the meantime, licensed practitioners in good standing in their jurisdiction can apply for licensure by reciprocity.
## Mental Health Counselor Salaries and Job Outlook
Mental health counselors are in demand. According to the Bureau of Labor Statistics (BLS), the number of mental health counselor jobs is projected to [grow 17%](https://www.bls.gov/ooh/community-and-social-service/substance-abuse-behavioral-disorder-and-mental-health-counselors.htm) from 2024 to 2034, over five times the average growth rate for all U.S. jobs.
Salaries depend on various factors, including a practitioner’s experience level, location, and employer. As of May 2024, the median annual salary for mental health counselors was \$59,190. The lowest 10% earned \$39,090, while the highest 10% earned \$98,210.
The top five highest-paying states for mental health counselors are Alaska, \$88,870; New Jersey, \$75,900; Hawaii, \$75,610; Oregon, \$72,860; and California, \$72,530.
| Annual Salary Percentile | Annual Salary |
|---|---|
| 10% | \$39,090 |
| 25% | \$47,170 |
| Median (50%) | \$59,190 |
| 75% | \$76,230 |
| 90% | \$98,210 |
Source: [BLS, 2023](https://data.bls.gov/oesprofile/)
## FAQs About Becoming a Mental Health Counselor
[Counselors and therapists](https://www.psychology.org/resources/counseling-therapy-psychology-differences/) use applied psychology to help clients with mental health challenges, and both require state licenses to practice. Therapists use psychotherapy over the long term to explore the root cause of behavioral and mental health conditions. Counselors focus on empowering clients with practical tools to address these challenges.
A clinical mental health counselor uses a variety of techniques and interventions to treat and prevent behavioral and mental health conditions.
Alaska pays mental health counselors an average annual salary of \$88,870, the most of any state, followed by New Jersey, Hawaii, Oregon, and California.
California has the highest employment level of mental health counselors, followed by Pennsylvania, Florida, New York, and Texas, according to the Bureau of Labor Statistics.
The Psychology.org team includes writers, editors, and contributing psychology students and professionals dedicated to helping you navigate the field. We follow a strict editorial and review process to ensure our content is up-to-date, factual, and relevant. Learn more about [our editorial process](https://www.psychology.org/about-us/).
© 2026 Psychology.org, a Red Ventures Company |
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