LICENSED PROFESSIONAL CLINICAL COUNSELOR - IN-STATE APPLICATION FOR LICENSURE AND EXAMINATION

Sep 21, 2026

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California Board of Behavioral Sciences provides the in-state application packet for the Licensed Professional Clinical Counselor (LPCC) licensure and examination process. The instructions explain eligibility requirements for supervised experience review toward the NCMHCE exam, including timelines within the six years prior to the application postmark date, and whether the application can be submitted before passing the LPCC Law and Ethics Examination. Applicants must complete application sections, sign with a legal name, submit a passport-quality photo, pay the nonrefundable $180 fee, and complete required examination security and experience verification documents.

LanguageEnglish

CategoryHealthcare

FormatPDF

Pages19

Reading Time48 min

AccessFree to download

Application Instructions

A. Application

B. Photograph

C. Fee

D. Examination Security Agreement

E. Verification of Experience

F. Background Questions (A-D)

Board of Behavioral Sciences 1625 North Market Blvd. , Suite S200, Sacramento, CA 95834 Telephone: (916) 574-7830 TTY: (800) 326-2297 [www.bbs.ca.gov](www.bbs.ca.gov) LICENSED PROFESSIONAL CLINICAL COUNSELOR IN-STATE APPLICATION FOR LICENSURE AND EXAMINATION Please note: 􀃎This application is for individuals who need their hours of supervised experience to be evaluated in order to qualify for the National Clinical Mental Health Counselor (NCMHCE) Examination. 􀃎Your hours of experience must be gained within the six (6) years prior to the postmark date of this application 􀃎This application can be submitted before you pass the LPCC Law and Ethics Examination Dear In-State Applicant: Thank you for your interest in becoming a California Licensed Professional Clinical Counselor (LPCC) . Included in this packet are the following forms and documents: 1. Application Instructions 2. Important Information for Applicants 3. In-State Application for LPCC Licensure and Examination 4. In-State Experience Verification form, Option 1* 5. In-State Experience Verification form, Option 2* 6. Examination Security Agreement BOARD OF BEHAVIORAL SCIENCES *If you have out-of-state hours, submit an Out-of-State Experience Verification form Board of Behavioral Sciences 1625 North Market Blvd. , Suite S200, Sacramento, CA 95834 Telephone: (916) 574-7830 TTY: (800) 326-2297 [www.bbs.ca.gov](www.bbs.ca.gov) APPLICATION INSTRUCTIONS LICENSED PROFESSIONAL CLINICAL COUNSELOR IN-STATE APPLICATION FOR LICENSURE AND EXAMINATION Submit a completed application to: Board of Behavioral Sciences 1625 North Market Blvd. , Suite S200 Sacramento, CA 95834 Carefully read the following instructions to ensure an accurate and complete application package and that all required original documents are furnished to the Board. All items are mandatory. Any omission may result in the application being deficient or delayed. A. APPLICATION • Complete all sections of the application in ink. • The application must have your original signature. • You must use your legal name. Your “legal name” is the name established legally by your birth certificate, marriage or domestic partnership certificate, or divorce decree (for example) . • Name Change: If you have registered with the Board previously and have changed your legal name without notifying the Board, submit a Notification of Name Change form with your application packet along with the required documentation. • Email Address: Though providing your email address is optional, the Board strongly recommends submission to facilitate communication. B. PHOTOGRAPH Should measure approximately 2" X 2" and be taken within 60 days of the filing of this application. Photograph must be of passport quality of your head and shoulders only. Attach the photograph to the application in the space provided. C. FEE Submit a $180.00 check or money order made payable to the Behavioral Sciences Fund. This is an application fee for evaluating your experience and is NOT REFUNDABLE. D. EXAMINATION SECURITY AGREEMENT The Examination Security Agreement must be completed and signed in ink. Failure to complete this agreement will delay your eligibility to take the examination. E. VERIFICATION OF EXPERIENCE Supervised experience must total at least two (2) years (104 supervised weeks) and 3,000 hours, obtained within the six (6) years immediately preceding the date on which your Application for Licensure and Examination is received by the Board. You must comply with all of the following: 1. EXPERIENCE VERIFICATION FORMS: Each supervisor must complete an In-State Experience Verification form in order to verify your hours of experience. Applicants must fully qualify under Option 1 OR Option 2. There is no “mixing and matching”between the two options when calculating hours. Older form versions that have already been signed will continue to be accepted for either option. Use

FAQs

What is the purpose of the in-state LPCC application packet?

It is used to evaluate an applicant’s supervised experience hours to qualify for the NCMHCE Examination and to complete the LPCC licensure and examination application process in California.

What supervised experience must be submitted, and within what time window?

Supervised experience must total at least two years (104 supervised weeks) and 3,000 hours, obtained within the six years immediately preceding the date the Board receives the application.

Which payment and security documents are required?

Applicants must submit a $180 check or money order to the Behavioral Sciences Fund (nonrefundable) and complete the Examination Security Agreement in ink; failure to complete it delays examination eligibility.

Sep 21, 2026

Upload by Elsa